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Stoma closure with thumb. (low pressure voice prothesis shown). |
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ATSV II.
(Indwelling voice prosthesis shown). |
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In 1978, Drs. Singer and Blom pioneered the methods of tracheoesophageal
puncture and valved silicone voice prostheses that over the past
30 years have become the international standard for voice restoration,
allowing thousands of patients worldwide to regain their ability
to speak. By creating a small surgical passage just inside the stoma,
from the back wall of the trachea into the esophageal wall, a voice
prosthesis can be placed into this passage to enable tracheoesophageal
speech. Voice is produced by temporarily blocking the stoma so that
exhaled air from the lungs can be directed from the trachea through
the prosthesis into the esophagus and then out through the mouth.
Fluent, conversational speech may be acquired within just a few
days.
Blom-Singer voice prostheses are available as patient-maintained (ex:
Duckbill, Low Pressure) or clinician-maintained (ex: Indwelling).
Standard products are designed to accommodate most anatomies; special
order product size/styles are also available. |
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The Blom-Singer Indwelling voice prosthesis is an indwelling style,
clinician-placed voice prosthesis. The product is designed for
laryngectomees who are unable or unwilling to routinely remove,
clean, and reinsert a patient-changeable voice prosthesis.
Blom-Singer Indwelling voice prostheses are available in four product
styles and offered in nonsterile or sterile, and with or without silver
oxide (anti-fungal substance). Nonsterile product is not intended for
primary placement procedures.
Blom-Singer®
Indwelling Voice Prostheses |
Nonsterile |
Sterile |
Silver
Oxide* |
| CLASSIC, 16 & 20 Fr. |
• |
• |
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| ADVANTAGE (Hard Valve Assembly) 20 Fr. |
• |
|
• |
| ADVANTAGE (Soft Valve Assembly) 16 & 20 Fr. |
• |
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• |
| *Silver oxide, a known anti-fungal substance, has been incorporated into the prosthesis as a material
preservative. This feature may eliminate or reduce the need for anti-fungal agents such as Nystatin for
some users, but not for others. |
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Blom-Singer® ADVANTAGE® Indwelling
Voice Prosthesis – Rx
|
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The ADVANTAGE indwelling voice prosthesis is the newest advancement
in Blom-Singer voice restoration. Silver oxide has been incorporated
into the prosthesis as a material preservative. The ADVANTAGE
is placed by the clinician in the tracheoesophageal puncture so
that routine changing of a voice prosthesis is unnecessary. It
is ideal for laryngectomees who are unable or resistant to changing
a removable voice prosthesis, such as the Duckbill or Low Pressure
styles. The ADVANTAGE is inserted and replaced on an as needed
basis by a speech pathologist or physician only.
Available in two diameter sizes, 16 Fr. and 20 Fr.,
and a range of lengths from 4 mm to 22 mm. Includes
nonsterile voice prosthesis for secondary/replacement
procedures; with insertion/cleaning accessories.
The ADVANTAGE Hard Valve Assembly prostheses are not available in England, Germany, Sweden or Netherlands.
|

Soft Valve Assembly |

Hard Valve Assembly |
| |
SOFT VALVE ASSEMBLY |
HARD VALVE
ASSEMBLY |
Length |
16 Fr. Diameter |
20 Fr. Diameter |
20 Fr. Diameter |
4mm |
AS1604-NS |
AS2004-NS |
AD2004-NS |
|
6mm |
AS1606-NS |
AS2006-NS |
AD2006-NS |
|
8mm |
AS1608-NS |
AS2008-NS |
AD2008-NS |
|
10mm |
AS1610-NS |
AS2010-NS |
AD2010-NS |
|
12mm |
AS1612-NS |
AS2012-NS |
AD2012-NS |
|
14mm |
AS1614-NS |
AS2014-NS |
AD2014-NS |
|
16mm |
AS1616-NS |
AS2016-NS |
AD2016-NS |
|
18mm |
AS1618-NS |
AS2018-NS |
AD2018-NS |
|
20mm |
AS1620-NS |
AS2020-NS |
AD2020-NS |
|
22mm |
AS1622-NS |
AS2022-NS |
AD2022-NS |
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Blom-Singer® CLASSIC™ Indwelling Voice Prostheses |
| |
 |
Since its introduction in 1994, the Blom-Singer Classic Indwelling voice prosthesis has been a premier voice restoration product for laryngectomees worldwide. Like the ADVANTAGE Indwelling voice prosthesis, the Classic indwelling is intended for laryngectomees who are unable or reluctant to perform the routine removal and insertion necessary for the cleaning and maintenance of traditional, patient-maintained voice prostheses. The Classic Indwelling voice prosthesis is clinician placed; it is inserted and replaced on an as needed basis by a speech pathologist or physician only. It is available in a variety of sizes and styles. |
Introducing the FIRST ever 16 Fr. Indwelling Voice Prosthesis! |
According to Eric D. Blom, Ph.D.,* he considers the use of a 16 Fr. Indwelling voice prosthesis in the following circumstances:
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As the initial voice prosthesis following
tracheoesophageal puncture.
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Patients who have questionably healthy
tracheoesophageal wall tissue, i.e., post-radiation
or chemo-radiation therapy, poorly controlled
diabetes, or others in who dilating the
puncture to 20 Fr. or larger seems unwarranted.
-
Patients with a smaller diameter tracheostoma
that will not comfortably accommodate a 20 Fr. or
larger diameter prosthesis.
-
Patients with a thin tracheoesophageal wall, i.e.,
6mm or less.
* Eric D. Blom, Ph.D. of CENTA - The Center for Ears, Nose, Throat & Allergy, Indianapolis, has many years of clinical experience in Surgical Voice Restoration. According to Dr. Blom, a 16 Fr. Indwelling Voice Prosthesis should only be used in a 16 FR. diameter Tracheoesphageal Puncture.
|
Blom-Singer® CLASSIC™ Indwelling Voice Prostheses –
Nonsterile Series – Rx |
|
Includes nonsterile voice prosthesis for secondary or replacement procedures; with insertion/cleaning accessories. Note: The 20 Fr. Classic Indwellling has an optional gel cap loading tool that is available separately:
Special 11-260-01.
|
Size |
16 FR. |
20 FR. |
| 4mm |
IN1604-NS |
IN2004-NS |
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| 6mm |
IN1606-NS |
IN2006-NS |
| |
| 8mm |
IN1608-NS |
IN2008-NS |
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| 10mm |
IN1610-NS |
IN2010-NS |
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| 12mm |
IN1612-NS |
IN2012-NS |
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| 14mm |
IN1614-NS |
IN2014-NS |
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| 16mm |
IN1616-NS |
IN2016-NS |
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| 18mm |
IN1618-NS |
IN2018-NS |
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| 20mm |
IN1620-NS |
IN2020-NS |
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22mm |
IN1622-NS |
IN2022-NS |
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| Blom-Singer® CLASSIC™ Indwelling Voice Prostheses – Sterile Series – Rx |
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Available for primary TEP placement procedures in both 16 Fr. and 20 Fr. diameters,
8 mm—14 mm.
|
Size |
16 FR. |
20 FR. |
8mm |
IN1608-SO |
IN2008-SO |
|
10mm |
IN1610-SO |
IN2010-SO |
|
12mm |
IN1612-SO |
IN2012-SO |
|
14mm |
IN1614-SO |
IN2014-SO |
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| Sterile — Includes sterile voice prosthesis for primary TEP procedures; with insertion/cleaning accessories. Clinician-placed. |
| Indwelling Voice Prosthesis Accessories –
Nonsterile |
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| The Classic indwelling voice prosthesis accessories provide users with comfort, safety and convenience during the routine care and daily maintenance of the prosthesis. |
REF |
Description |
|
| IN4050 |
Flushing Device, 3 ea |
|
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| IN4061 |
Prostheses Cleaning Brush, 16/20 Fr. (Small, 4mm-8mm) |
Rx |
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| IN4062 |
Prostheses Cleaning Brush, 16/20 Fr. (Medium, 10mm - 16mm) |
Rx |
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| IN4063 |
Prostheses Cleaning Brush, 16/20 Fr. (Large, 18mm - 22mm) |
Rx |
|
| IN4069 |
16 Fr. Plug Insert** |
Rx |
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| IN4070 |
20 Fr. Plug Insert |
Rx |
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| BK4100 |
20 Fr. Indwelling Valved Insert |
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(fits sizes 8mm to 25mm, 20 Fr. CLASSIC) |
Rx |
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| SPECIAL |
20 Fr. Indwelling Gel Cap Insertion Kit |
Rx |
11-260-01 |
(fits 20 Fr. CLASSIC Indwelling only) |
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| BE3190 |
Replacement Round Gel Caps, 16 Fr., 90 ea |
Rx |
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| BE3290 |
Replacement Round Gel Caps, 20 Fr., 90 ea |
Rx |
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**This accessory is suitable for the CLASSIC IN1600-NS and ADVANTAGE AS1600-NS series only. |
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We are dedicated to providing the following voice restoration products that accommodate special anatomical needs (as determined by the medical professional). Please allow up to six weeks for delivery.
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Blom-Singer® CLASSIC Indwelling Voice Prostheses, 20 Fr. – Nonsterile
Special Order Products |
|
| |
| Large
Flange Rx |
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Special
Lengths Rx |
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Increased
Resistance Rx |
| REF |
Size | |
REF |
Size | |
REF |
Size |
| IN2004-LEF |
4mm | |
IN2005-SL |
5mm |
|
IN2006-IR |
6mm |
| | |
| |
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| IN2005-LEF |
5mm | |
IN2007-SL |
7mm |
|
IN2008-IR |
8mm |
| | |
| |
|
| IN2006-LEF |
6mm | |
IN2009-SL |
9mm | |
IN2010-IR |
10mm |
| | |
| |
|
| IN2008-LEF |
8mm | |
IN2011-SL |
11mm | |
IN2012-IR |
12mm |
| | |
| |
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| IN2010-LEF |
10mm | |
IN2013-SL |
13mm | |
IN2014-IR |
14mm |
| | |
| |
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| IN2012-LEF |
12mm | |
|
25mm | |
IN2018-IR |
18mm |
| | |
| |
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| IN2014-LEF |
14mm | |
|
| |
IN2022-IR |
22mm |
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IN2025-IR |
25mm |
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| Blom-Singer Duckbill Voice Prostheses |
|
The Duckbill is a 16 Fr. silicone, one-way slit valve prosthesis designed
for placement in a passage between the trachea and the esophagus for
voice restoration following laryngectomy. The one-way valve of the
Duckbill protects the airway during swallowing and opens under positive
pressure so that air crosses into the esophagus to produce voice.
The Duckbill is a patient-maintained device; the patient may insert,
remove and clean the device independently.
Available in a range of lengths from 6mm to 28mm. |
REF |
Size |
DB16-006 |
6mm |
|
DB16-008 |
8mm |
|
BE6000 |
10mm |
|
DB16-012 |
12mm |
|
BE6001 |
14mm |
|
BE6002 |
18mm |
|
BE6003 |
22mm |
|
BE6004 |
25mm |
|
BE6005 |
28mm |
|
|
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| Blom-Singer Low Pressure Voice
Prostheses – Rx |
 |
The Low Pressure is a silicone one-way flapper valve prosthesis designed
for placement in a passage between the trachea and the esophagus for
voice restoration following laryngectomy. Like the Duckbill Voice
Prosthesis, the one-way valve protects the airway during swallowing
and opens under positive pressure so that air crosses into the esophagus
to produce voice. The Low Pressure is a patient-maintained device;
the patient may insert, remove and clean the device independently. Low
Pressure Voice Prostheses are available in
two diameters: 16 Fr. and 20 Fr. and a range
of lengths from 6mm to 28mm. Special order
sizes/styles available.
|
Size |
16 Fr. |
20 Fr. |
6mm |
BE6009 |
BE2014 |
|
8mm |
LP16-008 |
LP20-008 |
|
10mm |
BE6010 |
BE2018 |
|
12mm |
LP16-012 |
LP20-012 |
|
14mm |
BE6011 |
BE2022 |
|
18mm |
BE6012 |
BE2026 |
|
22mm |
BE6013 |
BE2030 |
|
25mm |
BE6014 |
BE2033 |
|
28mm |
BE6015 |
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