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Blom-Singer® Voice Prostheses
Anatomy
stoma closure with thumb
Stoma closure with thumb.
(low pressure voice prothesis shown).
ATSV II
ATSV II.
(Indwelling voice prosthesis shown).
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.
Blom-Singer 30 Years

Indwelling Voice Prostheses

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.
 
ADVANTAGE (Hard Valve Assembly) 20 Fr.
 
ADVANTAGE (Soft Valve Assembly) 16 & 20 Fr.
 
*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.

Blom-Singer® ADVANTAGE® Indwelling Voice Prosthesis – Rx

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.

Advantage AS Voice Prosthesis
Soft Valve Assembly
Advantage AD Voice Prosthesis
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

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:

  • As the initial voice prosthesis following tracheoesophageal puncture.

  • 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
6mm
IN1606-NS
IN2006-NS
8mm
IN1608-NS
IN2008-NS
10mm
IN1610-NS
IN2010-NS
12mm
IN1612-NS
IN2012-NS
14mm
IN1614-NS
IN2014-NS
16mm
IN1616-NS
IN2016-NS
18mm
IN1618-NS
IN2018-NS
20mm
IN1620-NS
IN2020-NS
22mm
IN1622-NS
IN2022-NS

Blom-Singer® CLASSIC™ Indwelling Voice Prostheses – Sterile Series – Rx

Classic Sterile Series

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
Sterile — Includes sterile voice prosthesis for primary TEP procedures; with insertion/cleaning accessories. Clinician-placed.


Indwelling Voice Prosthesis Accessories – Nonsterile
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  
IN4061
Prostheses Cleaning Brush, 16/20 Fr. (Small, 4mm-8mm)
Rx
IN4062 Prostheses Cleaning Brush, 16/20 Fr. (Medium, 10mm - 16mm) Rx
IN4063 Prostheses Cleaning Brush, 16/20 Fr. (Large, 18mm - 22mm) Rx
IN4069
16 Fr. Plug Insert**
Rx
IN4070
20 Fr. Plug Insert
Rx
BK4100
20 Fr. Indwelling Valved Insert
(fits sizes 8mm to 25mm, 20 Fr. CLASSIC)
Rx
SPECIAL
20 Fr. Indwelling Gel Cap Insertion Kit
Rx
11-260-01
(fits 20 Fr. CLASSIC Indwelling only)
BE3190
Replacement Round Gel Caps, 16 Fr., 90 ea
Rx
BE3290
Replacement Round Gel Caps, 20 Fr., 90 ea
Rx
**This accessory is suitable for the CLASSIC IN1600-NS and ADVANTAGE AS1600-NS series only.
Special Options
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.

Blom-Singer® CLASSIC Indwelling Voice Prostheses, 20 Fr. – Nonsterile
Special Order Products
 
Large Flange Rx
 
Special Lengths Rx
Increased Resistance Rx
REF
Size
REF
Size
REF
Size
IN2004-LEF
  4mm
IN2005-SL 5mm
IN2006-IR
  6mm
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
IN2010-LEF
10mm
IN2013-SL
13mm
IN2014-IR
14mm
IN2012-LEF
12mm
IN2025-SL
25mm
IN2018-IR
18mm
IN2014-LEF
14mm
 
IN2022-IR
22mm
   
           
IN2025-IR
25mm
       
 

Patient Changeable Voice Prostheses
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


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