Product Catalog 2018 - Atos Medical
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Product Catalog 2018
Atos Medical - Who we are At Atos Medical, we are committed to giving a voice to people who breathe through a stoma, with design solutions and technologies built on decades of experience and a deep understanding of our users. Since the introduction of the first Provox® voice prosthesis in 1990, Atos Medical has become the world leader in laryngectomy care. Our commitment and dedicated specialization in this field has allowed us to gain a deep understanding of the needs of our customers. This understanding drives our innovation process and we take pride in continuously bringing innovative solutions to our users. Over the years, we have served the needs of approximately 100,000 people who have had laryngectomies in over 70 countries. Our comprehensive laryngectomy care portfolio includes a complete range of Provox voice and pulmonary rehabilitation devices. Our broad range of high quality Provox products allows for a personalized combination of solutions for each user. Atos Medical understands that being the leader in this field is more than product development. Supporting clinical research and educating both professionals and users is an integral part of our business. Our products are featured in over 150 peer-reviewed publications. We support and conduct hundreds of conferences and educational programs every year. We are proud of our history and accomplishments, and we continue to learn from our users; serving them with the best products, services and education we can provide in laryngectomy care. Patents and Trademarks: Provox®, Provox® ActiValve®, Provox® FreeHands HME®, Provox® XtraBase® and Provox® TrachPhone® are registered trademarks owned by Atos Medical AB, Sweden. Provox® Vega™, Provox® NID™, Provox® XtraMoist™ and XtraFlow™, Provox® Micron HME™, Provox® Luna™, Provox® HME Cap™, Provox® XtraFlange™, Provox® ShowerAid™, Provox® LaryTube™, Provox® LaryClip™ and Provox® LaryButton™, Provox® FlexiDerm™, Provox® OptiDerm™, Provox® FreeHands FlexiVoice™, Provox® FreeHands Support™, Provox® StabiliBase™ are trademarks of Atos Medical AB, Sweden. For information about patents, please refer to www.atosmedical.us.
In this catalog you will find products that will help you to speak, breathe well and take care of your skin. Contents 4. Speaking 12. Breathing 21. Hands-free 25. Care 29. Speech Aids 34. Continuum of Care 37. Resources 39. Jaw Mobility 42. Laryngectomy Illustrations 43. Selection of References 45. Contact
Speaking 4
Provox® Vega™
A voice prosthesis designed for good voice quality, low
speaking effort, easy device maintenance and comfort.
Consistency, device life, voice quality and ease of voicing are important factors
when choosing the right voice prosthesis. Clinical studies show that the Provox
Vega has superior device life, provides the best voice quality as it requires the
lowest amount of effort to speak and is the easiest to clean.
• Less strained voice
• Easier to understand
• Produced with less effort
• Better voice quality
The Provox Vega voice prosthesis comes with an Insertion System that gives
more control and greater flexibility.
• Adapts to patient anatomy and clinician’s preferred insertion method
• Creates an ideal fold of the esophageal flange
• Intuitive and easy to use
Provox Rx Size Ref. Provox Rx Size Ref. Provox Rx Size Ref.
Vega no Vega no Vega no
Provox Vega Provox Vega Provox Vega
Rx 4 mm 8270 Rx 4 mm 8276 Rx 4 mm 8282
17Fr 20Fr 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 6 mm 8271 Rx 6 mm 8277 Rx 6 mm 8283
17Fr 20Fr 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 8 mm 8272 Rx 8 mm 8278 Rx 8 mm 8284
17Fr 20Fr 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 10 mm 8273 Rx 10 mm 8279 Rx 10 mm 8285
17Fr 20Fr 22.5Fr
Provox Vega Provox Vega 12.5 Provox Vega 12.5
Rx 12.5 mm 8274 Rx 8280 Rx 8286
17Fr 20Fr mm 22.5Fr mm
Provox Vega Provox Vega Provox Vega
Rx 15 mm 8275 Rx 15 mm 8281 Rx 15 mm 8287
17Fr 20Fr 22.5Fr
Sterile, for single use.
Includes: 1 Provox Vega voice prosthesis with Insertion System (sterile) and 1 Provox Brush (non-sterile).
For Clinician Insertion Only.
Provox® Capsules
The Provox Capsule allows the professional the flexibility of placing one of the
Provox indwelling voice prostheses anterograde with a capsule.
Provox Capsules Quantity Rx Ref.no
Provox Capsules 16 Fr 15 pc Rx 7794
Provox Capsules 17 Fr 15 pc Rx 7795
Provox Capsules 20 Fr 15 pc Rx 7796
Provox Capsules 22.5 Fr 15 pc Rx 7797
Sterile, for single use. For use with Provox Vega only.
For Clinician Use Only.
5
Provox® Vega™ XtraSeal™
A solution to manage leakage around.
• The enlarged esophageal flange is thin and flexible which
allows it to conform to the tissue around the TE puncture
• The user can continue to speak, eat and drink while the leakage
around is managed
The Provox Vega XtraSeal voice prosthesis comes with an Insertion System that
gives more control and greater flexibility.
• Adapts to patient anatomy and clinician’s preferred insertion method
• Creates an ideal fold of the esophageal flange
• Intuitive and easy to use
Provox Vega Rx Size Ref. Provox Vega Rx Size Ref. Provox Vega Rx Size Ref.
XtraSeal no XtraSeal no XtraSeal no
Provox Vega Provox Vega Provox Vega
Rx 4 mm 8288 Rx 4 mm 8294 Rx 4 mm 8300
XtraSeal 17Fr XtraSeal 20Fr XtraSeal 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 6 mm 8289 Rx 6 mm 8295 Rx 6 mm 8301
XtraSeal 17Fr XtraSeal 20Fr XtraSeal 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 8 mm 8290 Rx 8 mm 8296 Rx 8 mm 8302
XtraSeal 17Fr XtraSeal 20Fr XtraSeal 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 10 mm 8291 Rx 10 mm 8297 Rx 10 mm 8303
XtraSeal 17Fr XtraSeal 20Fr XtraSeal 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 12.5 mm 8292 Rx 12.5 mm 8298 Rx 12.5 mm 8304
XtraSeal 17Fr XtraSeal 20Fr XtraSeal 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 15 mm 8293 Rx 15 mm 8299 Rx 15 mm 8305
XtraSeal 17Fr XtraSeal 20Fr XtraSeal 22.5Fr
Includes: 1 Provox Vega XtraSeal voice prosthesis with Insertion System (sterile) and 1 Provox Brush (non-sterile).
Note: The shaft of the Provox XtraSeal is approximately 1 mm shorter than the size indicated due to the enlarged esophageal flange.
For Clinician Insertion Only.
6
Provox® ActiValve®
The voice prosthesis with extended device lifetime.
• Increased device life – reduces the need of frequent replacements
in most patients who experience short device life
• Valve and valve-seat consist of fluoroplastic
which appears to be insusceptible to destruction by candida
• Valve closes with magnets which prevents inadvertent
valve opening when the user breathes or swallows
• Available in three strengths – Light, Strong and XtraStrong
Provox Rx Size Ref. Provox Rx Size Ref. Provox Rx Size Ref.
ActiValve no ActiValve no ActiValve no
Provox ActiValve Provox ActiValve Provox ActiValve
Rx 4.5 mm 7150 Rx 4.5 mm 7160 Rx 4.5 mm 7165
Light Strong XtraStrong
Provox ActiValve Provox ActiValve Provox ActiValve
Rx 6 mm 7151 Rx 6 mm 7161 Rx 6 mm 7166
Light Strong XtraStrong
Provox ActiValve Provox ActiValve Provox ActiValve
Rx 8 mm 7152 Rx 8 mm 7162 Rx 8 mm 7167
Light Strong XtraStrong
Provox ActiValve Provox ActiValve Provox ActiValve
Rx 10 mm 7153 Rx 10 mm 7163 Rx 10 mm 7168
Light Strong XtraStrong
Provox ActiValve Provox ActiValve Provox ActiValve
Rx 12.5 mm 7154 Rx 12.5 mm 7164 Rx 12.5 mm 7169
Light Strong XtraStrong
Provox ActiValve Lubricant
Non sterile, for single use. Includes: 1 Provox ActiValve voice prosthesis, 7149
(replacement)
1 single-use insertion tool, 2 Provox Brush, 1 Provox ActiValve Lubricant, 1
Provox Plug, 2 User Cards, 1 Emergency Card.
For Clinician Insertion Only.
Provox®2
The first voice prosthesis for anterograde insertion.
• Can be inserted immediately after TE puncture (primary
or secondary) using the Provox GuideWire
• Low airflow resistance
• Easy maintenance
• Can be used for anterograde placement
Provox2 Rx Size Ref.no
Provox2 22.5 Fr Rx 4.5 mm 7216
Provox2 22.5 Fr Rx 6 mm 7217
Provox2 22.5 Fr Rx 8 mm 7218
Provox2 22.5 Fr Rx 10 mm 7219
Provox2 22.5 Fr Rx 12.5 mm 7221
Provox2 22.5 Fr Rx 15 mm 7224
Sterile, for single use.
Includes: 1 Provox2 Voice Prosthesis, 1 single-use
insertion tool, 1 Provox Brush.
For Clinician Insertion Only.
7
Provox® NiD™ Non-Indwelling
Proven features and quality of a Provox device with the convenience
of patient self-insertion, removal and cleaning.
The laryngectomee can insert, remove and clean this voice
prosthesis themselves while preserving the key features and
proven quality of a Provox device.
• Patients may insert, remove and clean the device
themselves
• Sturdy, durable materials and construction
• Attached to a wide safety medallion to prevent it
from falling into the tracheostoma
• Low airflow resistance
• In place prosthesis cleaning possible with dedicated
cleaning tools
• Available in 17Fr and 20Fr diameters, along with the
most popular lengths
Provox NiD Rx Size Ref.no Provox NiD Rx Size Ref.no
Provox NiD 17 Rx 6 mm 7101 Provox NiD 20 Rx 6 mm 7111
Provox NiD 17 Rx 8 mm 7102 Provox NiD 20 Rx 8 mm 7112
Provox NiD 17 Rx 10 mm 7103 Provox NiD 20 Rx 10 mm 7113
Provox NiD 17 Rx 12 mm 7104 Provox NiD 20 Rx 12 mm 7114
Provox NiD 17 Rx 14 mm 7105 Provox NiD 20 Rx 14 mm 7115
Provox NiD 17 Rx 18 mm 7106 Provox NiD 20 Rx 18 mm 7116
Inserter of corresponding size included. Non-sterile, ready for single patient use.
Provox® Dilator for NiD (Non-Indwelling Prosthesis)
Provox Dilator for NiD is used to upsize the diameter or to temporarily
stent the TE puncture, irrespective of type and diameter of voice
prosthesis used.
Provox Dilator Rx Quantity Ref.no
Provox Dilator, 17 Fr Rx 1 pc 7122
Provox Dilator, 20 Fr Rx 1 pc 7123
Nonsterile, reusable, sterilizable.
17 Fr diameter in 11.5 Fr at tip and increases to 19Fr.
20 Fr diameter in 13 Fr at tip and increases to 22 Fr.
8
Provox® Dilator
Provox Dilator is used to upsize the diameter of the TE puncture or to
temporarily stent the TE puncture, irrespective of type and diameter of voice
prosthesis used. The size can be increased from 15 Fr to 24 Fr in one device.
Each ring steps up the French size (18, 20, 22, 24 Fr). A small circular ring
helps to keep the Provox Dilator in place and reduces the tendency of it
sliding out.
Provox Dilator Quantity Ref.no
Provox Dilator 1 pc 7211
Nonsterile, reusable, sterilizable. Provox Dilator for
dilating 15Fr-24Fr.
For Clinician Use Only.
Provox® Brush
For cleaning of the voice prosthesis.
• Easy and efficient cleaning
• Can be bent for individual adaptation
• Can be to insert the Provox Plug or Provox Vega Plug
Provox Brush Quantity Size Ref.no
Provox Brush 6 pcs 4.5-10 mm 7204
Provox Brush XL 6 pcs 12-18 mm 7225
Nonsterile, reusable. For single patient use.
Provox® Flush
For flushing after brushing.
• Can be used with air or drinking water
• May be bent for individual fitting
Provox Flush Quantity Ref.no
Provox Flush 1 pc 8109
Nonsterile, reusable. For single patient use.
9
Provox® Plug & Provox® Vega™ Plug
A temporary solution to stop leakage through the voice prosthesis.
Provox Plug & Quantity Ref.no
Provox Vega Plug
Provox Plug 1 pc 7205
Provox Vega Plug, 17 Fr 1 pc 8119
Provox Vega Plug, 20 Fr 1 pc 8129
Provox Vega Plug, 22.5 Fr 1 pc 8139
Nonsterile, reusable. For single patient use.
Includes Provox Brush.
Note: The Provox Vega Plug fits into Provox
Vega prostheses. The Provox Plug is for
Provox2, Provox ActiValve and Provox NiD.
Provox® XtraFlange™
A rapid solution to manage leakage around the voice prosthesis.
• Easy, quick, cost-effective solution to a common problem
• Can be used in combination with all Provox indwelling voice prostheses
• White material for good visibility
Provox XtraFlange Rx Quantity Ref.no
Provox XtraFlange 22.5 Fr Rx 1 pc 7275
Provox XtraFlange 20 Fr Rx 1 pc 7276
Provox XtraFlange 17 Fr Rx 1 pc 7277
Sterile, for single use.
For Clinician Use Only.
Provox® GuideWire
Provox GuideWire enables retrograde insertion of all Provox indwelling prostheses.
The tip contains a retainer slit that holds the safety strap of the prosthesis.
Provox GuideWire Quantity Ref.no
Provox GuideWire 1 pc 7215
Sterile, for single use.
For Clinician Use Only.
10Provox® Vega™ Puncture Set
A disposable surgical set for primary or secondary puncture
and primary placement of the Provox Vega voice prosthesis.
• All-in-one surgical set
• Creates a round puncture, leaving the surrounding tissue
intact
• Comes pre-loaded with a Provox Vega voice prosthesis
• Disposable and sterile
• Enables a rapid procedure, minimum preparation and
assembly are needed
• Protects the pharynx, surgically creates the puncture and
immediately dilates and places the Provox Vega voice
prosthesis
Provox Vega Size Ref. no Provox Vega Size Ref. no
Puncture Set Puncture Set
Provox Vega Provox Vega
8 mm 8140US 10 mm 8145US
Puncture Set 17 Fr Puncture Set 20 Fr
Provox Vega Provox Vega
10 mm 8141US 12.5 mm 8146US
Puncture Set 17 Fr Puncture Set 20 Fr
Provox Vega Provox Vega
12.5 mm 8142US 8mm 8147US
Puncture Set 17 Fr Puncture Set 22.5 Fr
Provox Vega Provox Vega
15 mm 8143US 10 mm 8148US
Puncture Set 17 Fr Puncture Set 22.5 Fr
Provox Vega Provox Vega
8 mm 8144US 12.5 mm 8149US
Puncture Set 20 Fr Puncture Set 22.5 Fr
Includes: 1 Pharynx Protector (made of transparent thermoplastic), 1 Puncture Needle (made of
surgical stainless steel), 1 Guidewire (made of pre-colored fluoroplastic), 1 Puncture Dilator with 1
preloaded Provox Vega voice prosthesis and 1 Provox Brush.
For Clinician Use Only.
Provox® Measure
Provox Measure is used to determine the length (corresponding to prosthesis size)
of TE punctures. The correct prosthesis size (1-2 mm longer than the puncture) is important
to minimize the risk of complications.
Provox Measure Quantity Ref.no
Provox Measure 1 pc 7270
Provox Measure Flanges 5 pcs 7271
Provox Measure: Nonsterile, reusable, sterilizable. Includes
5 pcs Provox Measure Flanges.
Provox Measure Flanges: Nonsterile, for single use.
For Clinician Use Only.
11Breathing 12
Provox® XtraFlow™ HME
This Heat and Moisture Exchanger (HME) helps make it easier to
breathe. Use it during the day when you’re physically active.
• Low breathing resistance
• Reduces coughing and mucus production
• Easy stomal occlusion for voicing
• Low-profile design
Provox XtraHME Quantity Ref.no
Provox XtraFlow HME 30 pcs 7291
Provox® XtraMoist™ HME
This HME makes the air more humid. Use it during the day,
when you’re taking it easy.
• Comfortable breathing
• Reduces coughing and mucus production
• Easy stomal occlusion for voicing
• Low-profile design
Provox XtraHME Quantity Ref.no
Provox XtraMoist HME 30 pcs 7290
Provox® Luna™
A nighttime solution designed to help sleep comfortably,
soothe the skin and improve lung health.
• Soft and smooth for nighttime comfort
• Adhesive made of hydrogel to soothe and cool the skin
• Superior humidification compared to other HMEs*
• Low breathing resistance for easy nighttime breathing
• Side openings to prevent occlusion while sleeping
Provox Luna Quantity Ref.no
Provox Luna HME 30 pcs 8013
Provox Luna Adhesive 15 pcs 8014
Note: Do not use skin barrier, wipe, cream, alcohol or any other skin prep
prior to applying Provox Luna
Provox Luna is meant to be used as a system and is not interchangeable
with other Provox products.
See page 28 for Provox Luna accessories.
* Data on file
13Provox® Micron HME™
Not only an HME, but also an effective bacteria, virus
and dust filter.
• A highly effective bacterial and viral filter (≥99% efficiency)
• Reduces coughing and mucus production
Please note that the Provox Micron filtration capacity may vary
depending on the size, shape and speed of airborne particles.
Provox Micron HME Rx Quantity Ref.no
Provox Micron HME Rx 5 pcs 7247
Provox Micron HME Rx 30 pcs 7248
Provox® XtraBase®
For speaking with finger occlusion or hands-free.
• For speaking with finger occlusion or hands-free
• For a flat or somewhat deeper stoma
• Sticks well to the skin
• Convex shape with more durable and rigid center
for better adhesion
Provox XtraBase Quantity Ref.no
Provox XtraBase 20 pcs 7265
Nonsterile, for single use.
Provox® StabiliBase™
Provides superior seal and support for the
stoma when speaking hands-free.
• For speaking hands-free
• For frequent speaking with finger occlusion
• Sticks well to the skin
• For a deep stoma
Provox StabliBase Quantity Ref.no
Provox StabiliBase 15 pcs 7289
Provox StabiliBase 15 pcs 7318
OptiDerm
Nonsterile, for single use.
14Provox® FlexiDerm™
Provides a good seal around the stoma during the day.
• For speaking with finger occlusion
• Sticks well to the skin
• Ideal for when the area around the stoma is flat
Provox FlexiDerm Quantity Ref.no
Provox FlexiDerm Round 20 pcs 7253
Provox FlexiDerm Oval 20 pcs 7254
Provox FlexiDerm Plus 20 pcs 7331
Nonsterile, for single use.
Provox® OptiDerm™
An adhesive for the during day if the skin feels sore or irritated.
• For sore or irritated skin
• Use after surgery
• Use after radiotherapy
Provox OptiDerm Quantity Ref.no
Provox OptiDerm Round 20 pcs 7255
Provox OptiDerm Oval 20 pcs 7256
Provox OptiDerm Plus 20 pcs 7332
Nonsterile, for single use.
Round
Oval
Plus
Color for illustration purposes only.
15Provox® LaryTube™
For maintaining the opening of the tracheostoma.
Available in Standard, Fenestrated and with Ring.
ID = inner diameter (in mm)
OD = outer diameter (in mm)
L = length (in mm)
Provox® LaryTube™ Standard
Standard Rx ID OD L Ref. no Standard Rx ID OD L Ref. no
Provox Rx 9.5 12.0 27 7601 Provox Rx 12.0 15.0 27 7609
LaryTube 8/27 LaryTube 10/27
Provox Rx 9.5 12.0 36 7602 Provox Rx 12.0 15.0 36 7610
LaryTube 8/36 LaryTube 10/36
Provox Rx 9.5 12.0 55 7603 Provox Rx 12.0 15.0 55 7611
LaryTube 8/55 LaryTube 10/55
Provox Rx 10.5 13.5 27 7605 Provox Rx 13.5 17.0 27 7613
LaryTube 9/27 LaryTube 12/27
Provox Rx 10.5 13.5 36 7606 Provox Rx 13.5 17.0 36 7614
LaryTube 9/36 LaryTube 12/36
Provox Rx 10.5 13.5 55 7607 Provox Rx 13.5 17.0 55 7615
LaryTube 9/55 LaryTube 12/55
Includes: 5 XtraFlow Cassettes (7298).
Nonsterile.
Provox® LaryTube™ Fenestrated
Fenestrated Rx ID OD L Ref. no Fenestrated Rx ID OD L Ref. no
Provox Rx 9.5 12.0 36 7637 Provox Rx 12.0 15.0 36 7643
LaryTube 8/36 LaryTube 10/36
Provox Rx 9.5 12.0 55 7638 Provox Rx 12.0 15.0 55 7644
LaryTube 8/55 LaryTube 10/55
Provox Rx 10.5 13.5 36 7640 Provox Rx 13.5 17.0 36 7646
LaryTube 9/36 LaryTube 12/36
Provox Rx 10.5 13.5 55 7641 Provox Rx 13.5 17.0 55 7647
LaryTube 9/55 LaryTube 12/55
Includes: 5 XtraFlow Cassettes and
1 Provox Brush (7298).
Nonsterile.
Provox® LaryTube™ with Ring
To be secured with Provox Adhesive.
With Ring Rx ID OD L Ref. no With Ring Rx ID OD L Ref. no
Provox Rx 9.5 12.0 36 7624 Provox Rx 12.0 15.0 36 7628
LaryTube 8/36 LaryTube 10/36
Provox Rx 9.5 12.0 55 7625 Provox Rx 12.0 15.0 55 7629
LaryTube 8/55 LaryTube 10/55
Provox Rx 10.5 13.5 36 7626 Provox Rx 13.5 17.0 36 7630
LaryTube 9/36 LaryTube 12/36
Provox Rx 10.5 13.5 55 7627 Provox Rx 13.5 17.0 55 7631
LaryTube 9/55 LaryTube 12/55
Includes 5 XtraFlow Cassettes (7298) and 1
Flexiderm Oval (7254).
Nonsterile.
16Provox® LaryButton™
For maintaining the opening of the stoma.
Provox Rx OD L Ref. Provox Rx OD L Ref.
LaryButton no LaryButton no
Provox Rx 12 8 7671 Provox Rx 12 18 7685
LaryButton 12/8 LaryButton 12/18
Provox Rx 14 8 7672 Provox Rx 14 18 7686
LaryButton 14/8 LaryButton 14/18
Provox Rx 16 8 7673 Provox Rx 16 18 7687
LaryButton 16/8 LaryButton 16/18
Provox Rx 18 8 7674 Provox Rx 18 18 7688
LaryButton 18/8 LaryButton 18/18
Nonsterile, for single patient use.
Maximum device lifetime 6 months.
Conversion Chart
The below chart is meant to be a guide as to which LaryButton to try if you are converting
from a Barton-Mayo button. Atos Medical makes no claims that the specifications of the
suggested LaryButton are identical to those of the corresponding Barton-Mayo button.
Please consult your clinician to help determine the best size button for you.
Barton-Mayo ™ Button Provox LaryButton
Size Diameter Length Diameter Length Ref. no
9 Short 13.5 15 12 8 7671
Regular 13.5 22 12 18 7685
Long 13.5 30
10 Short 15.0 15 14 8 7672
Regular 15.0 22 14 18 7686
Long 15.0 30
12 Short 17 15 16 8 7673
Regular 17 22 16 18 7686
Long 17 30
14 Short 19 15 18 8 7674
Regular 19 22 18 18 7688
Long 19 30
Provox® TubeHolder
Provox Tube Holder has been designed exclusively for use with Provox
LaryTube and LaryButton to help with retention. The integrated clip connectors
allow for optimal fit with less stress on the wings of the Provox Larytube or
Larybutton. It is also well suited for those that have sensitive skin around the
tracheostoma and cannot tolerate an adhesive.
Provox TubeHolder Quantity Ref.no
Provox TubeHolder 1 pc 7668
Nonsterile. For single patient use.
Provox® LaryClip™
Provox LaryClip is an alternative to Provox TubeHolder.
• A two-piece system designed to discreetly attach Provox LaryButton and/or Provox
LaryTube to the stoma
Provox LaryClip Ref.no
1 set: 8 pcs LaryClip, 7669
40 pcs LaryClip Base
Nonsterile. For single patient use.
17Provox® TubeBrush
Provox TubeBrush is used to clean the Provox LaryTube
and Provox LaryButton.
Provox TubeBrush Quantity Size Ref.no
Provox TubeBrush 6 pcs 8 mm 7660
Provox TubeBrush 6 pcs 12 mm 7661
Nonsterile, reusable. For single patient use.
Provox® BasePlate Adaptor
Provox BasePlate Adaptor makes it possible to attach
a device with an ISO 15 mm standard connector to
a Provox attachment (e.g. an adhesive, LaryTube or
LaryButton).
Provox BasePlate Adaptor Quantity Ref.no
Provox BasePlate Adaptor 1 pc 7263
Nonsterile, for single patient use.
Provox® HME Cassette Adaptor
Provox HME Cassette Adaptor enables use of a
Provox HME Cassette to any tracheostomy tube with a
15 mm ISO connector.
Provox HME Quantity Ref.
Cassette Adaptor no
Provox HME Cassette Adaptor 1 pc 7246
Nonsterile, for single patient use.
Provox® FenestrationPunch
Provox FenestrationPunch is used to make small holes
in the Provox LaryTube to allow air to flow to the voice
prosthesis.
Provox FenestrationPunch Quantity Ref.no
Provox FenestrationPunch 1 pc 7654
Nonsterile, reusable.
For Clinician Use Only.
18Provox® LaryButton™ Sizer Kit and
Provox® LaryTube™ Sizer Kit
To allow for proper selection and sizing, the Provox LaryButton Sizer Kit
and Provox LaryTube Sizer Kit contains sterilizable and reusable tubes for
individual fitting. The products can be secured with Provox LaryClip and
Provox TubeHolder.
Provox LaryButton Sizer Kit Ref.no
Provox LaryButton Sizer Kit 7690
Nonsterile, reusable, sterilizable (Sizer Buttons
and inner box). Outer tray can be cleaned in
instrument washer. Includes Ref. no: 7671, 7672,
7673, 7674, 7685, 7686, 7687, 7688
Provox LaryTube Sizer Kit Ref.no
Provox LaryTube Sizer Kit 7648
Nonsterile, reusable, sterilizable (Sizer Tubes
and inner box). Outer tray can be cleaned in
instrument washer. Includes Ref. no: 7601, 7637,
7638, 7640, 7641, 7643, 7644, 7647
For Clinician Use Only.
Barton-Mayo™ Tracheostoma Button*
The Barton-Mayo Tracheostoma Button was
developed to provide leakproof tracheostoma valve
retention for near-total laryngectomy and total
laryngectomy patients.
• Can be used with an HME (Heat and Moisture Exchanger)
• Enhances speech with “hands-free” stoma occlusion
• Another option for positive stoma sealing
• Reduces stoma contractions with a wide range of sizes available
The Barton-Mayo Buttons listed below may not have been licensed in
accordance with Canadian law.
Barton-Mayo Size Models Diameter Length Rx Ref.no
Tracheostoma Button (mm) (mm)
Barton-Mayo Tracheostoma 9 Short 13.5 15 Rx ENBMB091
Button Regular 22 ENBMB092
Long 30 ENBMB093
Barton-Mayo Tracheostoma 10 Short 15.0 15 Rx ENBMB101
Button Regular 22 ENBMB102
Long 30 ENBMB103
Barton-Mayo Tracheostoma 12 Short 17.0 15 Rx ENBMB121
Button Regular 22 ENBMB122
Long 30 ENBMB123
Barton-Mayo Tracheostoma 14 Short 19.0 15 Rx ENBMB141
Button Regular 22 ENBMB142
Long 30 ENBMB143
Barton-Mayo Sizing Kit Includes trial buttons for each available ENBMBKIT
Barton-Mayo Button
Non-sterile, for single patient use.
*Manufactured by Medical Innovations.
19Kapi-Gel® Tracheostoma Spacer*
Kapi Gel® Tracheostoma Spacer is a 43 mm diameter, 3 or 5 mm thick circular,
tacky, laminated silicone gel spacer. It is available in two center hole openings
to accommodate different diameter tubes and Buttons (8 mm opening fits
tubes or buttons with 12 mm OD). Kapi-Gel spacers are intended to help create a better seal around
tracheostoma support devices, and are suitable for uneven stoma anatomy.
Kapi-Gel can improve tracheostoma device fitting, act as a
cushion behind tubes and buttons during digital occlusion,
and may help reduce air leakage.
Kapi-Gel Tracheostoma Spacer Quantity Ref.no
8 mm ID, 3 mm Thick 10 pc LATNG2008
12 mm ID, 3 mm Thick 10 pc LATNG2012
8 mm ID, 5 mm Thick 10 pc LATNG4008
12 mm ID, 5 mm Thick 10 pc LATNG4012
Non-sterile, for single patient use.
*Manufactured by Kapitex Healthcare Ltd.
20Hands-free
21Provox® FreeHands FlexiVoice™
Gives the freedom to speak hands-free.
Available in four membranes;
Light, Medium, Strong, XtraStrong.
• Allows the flexibility of speaking hands-free or with finger occlusion
when necessary
• Use different membranes for different situations
• Can lock during physical activity
• Fast set up
• Reduces mucus production and coughing*
More than 90 % of the participants in a clinical study were able to speak hands-free with
Provox FreeHands FlexiVoice. About half of the users used it every day.*
* Data on file.
Provox FreeHands FlexiVoice Rx Ref.no Provox FreeHands FlexiVoice Rx Ref.no
Provox FreeHands FlexiVoice Set Plus: Rx 7757 Provox FreeHands FlexiVoice Light: Rx 8161
1 Light, 1 Medium, 1 Strong, 1 Light, 1 Arch, 1 Removal Aid
2 Arches, 1 Removal Aid, 20 FreeHands
Flow HME, 10 FreeHands Moist HME Provox FreeHands FlexiVoice Medium: Rx 8162
1 Medium, 1 Arch, 1 Removal Aid
Provox FreeHandsFlexiVoice Set: Rx 7760
1 Light, 1 Medium, 1 Strong, Provox FreeHands FlexiVoice Strong: Rx 8163
2 Arches, 1 Removal Aid 1 Strong, 1 Arch, 1 Removal Aid
Provox FreeHands FlexiVoice XtraStrong: Rx 8166
1 XtraStrong, 1 Arch, 1 Removal Aid
Provox® FreeHands Support™
To reduce stomal movement and improve voice
quality when speaking hands-free with Provox
FreeHands FlexiVoice.
Provox FreeHands Support Quantity Ref.no
Provox FreeHands Support 1 pc 8020
Starter Set:
1 Support Flat, 1 Support
Medium, 1 Support Deep
Provox FreeHands Support 1 pc 8021
Flat
Provox FreeHands Support 1 pc 8022
Medium
Provox FreeHands Support 1 pc 8023
Deep
Provox FreeHands Support 15 pcs 8024
Adhesives
22Provox® FreeHands HME® Flow
For humidification when being active.
• To be combined with Provox FreeHands FlexiVoice
when speaking hands-free
Provox FreeHands Quantity Ref.no
HME Flow
Provox FreeHands HME Flow 30 pcs 8221
Nonsterile, for single use.
Provox® FreeHands HME® Moist
For extra humidification when relaxing.
• To be combined with Provox FreeHands FlexiVoice
when speaking hands-free
Provox FreeHands Quantity Ref.no
HME Moist
Provox FreeHands HME Moist 30 pcs 8220
Nonsterile, for single use.
Provox® FreeHands FlexiVoice™ Arch
To prevent fabric from occluding FlexiVoice.
Provox FreeHands Quantity Ref.no
FlexiVoice Arch
Provox FreeHands 5 pcs 8165
FlexiVoice Arch
Provox® HME Cap
Provox HME Cap is used with the FreeHands HMEs. The Cap
can be occluded manually for speech.
Provox HME Cap Quantity Ref.no
Provox HME Cap 1 pc 7730
matte titanium
Reusable, nonsterile.
23Provox® XtraBase®
For speaking with finger occlusion or hands-free.
• For speaking with finger occlusion or hands-free
• For a flat or somewhat deeper stoma
• Sticks well to the skin
• Convex shape with more durable and rigid center
for better adhesion
Provox XtraBase Quantity Ref.no
Provox XtraBase 20 pcs 7265
Nonsterile, for single use.
Provox® StabiliBase™
Provides superior seal and support for the
stoma when speaking hands-free.
• For speaking hands-free
• For frequent speaking with finger occlusion
• Sticks well to the skin
• For a deep stoma
Provox StabliBase Quantity Ref.no
Provox StabiliBase 15 pcs 7289
Provox StabiliBase 15 pcs 7318
OptiDerm
Nonsterile, for single use.
Removal Aid
To remove the HME from the FlexiVoice
speaking valve.
Removal Aid Quantity Ref.no
Removal Aid 2 pcs 7745
24Care
25Provox® Cleaning Towel
To clean the skin before putting on an adhesive.
Provox Cleaning Towel Quantity Ref.no
Provox Cleaning Towel 200 pcs 7244
(20 resealable pouches of 10).
Nonsterile, for single use.
Provox® Skin Barrier
To leave a protective layer on the skin.
Provox Skin Barrier Quantity Ref.no
Provox Skin Barrier 50 pcs 8011
Nonsterile, for single use.
Provox® Adhesive Remover
To help in removing the adhesive.
Provox Adhesive Remover Quantity Ref.no
Provox Adhesive Remover 50 pcs 8012
Nonsterile, for single use.
Provox® Wipes Set
Set includes 6 skin barrier, 6 adhesive remover
and 10 cleaning towels.
Provox Wipes Set Quantity Ref.no
Provox Wipes Care Set 1 set 8243
26Skin Tac™*
Improves adhesion of appliances and tape
to the skin.
Skin Tac Quantity Ref. no
Skin Tac Adhesive 50 pcs MS407W
Barrier Wipes
*Manufactured by Torbot Group Inc.
Provox® Silicone Glue
Improves the adhesion between the skin and
the adhesive.
Provox Silicone Glue Quantity Ref.no
Provox Silicone Glue 30 ml 1 pc 7720
Bottle with brush cap, nonsterile.
For multiple applications.
Provox® ShowerAid
Protects the stoma from water when showering.
• Replace your HME with this while enjoying a shower and switch back when
you have finished
Provox ShowerAid Quantity Ref.no
Provox ShowerAid 1 pc 7260
Nonsterile, for single patient use.
Includes: 1 Provox FlexiDerm Oval Adhesive (7254).
27Provox® Luna™ ShowerAid
Protects the stoma from water when showering with
Provox Luna.
Provox Luna ShowerAid Quantity Ref.no
Provox Luna ShowerAid 1 pc 8016
Provox Luna is meant to be used as a system and is not
interchangeable with other Provox products.
Provox® Adhesive Strip™
Provides additional adhesive seal. Protects Provox Luna
when showering.
Provox Adhesive Strip Quantity Ref.no
Provox Adhesive Strip 10 pcs 8015
28Speech Aids
29TruTone™ Electrolarynx*
Single pressure-sensitive button speech aid for natural
expression with a wide frequency range of voicing.
• Single pressure-sensitive button for natural expression
• Wide frequency range allows for masculine or feminine voice
• Use of 9V batteries
• Works with freehands electrolarynx holder
• Small and lightweight
• Quality sound, voice range, and construction
• Available in two versions – with Integrated USB charging technology or as
standard kit
• 5-Year Drop&Soak®Warranty
TruTone Electric Speech Aid Ref.no
TruTone Electric Speech Aid with 9V Battery Charger, K101
Oral Adapter, Straws, Lanyard and Batteries
TruTone Electric Speech Aid with USB K120
Charger, Oral Adaptor, Straws and Lanyard
TruTone Oral Adaptor 50445
TruTone Oral Adaptor Plus 4 straws S50460-4
White and Clear Straws - 4 pack S50450
SolaTone™ Electrolarynx*
Easy-to-use single-tone button activated speech aid
with a wide frequency range for voicing.
• Easy to use single-tone button activation
• Wide frequency range allows for masculine or feminine voice
• Compact and lightweight
• Quality sound, voice range, and construction
• Available in two versions – with Integrated USB charging technology or as
standard kit
• Warranty: 3-Year Drop&Soak® Warranty
SolaTone Electric Speech Aid Ref.no
SolaTone Electric Speech Aid with 9V Battery Charger, K276
Oral Adapter, Straws, Lanyard and Batteries
SolaTone Plus Electric Speech Aid with AA Battery USB K355
Charger, Oral Adaptor, Straws and Lanyard
*Manufactured by Griffin Laboratories.
30HandsFree Electrolarynx Holder*
• Allows you to work with your hands while talking with the speech aid
• Compatible with both the TruTone™ or SolaTone™ speech aids
SolaTone Electric Speech Aid Ref.no
FreeHand™ Electrolarynx Holder for TruTone or KH100
SolaTone Speech Aids
Liberty™ Electrolarynx*
Atos Medical exclusive value-priced speech aid.
• External volume and pitch
• AA battery operation
• Oral Adaptor included
• 3-Year Manufacturer Warranty
Liberty Electric Speech Aid Ref.no
Liberty Electric Speech Aid, Oral Adapter, Straws, K306
Lanyard and Batteries
SoniVox Plus™ Voice Amplifier Kit*
Portable voice amplifier with slim design
• Superior sound quality
• Integrated Micro USB Charger
• Reduced feedback
• Powerful and lightweight
• AUX input for music
• Available in two versions – with slim profile microphone only or with slim
profile microphone and lapel microphone together
SoniVox Plus Voice Amplifier Kit Ref.no
SoniVox Plus Waistband Amplifier, Travel Case, Lanyard, K620
USB Power Supply, Slim Profile Microphone
SoniVox Plus Waistband Amplifier, Travel Case, Lanyard, K621
USB Power Supply and
Lapel Microphone
*Manufactured by Griffin Laboratories.
31BoomVox™ Voice Amplifier*
Portable voice amplifier for many uses
• Amp powered by AC, car adapter, or built-in battery
• Filters out unwanted sound
• Improves perceived voice quality
• Allows the use of included wireless headset, lapel or handheld
microphone
• Flexibility for personal conversations or with a group
• Great for presentations, small group meetings, and large gatherings
• 1-Year limited warranty on amplifier
• 30-day warranty on microphone
BoomVox Voice Amplifier Ref.no
Voice amplifier, built-in battery, wireless hand-held K650
microphone, transmitter pack, high gain headset
microphone and convenient travel case
BoomVox/Sonivox lapel microphone MIC002
SoniVox™ High-Gain Microphone*
SoniVox High-Gain Microphone Ref.no
SMIC-HDHS
*Manufactured by Griffin Laboratories.
Rechargeable 9V Batteries
9V Batteries and 9V Charger Ref.no
Rechargeable 9V Standard Battery S50438
Rechargeable 9V Hi Capacity Battery S50439
9V Battery Charger 50750
32Servox® Digital Electrolarynx*
Quality, reliable and simple-to-operate speech aid
• Simple manual setting
• Buttons can be set for various volumes and pitches enabling individual
setting
• Rocker switch for individual volume adjustment
• Titanium housing
• Detachable and easily exchangeable carrying cord
• Convenient hip bag for traveling/storage
• 2-Year warranty from date of purchase
• Batteries are guaranteed for a period of six months
Servox Digital Electrolarynx Ref.no
Servox Digital Electrolarynx, LA 2.40 charger, NiMH 17140
battery, hip bag, safety cord set with replacement
cord protector, oral connector with adapter, soft-
tone screw cap
Servox Coin Battery 20ZU1015
Servox Oral Connector 20ZU1010
with Adaptor
*Manufactured by Lauder Enterprises, Inc.
33Continuum of Care 34
Provox® Laryngectomy
Pulmonary Kit (LPK)
Immediate post-operative
pulmonary care system enhances
patient outcomes.
Provox Laryngectomy Kits provide all-in-one packaging
for immediate post-operative 24/7 pulmonary
rehabilitation and the option for ready-to-use surgical
placement of the Provox Voice Prosthesis. The kits feature
Provox Heat and Moisture Exchangers (HMEs) – approved
for 24 hour use even while sleeping!
Clinical studies have shown that most laryngectomized
patients who use a Provox HME twenty-four hours a day,
even while sleeping, experience reductions in:
• Mucus Production
• Coughing and Forced Expectoration
Immediate post-operative use of the HME also lowers
costs as compared to the use of an external humidifier.
(Data on File.)
Provox Laryngectomy Pulmonary Kits provide convenient
all-in-one customizable packaging supporting pulmonary care as
well as communication needs. Standard and custom packaging
options are available, the choice is yours!
Standard Pulmonary Kit
Provox® Provox XtraFlow™ HME (30 pcs)
Provox® LaryTube™ (standard)
Provox® TubeHolder
Provox® TubeBrush (6 pcs)
Provox® ShowerAid
CareTips educational materials for the Laryngectomee
Contact your Atos Medical Representative
for Custom Options.
Provox LPK available through clinicians only.
35Coming Home Kit
The Provox Coming Home case is an intuitive tool, which
facilitates returning home from the hospital for patients
having their voice box removed.
The tool includes a durable carrying case with
selected products and information in several
languages, and a removable carrying case to take
with you when you go out.
Coming Home Kit
Provox XtraFlow HME
Provox FlexiDerm Adhesive
Provox OptiDerm Adhesive
Provox Luna Adhesive
Provox Luna HME
Provox SkinBarrier
Provox Adhesive Remover
Provox Cleaning Towel
Provox Shower Aid
Provox Luna Shower Aid
Provox Adhesive Strip
Provox StabiliBase Adhesive
Provox Coming Home is available through clinicians only.
36Resources
37Polyester Stoma Covers*
• 100% Polyester 4-ply fabric
• Discreet coverage
• Available in several colors
• Easily Adjustable Neck Strap from 13 1/4 to 18 inches
• Machine Washable
• Dimension: Approx. 9 1/2 inches wide and 8 1/4 inches long
4-Ply Polyester Ref.no
White RSCWH
Black RSCBL
Navy RSCNA
Foam Stoma Covers*
• Lightweight Medical-Grade Foam
• In Beige
• One Adhesive Strip
30-Piece Foam Stoma Covers Ref.no
Beige 65 x 65mm RFFFL02
Mock Turtle Neck Stoma Covers*
• Mock Turtle Neck Style for discreet coverage
• Comfortable 80/20 Poly/Cotton Blend resists shrinkage and fading
• Machine Washable
• Three Available Colors
• Adjustable neck collar from 12 to 21 inches
• Dimensions: Approx. 10 inches wide and 8 inches long
Mock Turtle Neck Covers Ref.no
White RTNSCWH
Black RTNSCBL
Navy RTNSCNA
*Manufactured by Fountain Head Marketing, Inc.™
38Jaw Mobility
39TheraBite® Jaw Motion Rehabilitation System™
For restoring jaw mobility after trismus and mandibular hypomobility
The TheraBite® Jaw Motion Rehabilitation System™ is a clinically proven, anatomically correct and
portable system designed to restore mobility after trismus and mandibular hypomobility. The patient
controlled system utilizes repetitive passive motion to stretch connective tissue, strengthen weakened
muscles and mobilize joints. The average sustainable gain in jaw opening is around 1–1.5 mm per week.
The TheraBite® Jaw Motion Rehabilitation System™ can also help to reduce muscle pain by reducing
joint inflammation and prevent reduced muscle strength during (chemo)radiation in the head and neck
area. The TheraBite Jaw Motion Rehabilitation System is available in both adult and pediatric versions.
Bite Pads
The self-adhesive Bite Pads spread the force across the teeth and can
be trimmed for customized protection. The Bite Pads come in adult,
pediatric and edentulous (toothless) versions.
Range of Motion Scales
The disposable Range of Motion Scales allows the patient and
his/her clinician to monitor the progress of the treatment. Includes a
Range Setting Arm.
Hand-Aid
The Hand-Aid assists the patient in maintaining constant opening
during stretching or strengthening programs
Exercise Log
The daily and monthly Exercise Log enables the user and his/her
treating clinician to log the daily and monthly progress
40TheraBite® System
TheraBite Jaw Motion Rehabilitation System Quantity Ref.no
Adult TheraBite® Jaw Motion Rehabilitation System™ 1 System TH001
Includes:
• Jaw Mobilizer
• 4 Bite Pads - Regular
• Hand-Aid
• 30 Range of Motion Scale
• Carrying Bag
• Instructions for Use
• Patient Progress Log
• TheraBite Instructional DVD
Pediatric TheraBite® Jaw Motion Rehabilitation System™ 1 System TH002
Includes:
• Jaw Mobilizer
• 4 Bite Pads -Pediatric
• Hand-Aid
• 30 Range of Motion Scale
• Carrying Bag
• Instructions for Use
• Patient Progress Log
• TheraBite Instructional DVD
TheraBite® ActiveBand 1 pcs 8260
TheraBite® Range of Motion Scales 150 pcs SC001
TheraBite® Bite Pads, Regular 4 pcs PA001
TheraBite® Bite Pads, Edentulous 4 pcs PA002
TheraBite® Bite Pads, Pediatric 4 pcs PA003
TheraBite Instructional DVD 1 pcs 7840-N
This 14-minute film provides useful information on trismus,
and demonstrates the functions and benefits of the
TheraBite system. This DVD is divided into several
chapters, and features testimonials from a former patient
and two clinicians. Available in English only.
TheraBite® ActiveBand™
TheraBite® ActiveBand™ is an addition to the TheraBite® Jaw Motion
Rehabilitation System™ providing resistance to mouth closure. It is
used as a part of the Pharyngocise protocol for patients undergoing
head and neck radiation therapy. The device is designed to increase
muscle strength and endurance of the muscles of mastication (the
masseter, temporalis, medial and lateral pterygoid muscles). The
active exercise can be used for patients compromised by cerebral
lesions after stroke or that have neuromuscular disorders.
41Laryngectomy Illustrations
Before total laryngectomy After total laryngectomy
© K. Vanderpool MC0696
Speaking with the Provox voice prosthesis: Speaking with the Provox voice prosthesis:
Manual occlusion of the Provox XtraHME attached Handsfree with Provox FreeHands FlexiVoice
with Provox Adhesive. attached with Provox Adhesive.
42References*
Provox® Voice Prostheses Provox® HME and Provox FreeHands • Lorenz KJ, Huverstuhl K, Maier H. [Finger-free
• Timmermans AJ, Harmsen HJ, Bus-Spoor C, Buijssen HME speech with the Provox FreeHands HME Automatic
KJ, van As-Brooks C, de Goffau MC, Tonk RH, van Tracheostoma Valve system. Clinical long-term
• Lansaat L, de Kleijn BJ, Hilgers FJ, van der Laan BF,
den Brekel MW, Hilgers FJ, van der Laan BF. Biofilm experience]. HNO. 2009 Nov;57(11):1090-8.
van den Brekel MW. A prospective multicenter clinical
formation on the Provox ActiValve: Composition feasibility study of a new automatic speaking valve • Zuur JK, Muller SH, Vincent A, Sinaasappel M, de
and ingrowth analyzed by Illumina paired-end RNA for postlaryngectomy voice rehabilitation. Eur Arch Jongh FH, Hilgers FJ. The influence of a heat and
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confocal laser scanning microscopy. Head Neck. 2016 2017 Feb;274(2):1005-1013. environment. Medical & Biological Engineering &
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• Kress P, Schäfer P, Schwerdtfeger FP, Rösler S. Are D’Alatri L, de Vincentiis M, Paludetti G. Patients’ • Lorenz KJ, Maier H. [Pulmonary rehabilitation after
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• Hancock KL, Lawson NR, Ward EC. Device life • van den Boer C, Muller SH, van der Noort V, Olmos • Scheenstra RJ, Muller SH, Vincent A, Sinaasappel
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• Hilgers FJ, Lorenz KJ, Maier H et al. Development and exchangers on tracheal mucociliary clearance in patients: intra- and inter-patient variability.
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Vega Puncture Set. Eur Arch Otorhinolaryngol. 2013 • Parrilla C, Minni A, Bogaardt H, Macri GF, Battista de Jongh FH, Hilgers FJ. Assessment of tracheal
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• Soolsma J, van den Brekel MW, Ackerstaff AH, Balm AJ,
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Solving the Problem of Frequent Candida- and • Brook I, Bogaardt H, van As-Brooks C. Long-term and evaluation of a novel tracheostoma button
“Underpressure”-Related Voice Prosthesis Replacements use of heat and moisture exchangers among and fixation system (Provox LaryButton and
The Laryngoscope. 2007 The American Laryngological, laryngectomees: medical, social, and psychological LaryClip adhesive) to facilitate hands-free
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• Hancock K, Houghton B, Van As-Brooks CJ, Coman
W: First clinical experience with a new nonindwelling • Hilgers FJ, Dirven R, Wouters Y, Jacobi I, Marres • Hamade, R., Hewlett, N., & Scanlon, E. A
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after total laryngectomy. Acta Otolaryngologica. 2005 clinical trial evaluating a novel adhesive baseplate automatic occlusion device for tracheoesophageal
Sep;125(9):981-90. (Provox StabiliBase) for peristomal attachment speech: the Provox FreeHands HME. Clin Linguist
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• Hilgers FJ, Ackerstaff AH, Balm AJ, Van den Brekel MW,
Bing Tan I, Persson JO: A new problemsolving indwelling rehabilitation devices. Laryngoscope. 2012 • Zuur JK, Muller SH, de Jongh FH, van Zandwijk
voice prosthesis, eliminating the need for frequent Nov;122(11):2447-53. N, Hilgers FJ: The physiological rationale of heat
Candida- and “underpressure”-related replacements: • Scheenstra RJ, Muller SH, Hilgers FJ. Endotracheal and moisture exchangers in post-laryngectomy
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Oct;123(8):972-9. patients in a warm and dry environment and the Archives of Otorhinolaryngology. 2006 Jan;263(1):1-
effect of a heat and moisture exchanger. Head Neck. 8.
• Free RH, Van der Mei HC, Elving GJ, Van Weissenbruch
R, Albers FW, Busscher HJ: Influence of the Provox 2011 Sep;33(9):1285-93. • Tervonen H, Back L, Juvas A, Rasanen P, Makitie
Flush, blowing and imitated coughing on voice • Scheenstra RJ, Muller SH, Vincent A, Ackerstaff AA, Sintonen H, Roine RP, Vilkman E, Aaltonen LM:
prosthetic biofilms in vitro. Acta Otolaryngologica. 2003 AH, Jacobi I, Hilgers FJ. A new heat and moisture Automatic speaking valve in speech rehabilitation
May;123(4):547-51. exchanger for laryngectomized patients: for laryngectomized patients. European Archives of
endotracheal temperature and humidity. Respir Care. Otorhinolaryngology. 2005 Oct;262(10):816-20.
• Op de Coul BMR, Hilgers FJM, Balm AJM, Tan IB, van
den Hoogen FJA, van Tinteren H: A decade of post- 2011 May;56(5):604-11. • Op de Coul BM, Ackerstaff AH, van As-Brooks CJ,
laryngectomy vocal rehabilitation in 318 patients: • Scheenstra RJ, Muller SH, Vincent A, Hilgers FJ. van den Hoogen FJ, Meeuwis CA, Manni JJ, Hilgers
A single institution’s experience with consistent Heat and moisture exchange capacity of the upper FJ. Compliance, quality of life and quantitative
application of Provox® indwelling voice prostheses. respiratory tract and the effect of tracheotomy voice quality aspects of hands-free speech. Acta
Archives of Otolaryngology- Head & Neck Surgery. breathing on endotracheal climate. Head Neck. 2011 Otolaryngologica. 2005 Jun;125(6):629-37.
2000 Nov;126(11):1320-8. Jan;33(1):117-24. • Ackerstaff AH, Fuller D, Irvin M, Maccracken
• Balle VH, Rindsø L, Thomsen JC. Primary speech • Scheenstra RJ, Muller SH, Vincent A, Sinaasappel M, E, Gaziano J, Stachowiak L: Multicenter study
restoration at laryngectomy by insertion of voice Hilgers FJ. Influence of breathing resistance of heat assessing effects of heat and moisture exchanger
prosthesis – 10 years experience. Acta Otolaryngologica and moisture exchangers on tracheal climate and use on respiratory symptoms and voice quality in
2000; Suppl 543:244-245. breathing pattern in laryngectomized individuals. laryngectomized individuals. Otolaryngology Head
Head & Neck. 2010 Aug;32(8):1069 78. & Neck Surgery. 2003 Dec;129(6):705-12
• Ackerstaff AH, Hilgers FJ, Meeuwis CA, van der Velden
LA, van den Hoogen FJ, Marres HA, Vreeburg GC, Manni • Scheenstra RJ, Muller SH, Vincent A, Ackerstaff • Hilgers FJ, Ackerstaff AH, Van As CJ, Balm AJ, Van
JJ: Multi-institutional assessment of the Provox®2 voice AH, Jacobi I, Hilgers FJM. Short term endotracheal den Brekel MW, Tan IB: Development and clinical
prosthesis. Archives of Otolaryngology - Head & Neck climate changes and clinical effects of a heat assessment of a heat and moisture exchanger with
Surgery.1999 Feb;125(2):167-73. and moisture exchanger with an integrated a multi-magnet automatic tracheostoma valve
electrostatic virus and bacterial filter developed for (Provox FreeHands HME) for vocal and pulmonary
• Hilgers FJM, Ackerstaff AH, Balm AJM, Tan IB, Aaronson
laryngectomized individuals. Acta Otolaryngologica. rehabilitation after total laryngectomy. Acta
NK, Persson JO. Development and clinical evaluation
2010 Jun;130(6):739-46 Otolaryngologica. 2003 Jan;123(1):91-9
of a second-generation voice prosthesis (Provox®2)
designed for anterograde and retrograde insertion. • Bien S, Okla S, van As-Brooks CJ, Ackerstaff AH. • van As CJ, Hilgers FJM, Koopmans-van Beinum
Acta Otolaryngologica. 1997 Nov;117(6):889-96. The effect of a Heat and Moisture Exchanger FJ, Ackerstaff AH. The influence of stoma
(Provox HME) on pulmonary protection after total occlusion on aspects of alaryngeal speech. Acta
• Hilgers FJM, Schouwenburg PF. A new low-resistance,
laryngectomy: a randomized controlled study. Otolaryngologica. 1998 Sep;118(5):732-8.
self-retaining prosthesis (Provox®) for voice
rehabilitation after total laryngectomy. Laryngoscope. European Archives of Otorhinolaryngology. 2010
1990 Nov;100(11):1202-7. March;267(3):429-35.
The above references represent a selection. For more information contact Atos Medical AB or your local representative.
43Speaking
hands-free
means that I am
able to hug my
wife and say
‘I love you’
without having
to use my hands.
Henry
44Contact
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