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Cerumen Management

Preferred Products, the company chosen to assist ASHA, AAA, ADA and many of the state Audiology Associations in conducting their Cerumen Management Workshops, continues to lead the way in this vital field.

Now, with the advent of the "Deep Canal Device" audiologists are required to perform "Deep Canal Cleaning and Placement". As the company hired by Lyric to train their trainers, Preferred Products has assembled the most comprehensive and affordable deep canal instrument and equipment packages available.

Over the past two decades Preferred Products has been instrumental in training and helping the clinician in these new areas that fall within their scope of practice. Our expertise and long time experience is always available to field questions and walk clients through the often confusing use of new instruments. We invite you to call us, we'll go over the options, the equipment and work with you to help determine the best instrument solutions for your practice.
 

MORE FROM THE PEOPLE WHO BRING YOU THE HOTCHKISS™OTOSCOPE
CERUMEN MANAGEMENT INSTRUMENTS:
Cerumen Management: Using the Hotchkiss Otoscope
Cerumen Management: Using Surgical Loupes
Cerumen Management: Irrigation
Cerumen Management: Suction
Cerumen Management: Extraction Instruments
Cerumen Management: Video Otoscopes
Cerumen Management: Other Instruments

Cerumen Management: CPT Codes


Constant Magnification:  The Hotchkiss is the only otoscope that permits unobstructed access for simultaneous instrumentation and viewing under full magnification.  The strategic placement of the magnifying lens, allows instrument access without sliding the lens out of the way.  Thus affording a clear, comprehensive view of the operative area and the cerumen extraction instrument.
Functional Design:  Revolutionary design permits effective one hand use.  The Hotchkiss Otoscope is designed to be held by the thumb and index finger of either hand, enabling canal straightening by the middle finger of the same hand.  This frees the other hand for cerumen removal. 

       
Cerumen removal with the Hotchkiss Otoscope using:
1) Baron Suction tip 2) Micro-Forcep 3)Curette

 

Coaxial Optical System with Xenon Gas Lamp/Reflector:  With the exclusive concave mirror optical system in the Hotchkiss Otoscope, light emanates from the speculum tip along the line of vision.  The illuminated area and the viewed area are the same.  This coaxial optical system eliminates parallax error and illuminates the operative area with a clean, white light.  The Xenon gas lamp has a built in reflector, giving up to 300% more forward lighting.


Coaxil Optical System with triple condensation of xenon light:
1) The filament's light is condensed by the lamp's lens & reflector. 2) The concave mirror gathers the light rays and focuses them. 3) The rays are further condensed by the magnification lens.

Specula Designed for Cerumen Management: The Hotchkiss Otoscopeä flanged specula are not only more comfortable for the patient, but have specially designed sloping sides that permit easier access of cerumen instruments and reduce glare. The physiological graduation of tip sizes is 60% larger than the preceding one giving a greater selection in tip sizes. Hotchkissä Specula range from 2.5mm - 8mm. In cerumen management larger size tips are often necessary (8mm is 2 1/2 x as large as the standard 5mm).

                           
Hotchkiss Specula:
1) Cross section showing slope and flange.  2) 2.5mm to 8mm with common tangent

Hotchkiss Accessories Essential for Cerumen Management:
The 5x Magnification Zoom Lens provides a view five times normal size. Permits use of the Hotchkiss Otoscopeä for some operative procedures that would otherwise require an operating microscope. Essential for cerumen removal.
The Two-People Looker inserts into the viewing port, and using a beam splitter, allows simultaneous viewing. Used in teaching, diagnostic comparison, or simply allowing a parent to see cerumen build up in a child’s ear.

For complete information and pricing on the Hotchkiss Otoscope  


 


Hands-Free use: Having the use of both hands -  you'll wonder how you ever managed before!


Surgical Loupes provide hands-free, binocular coaxial illumination and visualization.  Ideal for cerumen management, the Surgical Loupes represent an innovative departure from the ordinary.  If you have not used Loupes before, there is a slight learning curve.  However, unlike the surgical microscopes, learning to master our Loupes is easy and only takes a few "ears" rather than a few "years".  Clear, crisp imaging at 3x magnification, comfortable 340mm working distance and fully adjustable optical lenses, available with or without our LED lighting system able to deliver intense bright, white, shadow free light into the ear canal. 

 

For complete information and pricing on Surgical Loupes

 


 

Cerumen Management with the Preferred Ear Irrigatorâ
Designed exclusively for cerumen management, the Preferred Ear Irrigatorâ attaches to the Water Pikâ and directs a pulsating water stream through four laser cut jets. These jets have been designed so that the water does not strike the tympanic membrane, rather the water is aimed toward the canal, where it safely loosens and removes the cerumen with a rocking action. Possibility of damage to the TM is further reduced by the smooth, round design of the tip.

                          

 Pomeroy Ear Syringe
All brass, chrome plated, with precision ground plunger. Complete with two cannulas and protecting shield. Sizes: 2oz., 3oz., 4oz.. Available in German or Preferred EconoLine.

                                

Emesis Basin
Stainless steel kidney shaped collection basin, fits comfortably against the neck directly under the ear.

 

For completer information and pricing on Irrigation Systems  

Welch Allyn Ear Wash System
Simplicity, cleanliness, safety and efficiency.  This new system with Hydrovac Action is a state-of-the-art concept in irrigation.  It eliminates messy outflow by automatically dislodging, removing and disposing of cerumen.
WelchAllyn Ear person.gif (187096 bytes)     WelchAllyn Ear .gif (45015 bytes)     Welch Allyn Ear Wash.gif (34669 bytes)

For complete information and pricing the Welch Allyn Ear Wash System  
 


Preferred EconoLine Aspirator
This portable aspirator is designed for cerumen management. 1/10 horsepower motor creates up to 22” Hg vacuum. Unit includes a gauge; precision suction regulating valve and large 800ml-collection bottle that includes overflow trap with bacterial filter. Custom fit tubing with graduated ends to insure uninterrupted vacuum.

Gomco Aspirator
1/8 horsepower motor creates up to 22” Hg vacuum. Unit includes a gauge, precision suction regulating valve, 600ml glass collection bottle, bacteria filter and disposable tubing with graduated ends.

 

Baron and Fergusson Suction Tubes                                             
These high precision suction instruments are made from the highest-grade stainless steel, with finger cut-off and stylet. Baron sizes: #3 (1.0mm), #5 (1.5mm), #7 (2.0mm). Fergusson (Frazier) sizes: #8 (2.5mm), #9 (3.0mm), #10 (3.5mm).  Available in German or Preferred EconoLine.

                                  

For more information and pricinong on Suction Units and Tips  
 


Micro Ear Forceps
Micro Forceps allow for greater precision to extract cerumen from the ear canal. Pin point accuracy with the Micro Straight Alligator with 4mm serrated jaw and grasping action with the smooth 1mm Micro Cupped jaw. Available in German or Preferred EconoLine.

 

 

 

Curettes, Loops and Hooks
All made of medical grade stainless steel. Available in German or Preferred EconoLine.   Pictured below left to right: Buck Curettes (size 00, 0, 1, 2, 3)  Billeau Loops stainless wire (size small, medium and large)  Shapleigh Curettes serrated loop (size small and large)  Lucae Hooks (size 2mm, 3mm and 4mm).

                                        

  For more information and pricing on Ear Instruments                          
              


Compare all three and determine which works best for you!

Details BioCam 2.0 Dino-Lite V3 Welch Allyn Digital
USB yes yes yes
Video recording yes yes yes
Image Resolution 1280 x 1024 1280 x 1024 1280 x 1024
LED Illumination yes yes no (Halogen)
Focus Dial yes yes yes
Weight 4.13 ounces 3.2 ounces 1 pound
Powered by Computer yes yes no (rechargeable handle)
System requirements Windows XP and higher Window XP and higher Windows XP and higher
MAC compatible yes with driver yes yes
Image format jpeg, bmp, tiff jpeg, bmp, tiff jpeg, bmp, tiff
Zoom feature yes yes yes
Price $899.00   $699.00 $1155.00 w/battery handle
  More info & ordering More info & ordering More info & ordering

 


 

Preferred Products complete cerumen management instrument line also include:

Liteloops: The instrument for simplified cerumen removal. Combines the convenience of a pen light and the accuracy of a “Billeau” style curette.

Headlights: Complete line of Headlights. Available in halogen or incandescent. Including the new rechargeable battery packs for maximum portability.

Head Mirror: German 3 1/2” Head Mirror with headband.

Ear Forceps: Full range and sizes. Micro to bayonet to delicate dressing. Includes Hartmans, Lucaes, Wildes, Hoffmans, Blakes, Jensen and Littauers. Available in German or Preferred EconoLine.

Ear Specula: A full range of the most popular specula. Including Hartman, Gruber and Toynbee. Available in German or Preferred EconoLine.

Ear Applicators: Brown and Lathbury. Stainless steel with malleable copper end.

Cerumen Spoons: Double ended with Gross Hook and Spoon, stainless steel.

Bruening Head: Diagnostic, operative and pneumatic, set includes specula.

Sterilization & Disinfectants: Full line of chemical and mechanical sterilization products. Including autoclaves, soaking trays, glutaraldehyde sterilants, hospital disinfectants and gloves.


CPT 69200, Removal foreign body from external auditory canal; without general anesthesia
CPT 69210, Removal of impacted cerumen (separate procedure), one or both ears
HCPCS G0268, Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing

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