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.
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
Cerumen
Management: Video Otoscopes
Generate and capture high resolution images. Puts examination, display
and documentation at your finger tips. Images captured for records.
Allow patient to view ear canal and tympanic membrane simultaneously.
USB plugs into any computer. Our wide range of economical video
otoscopes have been chosen for quality, dependability and ease of operation.
Check our comparison chart below to decide which one will work best for your
application:
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
For money saving specials! 
