|  | In 1978, Drs. Singer and Blom pioneered the methods of tracheoesophageal puncture and valved silicone voice prostheses that over the past 29 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. |
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. - Now Available in two diameters: 16 Fr. Sterile and 20 Fr. Sterile
- One-way silicone valve with silver-oxide.*
- Easy-fold esophageal retention flange and flange introducer.
- Blom-Singer Gel Cap Insertion System for atraumatic insertion of the voice prosthesis.
- Brush and Flush Cleaning System with built-in safety features.
| ADVANTAGE™ Indwelling Voice Prosthesis
Available in two diameter sizes, 16 Fr. and 20 Fr., and a range of lengths from 4 mm to 22 mm. Includes sterile voice prosthesis for primary or secondary/replacement procedures. A Secondary Placement Kit, nonsterile, is included in each package containing an inserter, flange introducer, gel caps and lubricant. A patient care kit, nonsterile, is included in each package. Please download our new InHealth catalog for more details.
|  | ADVANTAGE Accessories – Nonsterile | | The Brush and Flush Cleaning System is an integral part of daily maintenance. The cleaning brush has important safety features to prevent it from being inserted too far into the prosthesis and a “T-Bar” handle to prevent it from accidentally entering the trachea. The Plug Insert is designed to temporarily stop leaking should it occur.
REF | Description | | | IN4059 | 16 Fr. Cleaning Brush, 3 each | Rx | | | IN4060 | 20 Fr. Cleaning Brush, 3 each | Rx | | IN4050 | Flushing Device, 3 each | | | IN4069 | 16 Fr. Plug Insert | Rx | | | IN4070 | 20 Fr. Plug Insert | Rx | | | BE3190 | Replacement Round Gel Caps, 16 Fr., 90 each | Rx | | | BE3290 | Replacement Round Gel Caps, 20 Fr., 90 each | Rx | |
*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® 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. | | • Now available STERILE in two diameters: 16 Fr. and 20 Fr.
• Secondary Placement Kit and Patient Care Kit included with each package.
• New packaging consolidation of the 20 Fr. Indwelling voice prosthesis.
(The former Starter Kit, Replacement Kit, and Sterile Kit have been consolidated into one Sterile Kit.)
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 Head & Neck Surgery Associates, 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.
CLASSIC Indwelling Voice Prostheses – Sterile Series – Rx | | Includes sterile voice prosthesis for primary, secondary, or replacement procedures. A Secondary Placement Kit, nonsterile, is included containing inserter, flange introducer, gel caps and lubricant. A Patient Care Kit, nonsterile, is included with each package. 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-S | * | | | | 6mm | IN1606-S | IN2006-S | | | | 8mm | IN1608-S | IN2008-S | | | | 10mm | IN1610-S | IN2010-S | | | | 12mm | IN1612-S | IN2012-S | | | | 14mm | IN1614-S | IN2014-S | | | | 16mm | IN1616-S | * | | | | 18mm | IN1618-S | IN2018-S | | | | 20mm | IN1620-S | * | | | 22mm | IN1622-S | IN2022-S | | |
| Secondary Placement Kit |  |
| CLASSIC 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 | | | IN4059 | 16 Fr. Cleaning Brush, 3 ea** | Rx | | | IN4050 | Flushing Device, 3 ea | | | | IN4069 | 16 Fr. Plug Insert** | Rx | | | BK2099 | 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-S and ADVANTAGE AS1600-S series only. | |
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 | | IN2004-SL | 4mm | | IN2006-IR | 6mm | | | | | | | | IN2005-LEF | 5mm | | IN2005-SL | 5mm | | IN2008-IR | 8mm | | | | | | | | IN2006-LEF | 6mm | | IN2007-SL | 7mm | | IN2010-IR | 10mm | | | | | | | | IN2008-LEF | 8mm | | IN2009-SL | 9mm | | IN2012-IR | 12mm | | | | | | | | IN2010-LEF | 10mm | | IN2011-SL | 11mm | | IN2014-IR | 14mm | | | | | | | | IN2012-LEF | 12mm | | IN2013-SL | 13mm | | IN2018-IR | 18mm | | | | | | | | IN2014-LEF | 14mm | | IN2016-SL | 16mm | | IN2022-IR | 22mm | | | | | | | | | | IN2020-SL | 20mm | | IN2025-IR | 25mm | | | | | | | | IN2025-SL | 25mm | | | | | | | | | | | | |
| 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 | | | | 
| |
