Grace Medical Ossicular Prostheses
Ossicular Prostheses – ALTO System
The Grace ALTO line offers a unique patented method that makes the ALTO the only non-crimp adjustable length titanium design in otology today. This advantage allows the surgeon to adjust the prosthesis even after initial sizing, trimming and placement.
ALTO Centered and Offset Titanium
The ALTO Centered and Offset middle ear implants are made of pure titanium, a proven biocompatible material with excellent sound transmission properties. These light-weight prostheses are packaged with disposable sizers and preloaded in the patented ALTO adjuster which simplifies the need to properly size the implant.
- Adjuster body allows for easy sizing
- Offset shaft allows flexibility in eardrum placement
ALTO Concise Partial
The Centered and Offset Concise ALTO Partial provides the surgeon with a functional length range from 0.75mm to 5.75mm, in precise quarter millimeter increments. The newly designed head allows for multidirectional movement for optimal contact with the TM. The Concise Partial comes prepackaged in the patented Adjuster Body, which greatly simplifies sizing the prosthesis.
ALTO Dornhoffer
The Dornhoffer implant line is a premier offering of the latest technology in ossicular reconstruction prostheses. All of the heads in the Dornhoffer line feature a low profile contoured HA head. A groove is added to accommodate the malleus if present. The Dornhoffer product line consists of a 2mm fixed length partial, adjustable partial, adjustable total and a titanium footplate shoe. The footplate shoe greatly stabilizes the implant and can be adjusted to fit between the stapes crus remnants. A recent new feature incorporates windows in the HA head for increased visualization. The ALTO Dornhoffer is packaged with disposable sizers and preloaded in the patented ALTO adjuster which simplifies the need to properly size the implant.
- HA contoured head design with malleus groove
- Designed to lock between the stapes and malleus
- Available with windows for increased visualization
- Footplate shoe for stabilization of the implant
Gluth ALTO
The Gluth ALTO line includes an adjustable total and partial. The implants feature lightweight titanium heads and an offset shaft design. The large windows provide increased visualization and the malleus groove adds improved stability to the prosthesis. The Gluth ALTO line is designed to lock between the malleus and stapes capitulum/footplate. The Gluth ALTO Total works great in conjunction with a Dornhoffer footplate shoe.
HA Lite ALTO
The HA Lite ALTO totals and partials are produced with a lightweight, centered see-through HA head. The see-through HA head offers better visibility to the footplate or stapes aiding in proper placement of the prosthesis. The HA Lite is the lightest weight HA prosthesis on the market, comparable to titanium in weight. The HA Lite ALTO is packaged with disposable sizers and preloaded in the patented ALTO adjuster which simplifies the need to properly size the implant.
- Fixed length shaft
- Windows in HA head for better visibility
- Lightest weight HA prosthesis
Wildcat Four 2 Three
The Wildcat Four 2 Three titanium total prosthesis mimics the natural superstructure of the stapes. The Wildcat enables conversion of a type 4 tympanoplasty to a type 3. The one piece design allows for easy insertion in a canal wall down with an absent stapes superstructure. A solid and hollow base option is offered depending on surgeon’s preference.
ALTO Nano
The ALTO Nano offers a downsized platform head for exact placement on the TM despite surrounding bone. The small size of the Nano reduces the chance of extrusion around the cartilage graft. The ALTO Nano is available in the centered or offset design as either a total or partial prosthesis. An option of an integrated footplate shoe is available on the offset total prosthesis. The ALTO Nano is packaged with disposable sizers and preloaded in the patented ALTO adjuster which simplifies the need to properly size the implant.
- Offset Nano Total available with integrated footplate shoe
- Enhanced fit between the malleus and external auditory canal
- Centered Nano allows for easier placement in post-op canal wall reconstruction
- Ideal for canal wall up procedures when it is difficult to elevate the TM for a standard size head
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