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Heinz Kurz Gmbh Medizintechnik

The Magstim Company Limited

Jack M Kartush

Uwe Steinhardt

Heinz Kurz

This disclosure relates to systems and methods for performing ossicular reconstructions. An exemplary ossicular reconstruction system may include one or more adjustable prosthetic devices and micro-measuring devices. The adjustable prosthetic devices may be adjusted in terms of length, angulation, or both.

Systems and methods for performing ossicular chain reconstructions

A passive ossicular prosthesis has a sound-conducting prosthesis body with a first coupling element for mechanical connection to the incus, malleus, or an actuator end piece of an active hearing aid at one end. The bight is made of a strip-shaped metallic material, partially open toward the outside via a gap-type opening and is intraoperatively crimped in the middle ear for permanent attachment. There is a second coupling element at the other end of the prosthesis body for connection to a further component of the ossicular chain or directly to the inner ear. The bight includes elongated perforations with longitudinal axes extending, in the implanted state, along a curved trajectory at a right angle or slant relative to an axis parallel to the longitudinal axis (a) of the enclosed object to reduce spring action and stiffness and markedly reduce the force to be applied for the crimping.

Ossicular prosthesis having a longitudinally perforated bight

A nerve monitoring device, including a cannula, a sensor for monitoring a nerve, and an optional support element, can be inserted into an anatomic space. The cannula, sensor and/or support element can automatically conform to and match the geometry of the anatomic space, which can enhance desired contact between the sensor and anatomic features, such as muscles, nerves or tissue in the space in an atraumatic manner. The sensor, cannula and/or support element can include one or more strips or other elements that convert from a retracted mode to an expanded mode in which the strips or elements expand, enlarge or otherwise move to match the geometry of the space and place the sensors in precise monitoring proximity relative to the target muscles, nerves or tissues. An exemplary application of the device is in the field of laryngeal monitoring, however, the device is well suited for other applications.

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Bloomfield Hills, MI, United States of America

Jack M Kartush