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Product Catalog

2018
Atos Medical - Who we are
At Atos Medical, we are committed to giving a voice to people who breathe
through a stoma, with design solutions and technologies built on decades of
experience and a deep understanding of our users.

Since the introduction of the first Provox® voice prosthesis in 1990, Atos Medical
has become the world leader in laryngectomy care.

Our commitment and dedicated specialization in this field has allowed us to gain
a deep understanding of the needs of our customers. This understanding drives
our innovation process and we take pride in continuously bringing innovative
solutions to our users.

Over the years, we have served the needs of approximately 100,000 people who
have had laryngectomies in over 70 countries. Our comprehensive laryngectomy
care portfolio includes a complete range of Provox voice and pulmonary
rehabilitation devices. Our broad range of high quality Provox products allows for
a personalized combination of solutions for each user.

Atos Medical understands that being the leader in this field is more than product
development. Supporting clinical research and educating both professionals and
users is an integral part of our business. Our products are featured in over 150
peer-reviewed publications. We support and conduct hundreds of conferences
and educational programs every year.

We are proud of our history and accomplishments, and we continue to learn from
our users; serving them with the best products, services and education we can
provide in laryngectomy care.

Patents and Trademarks:

Provox®, Provox® ActiValve®, Provox® FreeHands HME®, Provox® XtraBase® and Provox® TrachPhone® are registered trademarks owned by Atos
Medical AB, Sweden.
Provox® Vega™, Provox® NID™, Provox® XtraMoist™ and XtraFlow™, Provox® Micron HME™, Provox® Luna™, Provox® HME Cap™, Provox®
XtraFlange™, Provox® ShowerAid™, Provox® LaryTube™, Provox® LaryClip™ and Provox® LaryButton™,
Provox® FlexiDerm™, Provox® OptiDerm™, Provox® FreeHands FlexiVoice™, Provox® FreeHands Support™, Provox® StabiliBase™ are
trademarks of Atos Medical AB, Sweden.

For information about patents, please refer to www.atosmedical.us.


In this catalog you will find products that will help you
to speak, breathe well and take care of your skin.

Contents
4.
Speaking

12.
Breathing

21.
Hands-free

25. Care

29. Speech Aids

34. Continuum of Care

37. Resources

39. Jaw Mobility

42. Laryngectomy Illustrations

43. Selection of References

45. Contact


Speaking

4
Provox® Vega™
A voice prosthesis designed for good voice quality, low
speaking effort, easy device maintenance and comfort.
Consistency, device life, voice quality and ease of voicing are important factors
when choosing the right voice prosthesis. Clinical studies show that the Provox
Vega has superior device life, provides the best voice quality as it requires the
lowest amount of effort to speak and is the easiest to clean.

• Less strained voice


• Easier to understand
• Produced with less effort
• Better voice quality

The Provox Vega voice prosthesis comes with an Insertion System that gives
more control and greater flexibility.

• Adapts to patient anatomy and clinician’s preferred insertion method


• Creates an ideal fold of the esophageal flange
• Intuitive and easy to use

Provox Rx Size Ref. Provox Rx Size Ref. Provox Rx Size Ref.


Vega no Vega no Vega no
Provox Vega Provox Vega Provox Vega
Rx 4 mm 8270 Rx 4 mm 8276 Rx 4 mm 8282
17Fr 20Fr 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 6 mm 8271 Rx 6 mm 8277 Rx 6 mm 8283
17Fr 20Fr 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 8 mm 8272 Rx 8 mm 8278 Rx 8 mm 8284
17Fr 20Fr 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 10 mm 8273 Rx 10 mm 8279 Rx 10 mm 8285
17Fr 20Fr 22.5Fr
Provox Vega Provox Vega 12.5 Provox Vega 12.5
Rx 12.5 mm 8274 Rx 8280 Rx 8286
17Fr 20Fr mm 22.5Fr mm
Provox Vega Provox Vega Provox Vega
Rx 15 mm 8275 Rx 15 mm 8281 Rx 15 mm 8287
17Fr 20Fr 22.5Fr

Sterile, for single use.


Includes: 1 Provox Vega voice prosthesis with Insertion System (sterile) and 1 Provox Brush (non-sterile).

For Clinician Insertion Only.

Provox® Capsules
The Provox Capsule allows the professional the flexibility of placing one of the
Provox indwelling voice prostheses anterograde with a capsule.
Provox Capsules Quantity Rx Ref.no

Provox Capsules 16 Fr 15 pc Rx 7794

Provox Capsules 17 Fr 15 pc Rx 7795

Provox Capsules 20 Fr 15 pc Rx 7796

Provox Capsules 22.5 Fr 15 pc Rx 7797

Sterile, for single use. For use with Provox Vega only.

For Clinician Use Only.


5
Provox® Vega™ XtraSeal™
A solution to manage leakage around.
• The enlarged esophageal flange is thin and flexible which
allows it to conform to the tissue around the TE puncture
• The user can continue to speak, eat and drink while the leakage
around is managed

The Provox Vega XtraSeal voice prosthesis comes with an Insertion System that
gives more control and greater flexibility.
• Adapts to patient anatomy and clinician’s preferred insertion method
• Creates an ideal fold of the esophageal flange
• Intuitive and easy to use

Provox Vega Rx Size Ref. Provox Vega Rx Size Ref. Provox Vega Rx Size Ref.
XtraSeal no XtraSeal no XtraSeal no
Provox Vega Provox Vega Provox Vega
Rx 4 mm 8288 Rx 4 mm 8294 Rx 4 mm 8300
XtraSeal 17Fr XtraSeal 20Fr XtraSeal 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 6 mm 8289 Rx 6 mm 8295 Rx 6 mm 8301
XtraSeal 17Fr XtraSeal 20Fr XtraSeal 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 8 mm 8290 Rx 8 mm 8296 Rx 8 mm 8302
XtraSeal 17Fr XtraSeal 20Fr XtraSeal 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 10 mm 8291 Rx 10 mm 8297 Rx 10 mm 8303
XtraSeal 17Fr XtraSeal 20Fr XtraSeal 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 12.5 mm 8292 Rx 12.5 mm 8298 Rx 12.5 mm 8304
XtraSeal 17Fr XtraSeal 20Fr XtraSeal 22.5Fr
Provox Vega Provox Vega Provox Vega
Rx 15 mm 8293 Rx 15 mm 8299 Rx 15 mm 8305
XtraSeal 17Fr XtraSeal 20Fr XtraSeal 22.5Fr

Includes: 1 Provox Vega XtraSeal voice prosthesis with Insertion System (sterile) and 1 Provox Brush (non-sterile).
Note: The shaft of the Provox XtraSeal is approximately 1 mm shorter than the size indicated due to the enlarged esophageal flange.

For Clinician Insertion Only.

6
Provox® ActiValve®
The voice prosthesis with extended device lifetime.
• Increased device life – reduces the need of frequent replacements
in most patients who experience short device life
• Valve and valve-seat consist of fluoroplastic
which appears to be insusceptible to destruction by candida
• Valve closes with magnets which prevents inadvertent
valve opening when the user breathes or swallows
• Available in three strengths – Light, Strong and XtraStrong

Provox Rx Size Ref. Provox Rx Size Ref. Provox Rx Size Ref.


ActiValve no ActiValve no ActiValve no
Provox ActiValve Provox ActiValve Provox ActiValve
Rx 4.5 mm 7150 Rx 4.5 mm 7160 Rx 4.5 mm 7165
Light Strong XtraStrong
Provox ActiValve Provox ActiValve Provox ActiValve
Rx 6 mm 7151 Rx 6 mm 7161 Rx 6 mm 7166
Light Strong XtraStrong
Provox ActiValve Provox ActiValve Provox ActiValve
Rx 8 mm 7152 Rx 8 mm 7162 Rx 8 mm 7167
Light Strong XtraStrong
Provox ActiValve Provox ActiValve Provox ActiValve
Rx 10 mm 7153 Rx 10 mm 7163 Rx 10 mm 7168
Light Strong XtraStrong
Provox ActiValve Provox ActiValve Provox ActiValve
Rx 12.5 mm 7154 Rx 12.5 mm 7164 Rx 12.5 mm 7169
Light Strong XtraStrong
Provox ActiValve Lubricant
Non sterile, for single use. Includes: 1 Provox ActiValve voice prosthesis, 7149
(replacement)
1 single-use insertion tool, 2 Provox Brush, 1 Provox ActiValve Lubricant, 1
Provox Plug, 2 User Cards, 1 Emergency Card.

For Clinician Insertion Only.

Provox®2
The first voice prosthesis for anterograde insertion.
• Can be inserted immediately after TE puncture (primary
or secondary) using the Provox GuideWire
• Low airflow resistance
• Easy maintenance
• Can be used for anterograde placement

Provox2 Rx Size Ref.no

Provox2 22.5 Fr Rx 4.5 mm 7216

Provox2 22.5 Fr Rx 6 mm 7217

Provox2 22.5 Fr Rx 8 mm 7218

Provox2 22.5 Fr Rx 10 mm 7219

Provox2 22.5 Fr Rx 12.5 mm 7221

Provox2 22.5 Fr Rx 15 mm 7224

Sterile, for single use.


Includes: 1 Provox2 Voice Prosthesis, 1 single-use
insertion tool, 1 Provox Brush.

For Clinician Insertion Only.


7
Provox® NiD™ Non-Indwelling
Proven features and quality of a Provox device with the convenience
of patient self-insertion, removal and cleaning.
The laryngectomee can insert, remove and clean this voice
prosthesis themselves while preserving the key features and
proven quality of a Provox device.

• Patients may insert, remove and clean the device


themselves
• Sturdy, durable materials and construction
• Attached to a wide safety medallion to prevent it
from falling into the tracheostoma
• Low airflow resistance
• In place prosthesis cleaning possible with dedicated
cleaning tools
• Available in 17Fr and 20Fr diameters, along with the
most popular lengths

Provox NiD Rx Size Ref.no Provox NiD Rx Size Ref.no

Provox NiD 17 Rx 6 mm 7101 Provox NiD 20 Rx 6 mm 7111

Provox NiD 17 Rx 8 mm 7102 Provox NiD 20 Rx 8 mm 7112

Provox NiD 17 Rx 10 mm 7103 Provox NiD 20 Rx 10 mm 7113

Provox NiD 17 Rx 12 mm 7104 Provox NiD 20 Rx 12 mm 7114

Provox NiD 17 Rx 14 mm 7105 Provox NiD 20 Rx 14 mm 7115

Provox NiD 17 Rx 18 mm 7106 Provox NiD 20 Rx 18 mm 7116

Inserter of corresponding size included. Non-sterile, ready for single patient use.

Provox® Dilator for NiD (Non-Indwelling Prosthesis)


Provox Dilator for NiD is used to upsize the diameter or to temporarily
stent the TE puncture, irrespective of type and diameter of voice
prosthesis used.

Provox Dilator Rx Quantity Ref.no

Provox Dilator, 17 Fr Rx 1 pc 7122

Provox Dilator, 20 Fr Rx 1 pc 7123

Nonsterile, reusable, sterilizable.


17 Fr diameter in 11.5 Fr at tip and increases to 19Fr.
20 Fr diameter in 13 Fr at tip and increases to 22 Fr.

8
Provox® Dilator
Provox Dilator is used to upsize the diameter of the TE puncture or to
temporarily stent the TE puncture, irrespective of type and diameter of voice
prosthesis used. The size can be increased from 15 Fr to 24 Fr in one device.
Each ring steps up the French size (18, 20, 22, 24 Fr). A small circular ring
helps to keep the Provox Dilator in place and reduces the tendency of it
sliding out.

Provox Dilator Quantity Ref.no

Provox Dilator 1 pc 7211

Nonsterile, reusable, sterilizable. Provox Dilator for


dilating 15Fr-24Fr.

For Clinician Use Only.

Provox® Brush
For cleaning of the voice prosthesis.
• Easy and efficient cleaning
• Can be bent for individual adaptation
• Can be to insert the Provox Plug or Provox Vega Plug

Provox Brush Quantity Size Ref.no

Provox Brush 6 pcs 4.5-10 mm 7204

Provox Brush XL 6 pcs 12-18 mm 7225

Nonsterile, reusable. For single patient use.

Provox® Flush
For flushing after brushing.
• Can be used with air or drinking water
• May be bent for individual fitting

Provox Flush Quantity Ref.no

Provox Flush 1 pc 8109

Nonsterile, reusable. For single patient use.

9
Provox® Plug & Provox® Vega™ Plug
A temporary solution to stop leakage through the voice prosthesis.
Provox Plug & Quantity Ref.no
Provox Vega Plug
Provox Plug 1 pc 7205

Provox Vega Plug, 17 Fr 1 pc 8119

Provox Vega Plug, 20 Fr 1 pc 8129

Provox Vega Plug, 22.5 Fr 1 pc 8139

Nonsterile, reusable. For single patient use.


Includes Provox Brush.

Note: The Provox Vega Plug fits into Provox


Vega prostheses. The Provox Plug is for
Provox2, Provox ActiValve and Provox NiD.

Provox® XtraFlange™
A rapid solution to manage leakage around the voice prosthesis.
• Easy, quick, cost-effective solution to a common problem
• Can be used in combination with all Provox indwelling voice prostheses
• White material for good visibility

Provox XtraFlange Rx Quantity Ref.no

Provox XtraFlange 22.5 Fr Rx 1 pc 7275

Provox XtraFlange 20 Fr Rx 1 pc 7276

Provox XtraFlange 17 Fr Rx 1 pc 7277

Sterile, for single use.

For Clinician Use Only.

Provox® GuideWire
Provox GuideWire enables retrograde insertion of all Provox indwelling prostheses.
The tip contains a retainer slit that holds the safety strap of the prosthesis.

Provox GuideWire Quantity Ref.no

Provox GuideWire 1 pc 7215

Sterile, for single use.

For Clinician Use Only.


10
Provox® Vega™ Puncture Set
A disposable surgical set for primary or secondary puncture
and primary placement of the Provox Vega voice prosthesis.
• All-in-one surgical set
• Creates a round puncture, leaving the surrounding tissue
intact
• Comes pre-loaded with a Provox Vega voice prosthesis
• Disposable and sterile
• Enables a rapid procedure, minimum preparation and
assembly are needed
• Protects the pharynx, surgically creates the puncture and
immediately dilates and places the Provox Vega voice
prosthesis

Provox Vega Size Ref. no Provox Vega Size Ref. no


Puncture Set Puncture Set

Provox Vega Provox Vega


8 mm 8140US 10 mm 8145US
Puncture Set 17 Fr Puncture Set 20 Fr
Provox Vega Provox Vega
10 mm 8141US 12.5 mm 8146US
Puncture Set 17 Fr Puncture Set 20 Fr
Provox Vega Provox Vega
12.5 mm 8142US 8mm 8147US
Puncture Set 17 Fr Puncture Set 22.5 Fr
Provox Vega Provox Vega
15 mm 8143US 10 mm 8148US
Puncture Set 17 Fr Puncture Set 22.5 Fr
Provox Vega Provox Vega
8 mm 8144US 12.5 mm 8149US
Puncture Set 20 Fr Puncture Set 22.5 Fr

Includes: 1 Pharynx Protector (made of transparent thermoplastic), 1 Puncture Needle (made of


surgical stainless steel), 1 Guidewire (made of pre-colored fluoroplastic), 1 Puncture Dilator with 1
preloaded Provox Vega voice prosthesis and 1 Provox Brush.

For Clinician Use Only.

Provox® Measure
Provox Measure is used to determine the length (corresponding to prosthesis size)
of TE punctures. The correct prosthesis size (1-2 mm longer than the puncture) is important
to minimize the risk of complications.

Provox Measure Quantity Ref.no

Provox Measure 1 pc 7270

Provox Measure Flanges 5 pcs 7271

Provox Measure: Nonsterile, reusable, sterilizable. Includes


5 pcs Provox Measure Flanges.

Provox Measure Flanges: Nonsterile, for single use.

For Clinician Use Only.


11
Breathing

12
Provox® XtraFlow™ HME
This Heat and Moisture Exchanger (HME) helps make it easier to
breathe. Use it during the day when you’re physically active.
• Low breathing resistance
• Reduces coughing and mucus production
• Easy stomal occlusion for voicing
• Low-profile design

Provox XtraHME Quantity Ref.no


Provox XtraFlow HME 30 pcs 7291

Provox® XtraMoist™ HME


This HME makes the air more humid. Use it during the day,
when you’re taking it easy.
• Comfortable breathing
• Reduces coughing and mucus production
• Easy stomal occlusion for voicing
• Low-profile design

Provox XtraHME Quantity Ref.no

Provox XtraMoist HME 30 pcs 7290

Provox® Luna™
A nighttime solution designed to help sleep comfortably,
soothe the skin and improve lung health.
• Soft and smooth for nighttime comfort
• Adhesive made of hydrogel to soothe and cool the skin
• Superior humidification compared to other HMEs*
• Low breathing resistance for easy nighttime breathing
• Side openings to prevent occlusion while sleeping

Provox Luna Quantity Ref.no


Provox Luna HME 30 pcs 8013

Provox Luna Adhesive 15 pcs 8014

Note: Do not use skin barrier, wipe, cream, alcohol or any other skin prep
prior to applying Provox Luna
Provox Luna is meant to be used as a system and is not interchangeable
with other Provox products.
See page 28 for Provox Luna accessories.

* Data on file
13
Provox® Micron HME™
Not only an HME, but also an effective bacteria, virus
and dust filter.
• A highly effective bacterial and viral filter (≥99% efficiency)
• Reduces coughing and mucus production
Please note that the Provox Micron filtration capacity may vary
depending on the size, shape and speed of airborne particles.

Provox Micron HME Rx Quantity Ref.no


Provox Micron HME Rx 5 pcs 7247

Provox Micron HME Rx 30 pcs 7248

Provox® XtraBase®
For speaking with finger occlusion or hands-free.
• For speaking with finger occlusion or hands-free
• For a flat or somewhat deeper stoma
• Sticks well to the skin
• Convex shape with more durable and rigid center
for better adhesion

Provox XtraBase Quantity Ref.no


Provox XtraBase 20 pcs 7265

Nonsterile, for single use.

Provox® StabiliBase™
Provides superior seal and support for the
stoma when speaking hands-free.
• For speaking hands-free
• For frequent speaking with finger occlusion
• Sticks well to the skin
• For a deep stoma

Provox StabliBase Quantity Ref.no

Provox StabiliBase 15 pcs 7289

Provox StabiliBase 15 pcs 7318


OptiDerm
Nonsterile, for single use.

14
Provox® FlexiDerm™
Provides a good seal around the stoma during the day.
• For speaking with finger occlusion
• Sticks well to the skin
• Ideal for when the area around the stoma is flat

Provox FlexiDerm Quantity Ref.no


Provox FlexiDerm Round 20 pcs 7253

Provox FlexiDerm Oval 20 pcs 7254

Provox FlexiDerm Plus 20 pcs 7331

Nonsterile, for single use.

Provox® OptiDerm™
An adhesive for the during day if the skin feels sore or irritated.
• For sore or irritated skin
• Use after surgery
• Use after radiotherapy

Provox OptiDerm Quantity Ref.no

Provox OptiDerm Round 20 pcs 7255

Provox OptiDerm Oval 20 pcs 7256

Provox OptiDerm Plus 20 pcs 7332

Nonsterile, for single use.

Round

Oval

Plus

Color for illustration purposes only.

15
Provox® LaryTube™
For maintaining the opening of the tracheostoma.
Available in Standard, Fenestrated and with Ring.
ID = inner diameter (in mm)
OD = outer diameter (in mm)
L = length (in mm)

Provox® LaryTube™ Standard


Standard Rx ID OD L Ref. no Standard Rx ID OD L Ref. no

Provox Rx 9.5 12.0 27 7601 Provox Rx 12.0 15.0 27 7609


LaryTube 8/27 LaryTube 10/27
Provox Rx 9.5 12.0 36 7602 Provox Rx 12.0 15.0 36 7610
LaryTube 8/36 LaryTube 10/36
Provox Rx 9.5 12.0 55 7603 Provox Rx 12.0 15.0 55 7611
LaryTube 8/55 LaryTube 10/55
Provox Rx 10.5 13.5 27 7605 Provox Rx 13.5 17.0 27 7613
LaryTube 9/27 LaryTube 12/27
Provox Rx 10.5 13.5 36 7606 Provox Rx 13.5 17.0 36 7614
LaryTube 9/36 LaryTube 12/36
Provox Rx 10.5 13.5 55 7607 Provox Rx 13.5 17.0 55 7615
LaryTube 9/55 LaryTube 12/55
Includes: 5 XtraFlow Cassettes (7298).
Nonsterile.

Provox® LaryTube™ Fenestrated


Fenestrated Rx ID OD L Ref. no Fenestrated Rx ID OD L Ref. no

Provox Rx 9.5 12.0 36 7637 Provox Rx 12.0 15.0 36 7643


LaryTube 8/36 LaryTube 10/36
Provox Rx 9.5 12.0 55 7638 Provox Rx 12.0 15.0 55 7644
LaryTube 8/55 LaryTube 10/55
Provox Rx 10.5 13.5 36 7640 Provox Rx 13.5 17.0 36 7646
LaryTube 9/36 LaryTube 12/36
Provox Rx 10.5 13.5 55 7641 Provox Rx 13.5 17.0 55 7647
LaryTube 9/55 LaryTube 12/55
Includes: 5 XtraFlow Cassettes and
1 Provox Brush (7298).
Nonsterile.

Provox® LaryTube™ with Ring


To be secured with Provox Adhesive.
With Ring Rx ID OD L Ref. no With Ring Rx ID OD L Ref. no
Provox Rx 9.5 12.0 36 7624 Provox Rx 12.0 15.0 36 7628
LaryTube 8/36 LaryTube 10/36
Provox Rx 9.5 12.0 55 7625 Provox Rx 12.0 15.0 55 7629
LaryTube 8/55 LaryTube 10/55
Provox Rx 10.5 13.5 36 7626 Provox Rx 13.5 17.0 36 7630
LaryTube 9/36 LaryTube 12/36
Provox Rx 10.5 13.5 55 7627 Provox Rx 13.5 17.0 55 7631
LaryTube 9/55 LaryTube 12/55
Includes 5 XtraFlow Cassettes (7298) and 1
Flexiderm Oval (7254).
Nonsterile.
16
Provox® LaryButton™
For maintaining the opening of the stoma.
Provox Rx OD L Ref. Provox Rx OD L Ref.
LaryButton no LaryButton no
Provox Rx 12 8 7671 Provox Rx 12 18 7685
LaryButton 12/8 LaryButton 12/18
Provox Rx 14 8 7672 Provox Rx 14 18 7686
LaryButton 14/8 LaryButton 14/18
Provox Rx 16 8 7673 Provox Rx 16 18 7687
LaryButton 16/8 LaryButton 16/18
Provox Rx 18 8 7674 Provox Rx 18 18 7688
LaryButton 18/8 LaryButton 18/18

Nonsterile, for single patient use.


Maximum device lifetime 6 months.

Conversion Chart
The below chart is meant to be a guide as to which LaryButton to try if you are converting
from a Barton-Mayo button. Atos Medical makes no claims that the specifications of the
suggested LaryButton are identical to those of the corresponding Barton-Mayo button.
Please consult your clinician to help determine the best size button for you.

Barton-Mayo ™ Button Provox LaryButton


Size Diameter Length Diameter Length Ref. no
9 Short 13.5 15 12 8 7671
Regular 13.5 22 12 18 7685
Long 13.5 30
10 Short 15.0 15 14 8 7672
Regular 15.0 22 14 18 7686
Long 15.0 30
12 Short 17 15 16 8 7673
Regular 17 22 16 18 7686
Long 17 30
14 Short 19 15 18 8 7674
Regular 19 22 18 18 7688
Long 19 30

Provox® TubeHolder
Provox Tube Holder has been designed exclusively for use with Provox
LaryTube and LaryButton to help with retention. The integrated clip connectors
allow for optimal fit with less stress on the wings of the Provox Larytube or
Larybutton. It is also well suited for those that have sensitive skin around the
tracheostoma and cannot tolerate an adhesive.

Provox TubeHolder Quantity Ref.no

Provox TubeHolder 1 pc 7668

Nonsterile. For single patient use.

Provox® LaryClip™
Provox LaryClip is an alternative to Provox TubeHolder.
• A two-piece system designed to discreetly attach Provox LaryButton and/or Provox
LaryTube to the stoma

Provox LaryClip Ref.no

1 set: 8 pcs LaryClip, 7669


40 pcs LaryClip Base
Nonsterile. For single patient use.
17
Provox® TubeBrush
Provox TubeBrush is used to clean the Provox LaryTube
and Provox LaryButton.

Provox TubeBrush Quantity Size Ref.no

Provox TubeBrush 6 pcs 8 mm 7660

Provox TubeBrush 6 pcs 12 mm 7661

Nonsterile, reusable. For single patient use.

Provox® BasePlate Adaptor


Provox BasePlate Adaptor makes it possible to attach
a device with an ISO 15 mm standard connector to
a Provox attachment (e.g. an adhesive, LaryTube or
LaryButton).
Provox BasePlate Adaptor Quantity Ref.no

Provox BasePlate Adaptor 1 pc 7263

Nonsterile, for single patient use.

Provox® HME Cassette Adaptor


Provox HME Cassette Adaptor enables use of a
Provox HME Cassette to any tracheostomy tube with a
15 mm ISO connector.

Provox HME Quantity Ref.


Cassette Adaptor no
Provox HME Cassette Adaptor 1 pc 7246

Nonsterile, for single patient use.

Provox® FenestrationPunch
Provox FenestrationPunch is used to make small holes
in the Provox LaryTube to allow air to flow to the voice
prosthesis.

Provox FenestrationPunch Quantity Ref.no

Provox FenestrationPunch 1 pc 7654

Nonsterile, reusable.
For Clinician Use Only.
18
Provox® LaryButton™ Sizer Kit and
Provox® LaryTube™ Sizer Kit
To allow for proper selection and sizing, the Provox LaryButton Sizer Kit
and Provox LaryTube Sizer Kit contains sterilizable and reusable tubes for
individual fitting. The products can be secured with Provox LaryClip and
Provox TubeHolder.

Provox LaryButton Sizer Kit Ref.no

Provox LaryButton Sizer Kit 7690

Nonsterile, reusable, sterilizable (Sizer Buttons


and inner box). Outer tray can be cleaned in
instrument washer. Includes Ref. no: 7671, 7672,
7673, 7674, 7685, 7686, 7687, 7688

Provox LaryTube Sizer Kit Ref.no

Provox LaryTube Sizer Kit 7648


Nonsterile, reusable, sterilizable (Sizer Tubes
and inner box). Outer tray can be cleaned in
instrument washer. Includes Ref. no: 7601, 7637,
7638, 7640, 7641, 7643, 7644, 7647
For Clinician Use Only.

Barton-Mayo™ Tracheostoma Button*


The Barton-Mayo Tracheostoma Button was
developed to provide leakproof tracheostoma valve
retention for near-total laryngectomy and total
laryngectomy patients.
• Can be used with an HME (Heat and Moisture Exchanger)
• Enhances speech with “hands-free” stoma occlusion
• Another option for positive stoma sealing
• Reduces stoma contractions with a wide range of sizes available
The Barton-Mayo Buttons listed below may not have been licensed in
accordance with Canadian law.

Barton-Mayo Size Models Diameter Length Rx Ref.no


Tracheostoma Button (mm) (mm)
Barton-Mayo Tracheostoma 9 Short 13.5 15 Rx ENBMB091
Button Regular 22 ENBMB092
Long 30 ENBMB093
Barton-Mayo Tracheostoma 10 Short 15.0 15 Rx ENBMB101
Button Regular 22 ENBMB102
Long 30 ENBMB103
Barton-Mayo Tracheostoma 12 Short 17.0 15 Rx ENBMB121
Button Regular 22 ENBMB122
Long 30 ENBMB123
Barton-Mayo Tracheostoma 14 Short 19.0 15 Rx ENBMB141
Button Regular 22 ENBMB142
Long 30 ENBMB143
Barton-Mayo Sizing Kit Includes trial buttons for each available ENBMBKIT
Barton-Mayo Button
Non-sterile, for single patient use.

*Manufactured by Medical Innovations.


19
Kapi-Gel® Tracheostoma Spacer*
Kapi Gel® Tracheostoma Spacer is a 43 mm diameter, 3 or 5 mm thick circular,
tacky, laminated silicone gel spacer. It is available in two center hole openings
to accommodate different diameter tubes and Buttons (8 mm opening fits
tubes or buttons with <14 mm OD; 12 mm opening fits tubes or buttons with
>12 mm OD). Kapi-Gel spacers are intended to help create a better seal around
tracheostoma support devices, and are suitable for uneven stoma anatomy.
Kapi-Gel can improve tracheostoma device fitting, act as a
cushion behind tubes and buttons during digital occlusion,
and may help reduce air leakage.

Kapi-Gel Tracheostoma Spacer Quantity Ref.no

8 mm ID, 3 mm Thick 10 pc LATNG2008

12 mm ID, 3 mm Thick 10 pc LATNG2012

8 mm ID, 5 mm Thick 10 pc LATNG4008

12 mm ID, 5 mm Thick 10 pc LATNG4012

Non-sterile, for single patient use.

*Manufactured by Kapitex Healthcare Ltd.

20
Hands-free

21
Provox® FreeHands FlexiVoice™
Gives the freedom to speak hands-free.
Available in four membranes;
Light, Medium, Strong, XtraStrong.
• Allows the flexibility of speaking hands-free or with finger occlusion
when necessary
• Use different membranes for different situations
• Can lock during physical activity
• Fast set up
• Reduces mucus production and coughing*

More than 90 % of the participants in a clinical study were able to speak hands-free with
Provox FreeHands FlexiVoice. About half of the users used it every day.*
* Data on file.

Provox FreeHands FlexiVoice Rx Ref.no Provox FreeHands FlexiVoice Rx Ref.no


Provox FreeHands FlexiVoice Set Plus: Rx 7757 Provox FreeHands FlexiVoice Light: Rx 8161
1 Light, 1 Medium, 1 Strong, 1 Light, 1 Arch, 1 Removal Aid
2 Arches, 1 Removal Aid, 20 FreeHands
Flow HME, 10 FreeHands Moist HME Provox FreeHands FlexiVoice Medium: Rx 8162
1 Medium, 1 Arch, 1 Removal Aid
Provox FreeHandsFlexiVoice Set: Rx 7760
1 Light, 1 Medium, 1 Strong, Provox FreeHands FlexiVoice Strong: Rx 8163
2 Arches, 1 Removal Aid 1 Strong, 1 Arch, 1 Removal Aid
Provox FreeHands FlexiVoice XtraStrong: Rx 8166
1 XtraStrong, 1 Arch, 1 Removal Aid

Provox® FreeHands Support™


To reduce stomal movement and improve voice
quality when speaking hands-free with Provox
FreeHands FlexiVoice.
Provox FreeHands Support Quantity Ref.no

Provox FreeHands Support 1 pc 8020


Starter Set:
1 Support Flat, 1 Support
Medium, 1 Support Deep
Provox FreeHands Support 1 pc 8021
Flat
Provox FreeHands Support 1 pc 8022
Medium
Provox FreeHands Support 1 pc 8023
Deep
Provox FreeHands Support 15 pcs 8024
Adhesives

22
Provox® FreeHands HME® Flow
For humidification when being active.
• To be combined with Provox FreeHands FlexiVoice
when speaking hands-free

Provox FreeHands Quantity Ref.no


HME Flow
Provox FreeHands HME Flow 30 pcs 8221

Nonsterile, for single use.

Provox® FreeHands HME® Moist


For extra humidification when relaxing.
• To be combined with Provox FreeHands FlexiVoice
when speaking hands-free

Provox FreeHands Quantity Ref.no


HME Moist
Provox FreeHands HME Moist 30 pcs 8220

Nonsterile, for single use.

Provox® FreeHands FlexiVoice™ Arch


To prevent fabric from occluding FlexiVoice.

Provox FreeHands Quantity Ref.no


FlexiVoice Arch
Provox FreeHands 5 pcs 8165
FlexiVoice Arch

Provox® HME Cap


Provox HME Cap is used with the FreeHands HMEs. The Cap
can be occluded manually for speech.

Provox HME Cap Quantity Ref.no

Provox HME Cap 1 pc 7730


matte titanium
Reusable, nonsterile.
23
Provox® XtraBase®
For speaking with finger occlusion or hands-free.
• For speaking with finger occlusion or hands-free
• For a flat or somewhat deeper stoma
• Sticks well to the skin
• Convex shape with more durable and rigid center
for better adhesion

Provox XtraBase Quantity Ref.no


Provox XtraBase 20 pcs 7265

Nonsterile, for single use.

Provox® StabiliBase™
Provides superior seal and support for the
stoma when speaking hands-free.
• For speaking hands-free
• For frequent speaking with finger occlusion
• Sticks well to the skin
• For a deep stoma

Provox StabliBase Quantity Ref.no

Provox StabiliBase 15 pcs 7289

Provox StabiliBase 15 pcs 7318


OptiDerm
Nonsterile, for single use.

Removal Aid
To remove the HME from the FlexiVoice
speaking valve.

Removal Aid Quantity Ref.no

Removal Aid 2 pcs 7745

24
Care

25
Provox® Cleaning Towel
To clean the skin before putting on an adhesive.

Provox Cleaning Towel Quantity Ref.no

Provox Cleaning Towel 200 pcs 7244

(20 resealable pouches of 10).


Nonsterile, for single use.

Provox® Skin Barrier


To leave a protective layer on the skin.
Provox Skin Barrier Quantity Ref.no

Provox Skin Barrier 50 pcs 8011

Nonsterile, for single use.

Provox® Adhesive Remover


To help in removing the adhesive.
Provox Adhesive Remover Quantity Ref.no

Provox Adhesive Remover 50 pcs 8012

Nonsterile, for single use.

Provox® Wipes Set


Set includes 6 skin barrier, 6 adhesive remover
and 10 cleaning towels.

Provox Wipes Set Quantity Ref.no

Provox Wipes Care Set 1 set 8243

26
Skin Tac™*
Improves adhesion of appliances and tape
to the skin.

Skin Tac Quantity Ref. no

Skin Tac Adhesive 50 pcs MS407W


Barrier Wipes

*Manufactured by Torbot Group Inc.

Provox® Silicone Glue


Improves the adhesion between the skin and
the adhesive.
Provox Silicone Glue Quantity Ref.no

Provox Silicone Glue 30 ml 1 pc 7720

Bottle with brush cap, nonsterile.


For multiple applications.

Provox® ShowerAid
Protects the stoma from water when showering.
• Replace your HME with this while enjoying a shower and switch back when
you have finished

Provox ShowerAid Quantity Ref.no

Provox ShowerAid 1 pc 7260

Nonsterile, for single patient use.


Includes: 1 Provox FlexiDerm Oval Adhesive (7254).

27
Provox® Luna™ ShowerAid
Protects the stoma from water when showering with
Provox Luna.

Provox Luna ShowerAid Quantity Ref.no

Provox Luna ShowerAid 1 pc 8016

Provox Luna is meant to be used as a system and is not


interchangeable with other Provox products.

Provox® Adhesive Strip™


Provides additional adhesive seal. Protects Provox Luna
when showering.

Provox Adhesive Strip Quantity Ref.no

Provox Adhesive Strip 10 pcs 8015

28
Speech Aids

29
TruTone™ Electrolarynx*
Single pressure-sensitive button speech aid for natural
expression with a wide frequency range of voicing.
• Single pressure-sensitive button for natural expression
• Wide frequency range allows for masculine or feminine voice
• Use of 9V batteries
• Works with freehands electrolarynx holder
• Small and lightweight
• Quality sound, voice range, and construction
• Available in two versions – with Integrated USB charging technology or as
standard kit
• 5-Year Drop&Soak®Warranty
TruTone Electric Speech Aid Ref.no

TruTone Electric Speech Aid with 9V Battery Charger, K101


Oral Adapter, Straws, Lanyard and Batteries
TruTone Electric Speech Aid with USB K120
Charger, Oral Adaptor, Straws and Lanyard
TruTone Oral Adaptor 50445

TruTone Oral Adaptor Plus 4 straws S50460-4

White and Clear Straws - 4 pack S50450

SolaTone™ Electrolarynx*
Easy-to-use single-tone button activated speech aid
with a wide frequency range for voicing.
• Easy to use single-tone button activation
• Wide frequency range allows for masculine or feminine voice
• Compact and lightweight
• Quality sound, voice range, and construction
• Available in two versions – with Integrated USB charging technology or as
standard kit
• Warranty: 3-Year Drop&Soak® Warranty

SolaTone Electric Speech Aid Ref.no

SolaTone Electric Speech Aid with 9V Battery Charger, K276


Oral Adapter, Straws, Lanyard and Batteries
SolaTone Plus Electric Speech Aid with AA Battery USB K355
Charger, Oral Adaptor, Straws and Lanyard

*Manufactured by Griffin Laboratories.

30
HandsFree Electrolarynx Holder*
• Allows you to work with your hands while talking with the speech aid
• Compatible with both the TruTone™ or SolaTone™ speech aids

SolaTone Electric Speech Aid Ref.no

FreeHand™ Electrolarynx Holder for TruTone or KH100


SolaTone Speech Aids

Liberty™ Electrolarynx*
Atos Medical exclusive value-priced speech aid.
• External volume and pitch
• AA battery operation
• Oral Adaptor included
• 3-Year Manufacturer Warranty

Liberty Electric Speech Aid Ref.no

Liberty Electric Speech Aid, Oral Adapter, Straws, K306


Lanyard and Batteries

SoniVox Plus™ Voice Amplifier Kit*


Portable voice amplifier with slim design
• Superior sound quality
• Integrated Micro USB Charger
• Reduced feedback
• Powerful and lightweight
• AUX input for music
• Available in two versions – with slim profile microphone only or with slim
profile microphone and lapel microphone together

SoniVox Plus Voice Amplifier Kit Ref.no

SoniVox Plus Waistband Amplifier, Travel Case, Lanyard, K620


USB Power Supply, Slim Profile Microphone
SoniVox Plus Waistband Amplifier, Travel Case, Lanyard, K621
USB Power Supply and
Lapel Microphone

*Manufactured by Griffin Laboratories.


31
BoomVox™ Voice Amplifier*
Portable voice amplifier for many uses
• Amp powered by AC, car adapter, or built-in battery
• Filters out unwanted sound
• Improves perceived voice quality
• Allows the use of included wireless headset, lapel or handheld
microphone
• Flexibility for personal conversations or with a group
• Great for presentations, small group meetings, and large gatherings
• 1-Year limited warranty on amplifier
• 30-day warranty on microphone

BoomVox Voice Amplifier Ref.no

Voice amplifier, built-in battery, wireless hand-held K650


microphone, transmitter pack, high gain headset
microphone and convenient travel case
BoomVox/Sonivox lapel microphone MIC002

SoniVox™ High-Gain Microphone*

SoniVox High-Gain Microphone Ref.no

SMIC-HDHS

*Manufactured by Griffin Laboratories.

Rechargeable 9V Batteries

9V Batteries and 9V Charger Ref.no

Rechargeable 9V Standard Battery S50438

Rechargeable 9V Hi Capacity Battery S50439

9V Battery Charger 50750

32
Servox® Digital Electrolarynx*
Quality, reliable and simple-to-operate speech aid
• Simple manual setting
• Buttons can be set for various volumes and pitches enabling individual
setting
• Rocker switch for individual volume adjustment
• Titanium housing
• Detachable and easily exchangeable carrying cord
• Convenient hip bag for traveling/storage
• 2-Year warranty from date of purchase
• Batteries are guaranteed for a period of six months

Servox Digital Electrolarynx Ref.no

Servox Digital Electrolarynx, LA 2.40 charger, NiMH 17140


battery, hip bag, safety cord set with replacement
cord protector, oral connector with adapter, soft-
tone screw cap

Servox Coin Battery 20ZU1015

Servox Oral Connector 20ZU1010


with Adaptor

*Manufactured by Lauder Enterprises, Inc.

33
Continuum of Care

34
Provox® Laryngectomy
Pulmonary Kit (LPK)
Immediate post-operative
pulmonary care system enhances
patient outcomes.
Provox Laryngectomy Kits provide all-in-one packaging
for immediate post-operative 24/7 pulmonary
rehabilitation and the option for ready-to-use surgical
placement of the Provox Voice Prosthesis. The kits feature
Provox Heat and Moisture Exchangers (HMEs) – approved
for 24 hour use even while sleeping!

Clinical studies have shown that most laryngectomized


patients who use a Provox HME twenty-four hours a day,
even while sleeping, experience reductions in:
• Mucus Production
• Coughing and Forced Expectoration

Immediate post-operative use of the HME also lowers


costs as compared to the use of an external humidifier.

(Data on File.)

Provox Laryngectomy Pulmonary Kits provide convenient


all-in-one customizable packaging supporting pulmonary care as
well as communication needs. Standard and custom packaging
options are available, the choice is yours!

Standard Pulmonary Kit

Provox® Provox XtraFlow™ HME (30 pcs)


Provox® LaryTube™ (standard)
Provox® TubeHolder
Provox® TubeBrush (6 pcs)
Provox® ShowerAid
CareTips educational materials for the Laryngectomee

Contact your Atos Medical Representative


for Custom Options.

Provox LPK available through clinicians only.

35
Coming Home Kit
The Provox Coming Home case is an intuitive tool, which
facilitates returning home from the hospital for patients
having their voice box removed.
The tool includes a durable carrying case with
selected products and information in several
languages, and a removable carrying case to take
with you when you go out.

Coming Home Kit

Provox XtraFlow HME


Provox FlexiDerm Adhesive
Provox OptiDerm Adhesive
Provox Luna Adhesive
Provox Luna HME
Provox SkinBarrier
Provox Adhesive Remover
Provox Cleaning Towel
Provox Shower Aid
Provox Luna Shower Aid
Provox Adhesive Strip
Provox StabiliBase Adhesive

Provox Coming Home is available through clinicians only.

36
Resources

37
Polyester Stoma Covers*
• 100% Polyester 4-ply fabric
• Discreet coverage
• Available in several colors
• Easily Adjustable Neck Strap from 13 1/4 to 18 inches
• Machine Washable
• Dimension: Approx. 9 1/2 inches wide and 8 1/4 inches long

4-Ply Polyester Ref.no

White RSCWH

Black RSCBL

Navy RSCNA

Foam Stoma Covers*


• Lightweight Medical-Grade Foam
• In Beige
• One Adhesive Strip

30-Piece Foam Stoma Covers Ref.no

Beige 65 x 65mm RFFFL02

Mock Turtle Neck Stoma Covers*


• Mock Turtle Neck Style for discreet coverage
• Comfortable 80/20 Poly/Cotton Blend resists shrinkage and fading
• Machine Washable
• Three Available Colors
• Adjustable neck collar from 12 to 21 inches
• Dimensions: Approx. 10 inches wide and 8 inches long

Mock Turtle Neck Covers Ref.no

White RTNSCWH

Black RTNSCBL

Navy RTNSCNA

*Manufactured by Fountain Head Marketing, Inc.™

38
Jaw Mobility

39
TheraBite® Jaw Motion Rehabilitation System™
For restoring jaw mobility after trismus and mandibular hypomobility
The TheraBite® Jaw Motion Rehabilitation System™ is a clinically proven, anatomically correct and
portable system designed to restore mobility after trismus and mandibular hypomobility. The patient
controlled system utilizes repetitive passive motion to stretch connective tissue, strengthen weakened
muscles and mobilize joints. The average sustainable gain in jaw opening is around 1–1.5 mm per week.
The TheraBite® Jaw Motion Rehabilitation System™ can also help to reduce muscle pain by reducing
joint inflammation and prevent reduced muscle strength during (chemo)radiation in the head and neck
area. The TheraBite Jaw Motion Rehabilitation System is available in both adult and pediatric versions.

Bite Pads
The self-adhesive Bite Pads spread the force across the teeth and can
be trimmed for customized protection. The Bite Pads come in adult,
pediatric and edentulous (toothless) versions.

Range of Motion Scales


The disposable Range of Motion Scales allows the patient and
his/her clinician to monitor the progress of the treatment. Includes a
Range Setting Arm.

Hand-Aid
The Hand-Aid assists the patient in maintaining constant opening
during stretching or strengthening programs

Exercise Log
The daily and monthly Exercise Log enables the user and his/her
treating clinician to log the daily and monthly progress

40
TheraBite® System

TheraBite Jaw Motion Rehabilitation System Quantity Ref.no

Adult TheraBite® Jaw Motion Rehabilitation System™ 1 System TH001


Includes:
• Jaw Mobilizer
• 4 Bite Pads - Regular
• Hand-Aid
• 30 Range of Motion Scale
• Carrying Bag
• Instructions for Use
• Patient Progress Log
• TheraBite Instructional DVD
Pediatric TheraBite® Jaw Motion Rehabilitation System™ 1 System TH002
Includes:
• Jaw Mobilizer
• 4 Bite Pads -Pediatric
• Hand-Aid
• 30 Range of Motion Scale
• Carrying Bag
• Instructions for Use
• Patient Progress Log
• TheraBite Instructional DVD
TheraBite® ActiveBand 1 pcs 8260

TheraBite® Range of Motion Scales 150 pcs SC001

TheraBite® Bite Pads, Regular 4 pcs PA001

TheraBite® Bite Pads, Edentulous 4 pcs PA002

TheraBite® Bite Pads, Pediatric 4 pcs PA003

TheraBite Instructional DVD 1 pcs 7840-N


This 14-minute film provides useful information on trismus,
and demonstrates the functions and benefits of the
TheraBite system. This DVD is divided into several
chapters, and features testimonials from a former patient
and two clinicians. Available in English only.

TheraBite® ActiveBand™
TheraBite® ActiveBand™ is an addition to the TheraBite® Jaw Motion
Rehabilitation System™ providing resistance to mouth closure. It is
used as a part of the Pharyngocise protocol for patients undergoing
head and neck radiation therapy. The device is designed to increase
muscle strength and endurance of the muscles of mastication (the
masseter, temporalis, medial and lateral pterygoid muscles). The
active exercise can be used for patients compromised by cerebral
lesions after stroke or that have neuromuscular disorders.

41
Laryngectomy Illustrations

Before total laryngectomy After total laryngectomy


© K. Vanderpool MC0696

Speaking with the Provox voice prosthesis: Speaking with the Provox voice prosthesis:
Manual occlusion of the Provox XtraHME attached Handsfree with Provox FreeHands FlexiVoice
with Provox Adhesive. attached with Provox Adhesive.

42
References*
Provox® Voice Prostheses Provox® HME and Provox FreeHands • Lorenz KJ, Huverstuhl K, Maier H. [Finger-free
• Timmermans AJ, Harmsen HJ, Bus-Spoor C, Buijssen HME speech with the Provox FreeHands HME Automatic
KJ, van As-Brooks C, de Goffau MC, Tonk RH, van Tracheostoma Valve system. Clinical long-term
• Lansaat L, de Kleijn BJ, Hilgers FJ, van der Laan BF,
den Brekel MW, Hilgers FJ, van der Laan BF. Biofilm experience]. HNO. 2009 Nov;57(11):1090-8.
van den Brekel MW. A prospective multicenter clinical
formation on the Provox ActiValve: Composition feasibility study of a new automatic speaking valve • Zuur JK, Muller SH, Vincent A, Sinaasappel M, de
and ingrowth analyzed by Illumina paired-end RNA for postlaryngectomy voice rehabilitation. Eur Arch Jongh FH, Hilgers FJ. The influence of a heat and
sequencing, fluorescence in situ hybridization, and Otorhinolaryngol. moisture exchanger on tracheal climate in a cold
confocal laser scanning microscopy. Head Neck. 2016 2017 Feb;274(2):1005-1013. environment. Medical & Biological Engineering &
Apr;38 Suppl 1:E432-40. Computing. 2009 Sep;31(7):852-7.
• Macri GF, Bogaardt H, Parrilla C, Minni A,
• Kress P, Schäfer P, Schwerdtfeger FP, Rösler S. Are D’Alatri L, de Vincentiis M, Paludetti G. Patients’ • Lorenz KJ, Maier H. [Pulmonary rehabilitation after
modern voice prostheses better? A lifetime comparison experiences with HMEs and attachments after total total laryngectomy using a heat and moisture
of 749 voice prostheses. Eur Arch Otorhinolaryngol. laryngectomy. Clin Otolaryngol. exchanger (HME)]. Laryngorhinootologie. 2009
2014 Jan;271(1):133-40. 2016 Dec;41(6):652-659. Aug;88(8):513-22.
• Hancock KL, Lawson NR, Ward EC. Device life • van den Boer C, Muller SH, van der Noort V, Olmos • Scheenstra RJ, Muller SH, Vincent A, Sinaasappel
of the Provox Vega voice prosthesis. Eur Arch RA, Minni A, Parrilla C, Hilgers FJ, van den Brekel M, Zuur JK, Hilgers FJ. Endotracheal temperature
Otorhinolaryngol. 2013 Mar;270(4):1447-53. MW, van der Baan S. Effects of heat and moisture and humidity measurements in laryngectomized
• Hilgers FJ, Lorenz KJ, Maier H et al. Development and exchangers on tracheal mucociliary clearance in patients: intra- and inter-patient variability.
(pre-) clinical assessment of a novel surgical tool for laryngectomized patients: a multi-center case- Medical & Biological Engineering & Computing.
primary and secondary tracheoesophageal puncture control study. Eur Arch Otorhinolaryngol. 2009 Jul;47(7):773-82.
with immediate voice prosthesis insertion, the Provox 2015 Nov;272(11):3439-50. • Zuur JK, Muller SH, Vincent A, Sinaasappel M,
Vega Puncture Set. Eur Arch Otorhinolaryngol. 2013 • Parrilla C, Minni A, Bogaardt H, Macri GF, Battista de Jongh FH, Hilgers FJ. Assessment of tracheal
Jan;270(1):255-62. M, Roukos R, Pandolfini M, Ruoppolo G, Paludetti G, temperature and humidity in laryngectomized
• Hancock K, Ward E, Lawson N, van As-Brooks CJ. A D’Alatri L, de Vincentiis M. Pulmonary Rehabilitation individuals and the influence of a heat and
prospective, randomized comparative study of patient After Total Laryngectomy: A Multicenter Time-Series moisture exchanger on tracheal climate. Head &
perceptions and preferences of two types of indwelling Clinical Trial Evaluating the Provox XtraHME in Neck. 2008 Aug;30(8):1072-1082.
voice prostheses. Int J Lang Commun Disord. 2012 May- HME-Naïve Patients. Ann Otol Rhinol Laryngol. 2015 • Hilgers FJ, Soolsma J, Ackerstaff AH, Balm FJ,
Jun;47(3):300-9. Sep;124(9):706-13. Tan IB, van den Brekel MW. A thin tracheal
• Ward EC, Hancock K, Lawson N, van As-Brooks CJ. • van den Boer C, Muller SH, Vincent AD, van den silicone washer to solve periprosthetic leakage
Perceptual characteristics of speech production using Brekel MW, Hilgers FJ. Ex vivo assessment and in laryngectomies: direct results and long-
the new indwelling Provox Vega voice prosthesis: A validation of water exchange performance of 23 term clinical effects. Laryngoscope. 2008
randomized controlled cross-over trial. Head & Neck. Heat and Moisture Exchangers for laryngectomized Apr;118(4):640-5.
2011 Jan;33(1):13-9. patients. Respir Care. 2014 Aug;59(8):1161-71. • Zuur JK, Muller SH, Sinaasappel M. Hart GA,
• Hilgers FJ, Ackerstaff AH, Jacobi I, Balm AJ, Tan B, Van • van den Boer C, Muller SH, Vincent AD, Züchner K, Van Zandwijk N, Hilgers FJ. Influence of heat
den Brekel MW. Prospective clinical phase II study of van den Brekel MW, Hilgers FJ. Ex vivo water and moisture exchanger respiratory load on
two new indwelling voice prostheses (Provox Vega exchange performance and short-term clinical transcutaneous oxygenation in laryngectomized
22.5 and 20 Fr) and a novel anterograde insertion feasibility assessment of newly developed heat and individuals: a randomized cross-over study. Head &
device (Provox SmartInserter). Laryngoscope. 2010 moisture exchangers for pulmonary rehabilitation Neck. 2007 Dec;29(12):1102-1110.
Jun;120(6):1135-43. after total laryngectomy. Eur Arch Otorhinolaryngol. • Lorenz KJ, Ackerstaff AH, Hilgers FJM, Maier
• Hilgers FJ, Ackerstaff AH, van RM et al. Clinical 2014 Feb;271(2):359-66 H. Hands-free speech after surgical voice
phase I/feasibility study of the next generation • Herranz J, Espiño MA, Morado CO. Pulmonary rehabilitation with a Provox® voice prosthesis:
indwelling Provox voice prosthesis (Provox Vega). Acta rehabilitation after total laryngectomy: a experience with the Provox® Freehands™ HME
Otolaryngologica. 2010 April; 130(4):511-9. randomized cross-over clinical trial comparing two tracheostoma valve system. European Archives of
different heat and moisture exchangers (HMEs). Eur Otorhinolaryngology. 2007 Feb; 264(2):151-157.
• Soolsma J, van den Brekel MW, Ackerstaff AH, Balm AJ,
Tan B, Hilgers FJ. Long-Term Results of Provox ActiValve, Arch Otorhinolaryngol. 2013 Sep;270(9):2479-84. • Hilgers, F. J. & Ackerstaff, A. H. Development
Solving the Problem of Frequent Candida- and • Brook I, Bogaardt H, van As-Brooks C. Long-term and evaluation of a novel tracheostoma button
“Underpressure”-Related Voice Prosthesis Replacements use of heat and moisture exchangers among and fixation system (Provox LaryButton and
The Laryngoscope. 2007 The American Laryngological, laryngectomees: medical, social, and psychological LaryClip adhesive) to facilitate hands-free
Rhinological and Otological Society, Inc. patterns. Ann Otol Rhinol Laryngol. 2013 tracheoesophageal speech. Acta Otolaryngologica.
Jun;122(6):358-63. 2006 Dec;126(11):1218-1224.
• Hancock K, Houghton B, Van As-Brooks CJ, Coman
W: First clinical experience with a new nonindwelling • Hilgers FJ, Dirven R, Wouters Y, Jacobi I, Marres • Hamade, R., Hewlett, N., & Scanlon, E. A
voice prosthesis (Provox NID) for voice rehabilitation HA, van den Brekel MW. A multicenter, prospective, quantitative and qualitative evaluation of an
after total laryngectomy. Acta Otolaryngologica. 2005 clinical trial evaluating a novel adhesive baseplate automatic occlusion device for tracheoesophageal
Sep;125(9):981-90. (Provox StabiliBase) for peristomal attachment speech: the Provox FreeHands HME. Clin Linguist
of postlaryngectomy pulmonary and voice Phon. 2006 Apr-May;20(2-3):187-93.
• Hilgers FJ, Ackerstaff AH, Balm AJ, Van den Brekel MW,
Bing Tan I, Persson JO: A new problemsolving indwelling rehabilitation devices. Laryngoscope. 2012 • Zuur JK, Muller SH, de Jongh FH, van Zandwijk
voice prosthesis, eliminating the need for frequent Nov;122(11):2447-53. N, Hilgers FJ: The physiological rationale of heat
Candida- and “underpressure”-related replacements: • Scheenstra RJ, Muller SH, Hilgers FJ. Endotracheal and moisture exchangers in post-laryngectomy
Provox ActiValve. Acta Otolaryngologica. 2003 temperature and humidity in laryngectomized pulmonary rehabilitation: a review. European
Oct;123(8):972-9. patients in a warm and dry environment and the Archives of Otorhinolaryngology. 2006 Jan;263(1):1-
effect of a heat and moisture exchanger. Head Neck. 8.
• Free RH, Van der Mei HC, Elving GJ, Van Weissenbruch
R, Albers FW, Busscher HJ: Influence of the Provox 2011 Sep;33(9):1285-93. • Tervonen H, Back L, Juvas A, Rasanen P, Makitie
Flush, blowing and imitated coughing on voice • Scheenstra RJ, Muller SH, Vincent A, Ackerstaff AA, Sintonen H, Roine RP, Vilkman E, Aaltonen LM:
prosthetic biofilms in vitro. Acta Otolaryngologica. 2003 AH, Jacobi I, Hilgers FJ. A new heat and moisture Automatic speaking valve in speech rehabilitation
May;123(4):547-51. exchanger for laryngectomized patients: for laryngectomized patients. European Archives of
endotracheal temperature and humidity. Respir Care. Otorhinolaryngology. 2005 Oct;262(10):816-20.
• Op de Coul BMR, Hilgers FJM, Balm AJM, Tan IB, van
den Hoogen FJA, van Tinteren H: A decade of post- 2011 May;56(5):604-11. • Op de Coul BM, Ackerstaff AH, van As-Brooks CJ,
laryngectomy vocal rehabilitation in 318 patients: • Scheenstra RJ, Muller SH, Vincent A, Hilgers FJ. van den Hoogen FJ, Meeuwis CA, Manni JJ, Hilgers
A single institution’s experience with consistent Heat and moisture exchange capacity of the upper FJ. Compliance, quality of life and quantitative
application of Provox® indwelling voice prostheses. respiratory tract and the effect of tracheotomy voice quality aspects of hands-free speech. Acta
Archives of Otolaryngology- Head & Neck Surgery. breathing on endotracheal climate. Head Neck. 2011 Otolaryngologica. 2005 Jun;125(6):629-37.
2000 Nov;126(11):1320-8. Jan;33(1):117-24. • Ackerstaff AH, Fuller D, Irvin M, Maccracken
• Balle VH, Rindsø L, Thomsen JC. Primary speech • Scheenstra RJ, Muller SH, Vincent A, Sinaasappel M, E, Gaziano J, Stachowiak L: Multicenter study
restoration at laryngectomy by insertion of voice Hilgers FJ. Influence of breathing resistance of heat assessing effects of heat and moisture exchanger
prosthesis – 10 years experience. Acta Otolaryngologica and moisture exchangers on tracheal climate and use on respiratory symptoms and voice quality in
2000; Suppl 543:244-245. breathing pattern in laryngectomized individuals. laryngectomized individuals. Otolaryngology Head
Head & Neck. 2010 Aug;32(8):1069 78. & Neck Surgery. 2003 Dec;129(6):705-12
• Ackerstaff AH, Hilgers FJ, Meeuwis CA, van der Velden
LA, van den Hoogen FJ, Marres HA, Vreeburg GC, Manni • Scheenstra RJ, Muller SH, Vincent A, Ackerstaff • Hilgers FJ, Ackerstaff AH, Van As CJ, Balm AJ, Van
JJ: Multi-institutional assessment of the Provox®2 voice AH, Jacobi I, Hilgers FJM. Short term endotracheal den Brekel MW, Tan IB: Development and clinical
prosthesis. Archives of Otolaryngology - Head & Neck climate changes and clinical effects of a heat assessment of a heat and moisture exchanger with
Surgery.1999 Feb;125(2):167-73. and moisture exchanger with an integrated a multi-magnet automatic tracheostoma valve
electrostatic virus and bacterial filter developed for (Provox FreeHands HME) for vocal and pulmonary
• Hilgers FJM, Ackerstaff AH, Balm AJM, Tan IB, Aaronson
laryngectomized individuals. Acta Otolaryngologica. rehabilitation after total laryngectomy. Acta
NK, Persson JO. Development and clinical evaluation
2010 Jun;130(6):739-46 Otolaryngologica. 2003 Jan;123(1):91-9
of a second-generation voice prosthesis (Provox®2)
designed for anterograde and retrograde insertion. • Bien S, Okla S, van As-Brooks CJ, Ackerstaff AH. • van As CJ, Hilgers FJM, Koopmans-van Beinum
Acta Otolaryngologica. 1997 Nov;117(6):889-96. The effect of a Heat and Moisture Exchanger FJ, Ackerstaff AH. The influence of stoma
(Provox HME) on pulmonary protection after total occlusion on aspects of alaryngeal speech. Acta
• Hilgers FJM, Schouwenburg PF. A new low-resistance,
laryngectomy: a randomized controlled study. Otolaryngologica. 1998 Sep;118(5):732-8.
self-retaining prosthesis (Provox®) for voice
rehabilitation after total laryngectomy. Laryngoscope. European Archives of Otorhinolaryngology. 2010
1990 Nov;100(11):1202-7. March;267(3):429-35.

The above references represent a selection. For more information contact Atos Medical AB or your local representative.

43
Speaking
hands-free
means that I am
able to hug my
wife and say
‘I love you’
without having
to use my hands.
Henry

44
Contact
Below you will find all our global addresses and contact information. Find
your country and reach out to us. We are always here to help you.

Head office & Manufacturer: Germany: Poland:


Atos Medical AB Atos Medical GmbH Atos Medical Poland Sp. z o.o
Tel. +46 (0)415 198 00 Tel. +49 (0)800 53 53 667 Tel. +48 22 295 00 16
info@atosmedical.com info.de@atosmedical.com biuro@atosmedical.com
www.atosmedical.com www.atosmedical.de www.atosmedical.com

Australia: Hungary: Portugal:


Atos Medical Pty Ltd Atos Medical AB Magyarorszagi Atos Medical Spain S.L.
Tel. +61 1800 286 728 Tel. + 36 70 377 2414 Sucursal em Portugal
info.au@atosmedical.com www.atosmedical.com Tel. +351 212 539 281
www.atosmedical.com.au info.pt@atosmedical.com
Italy: www.atosmedical.pt
Belgium:  Atos Medical Srl
Atos Medical BVBA / SPRL Tel. +39 049 775 522 Spain:
Tel. +32 (0)2 218 55 50 info.it@atosmedical.com Atos Medical Spain S.L. 
info.be@atosmedical.com www.atosmedical.it Tel. +34 93 323 91 95
www.atosmedical.be info.es@atosmedical.com
Japan: www.atosmedical.es
Brasil: Atos Medical Japan Inc.
Atos Medical ltd Tel. +81 (0)3 4589 2830 Switzerland:
Tel. +55 11 2305 2022 info.jp@atosmedical.com Atos Medical, Switzerland
info.br@atosmedical.com www.atosmedical.jp Tel. +41 (0)44 380 60 90
www.atosmedical.com.br info.ch@atosmedical.com
The Netherlands: www.atosmedical.ch
Canada: Atos Medical B.V.
Atos Medical Canada Inc Tel. +31 (0)79 593 5000 U.K:
Tel. +1 833 514 2867 info.nl@atosmedical.com Atos Medical UK
info.ca@atosmedical.com www.atosmedical.nl Tel. +44 (0)115 784 1899
www.atosmedical.ca info.uk@atosmedical.com
New Zealand: www.atosmedical.co.uk
France: Atos Medical Ltd
Atos Medical S.A.S. Tel. +64 (0)4 576 2100 U.S:
Tel. +33 (0)1 49 08 01 00 info.nz@atosmedical.com Atos Medical Inc.
info.fr@atosmedical.com www.atosmedical.co.nz Tel. +1 800 217 0025
www.atosmedical.fr info.us@atosmedical.com
Nordic countries: www.atosmedical.us
Tel. +46 (0)415-19820
kundtjanst@atosmedical.com
www.atosmedical.com

45
When I got my first
Provox voice prosthesis
I could make myself
heard again.
It was an enormous
relief.
- Anna

46
Order Information
Orders may be placed online at www.shopatosmedical.com
or contact a Customer Service Representative at 1.800.217.0025
Contact Us
Office Hours: 8am-5pm Central Time (CT)
Extended Customer Service Hours: 8am-6pm CT Mon-Thu and 8am-5pm CT Fri.

Addresses: Telephone and Fax: Email:


Office Customer Service Customer Support
Atos Medical Inc. 1.800.217.0025, Option 1 and Technical Service
2801 South Moorland Road For assistance in Spanish, Option 9 info.us@atosmedical.com
New Berlin, WI 53151-3743
TheraBite Hotline TheraBite Inquiries
All Payments to: 1.877.458.ATOS (2867) therabite.us@atosmedical.com
Atos Medical Inc.
Dept CH 17589 Office Fax Insurance Questions
Palatine, IL 60055-7589 1.844.389.4918 info.us@atosmedical.com

The Atos Medical Insurance and Reimbursement Team is Prescription Products


committed to helping you navigate through the process to Products with Rx next to the name need a prescription from a
make it as smooth and easy as possible, getting the most from physician or a non-physician eligible provider. The Rx must be
your benefits. We are also working to get in-network with on file with Atos Medical and have product specifically listed.
more insurance companies which may mean easier access to Caution: USA Federal law restricts these products to sale by or
products and better reimbursement options for you! on the order of a physician or a licensed SLP.

Forms and Insurance Information Payment - Terms of Sale


Atos Medical Inc. will file claims for durable medical equipment Net 30 days, FOB. New Berlin, WI. Check, Money Order, bank
(DME) orders upon request. For an insurance claim to be filed, draft from your account, Visa, MC, American Express and
the following needs to be completed and returned to our Discover are accepted. Products can be shipped COD (Cash on
office: Delivery) for an additional fee + shipping charges. Insurance
• Front and back copies of all insurance cards coverage, payment, co-payments, deductibles and some
• Prescription Diagnosis Form (including frequency of restrictions apply depending on the individual’s policy and
replacement) medical need.
• Patient Insurance Information Form (PIIF)
• Patient Service Agreement (PSA)Form Returned Goods Authorization
• MCL if ordering a voice prosthesis (Medicare Only) PRODUCTS MUST BE RETURNED IN SELLABLE CONDITION.
This includes (but is not limited to) the returned product being
The type of DME equipment ordered, laryngectomy supplies or unopened, in original sealed packaging, no physical damage
jaw motion rehabilitation supplies, will determine which forms to product or product box and nothing affixed to or written
are to be completed. on the product box. Returns will not be accepted without
prior authorization and an Atos Medical Return Merchandise
Insurance forms are available at: Authorization (RMA) number, which should be written on the
www.atosmedical.us/laryngectomy/living-with-laryngectomy/ EXTERNAL SHIPPING BOX ONLY. To obtain an RMA number,
insurance-and-reimbursement/ please call 800.217.0025. RMA numbers issued by Atos
Medical are good for 30 days only and the returned product
Patients with Medicare Coverage must be received by Atos Medical within that time. RMA
Whether you have Original or Traditional Medicare coverage, numbers cannot be extended or re-issued. No return shipments
Atos Medical will submit a claim on your behalf to the will be accepted for any product in customer possession
provider(some restrictions may apply). For assigned items you longer than 90 days. There is a 25% restocking fee on returned
will be required to pay 20% of the Medicare allowed amount merchandise. The customer is responsible for shipping charges
(provided you have satisfied your Medicare Part B deductible and risk-of-loss on all return shipments. Shipping charges are
for the year). Medicare will pay the remaining 80%. In order to nonrefundable. Atos Medical recommends using a reputable
take advantage of the Medicare rates, Medicare requires that carrier capable of providing proof of delivery, as well as
we have a completed written physician order form prior to the properly packing and fully insuring your return shipment. Atos
shipment of your order. For non-assigned items, you will be Medical reserves the right to refuse any return shipment.
responsible for payment in full at the time of order. Atos will
file your claim, and Medicare will reimburse you based on their Privacy
portion of the allowed amount. Atos Medical has always respected the privacy of our
clients. Like most health care providers, Atos Medical is
Patients without Insurance or DME Coverage subject to federal laws that protect the privacy of personal
• Order online at www.shopatosmedical.com information related to medical services and products. The
• Call 800.217.0025, option 2, to place an order Health Insurance Portability and Accountability Act of 1996
• Pay by VISA, MasterCard, American Express, Discover, bank (HIPPA) requires that we provide a Notice of Privacy Practices
draft, check or money order to you. This notice describes our legal duties and privacy
practices related to your protected information. We are
required to have a completed Notice of Privacy Practices and
Acknowledgment form on file.

47
REF# MC1711 -ThENUSL 201706
At Atos Medical, we are committed to
giving a voice to people who breathe
through a stoma, with design solutions and
technologies built on decades of experience
and deep understanding of our users.

US Office:
Atos Medical Inc., 2801 South Moorland Road, New Berlin, WI 53151-3743
Tel. +1 800 217 0025, Fax. +1 844 389 4918
Email: info.us@atosmedical.com, Web: www.atosmedical.us, Online Ordering: www.shopatosmedical.com

Canadian Office:
Atos Medical Canada Inc., 20 Simona Drive - Unit #5, Bolton, ON L7E 4K1
Tel. +1 833 514 2867, Fax. +1 905 857 2868
Email: info.ca@atosmedical.com, Web: www.atosmedical.ca
©Atos Medical AB, Sweden.

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