Blades

ENT Blades and Burs
FOR THE STRAIGHTSHOT® M4 MICRODEBRIDER

ENT Blades and Burs
Table of Contents
A Generation of Powered ENT Tools. . . . . . . . . . . . . . . . . . . . . . . . . 1

Automated EM Tracking Blades. . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Quadcut® Blades. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Straight Sinus Blades. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Powered Inferior Turbinoplasty Surgical Technique. . . . . . . . . 7
Curved Sinus Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
Straight Sinus Burs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Modified Lothrop Procedure: Selecting the Best Burs. . . . . . 12
Papilloma Surgical Technique. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Curved Sinus Burs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-15
Airway Blades. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-18
Tonsillectomy and Adenoidectomy Blades. . . . . . . . . . . . . . . . . 19
Aesthetic Blades and Burs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
IPC® System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
A Generation of Powered ENT Tools
IPC® (Integrated Power Console) and Straightshot® M4 Microdebrider
This dynamic combination provides:

· The widest range of application-specific blades
and burs
· Blade tips that rotate 360°
· Factory-calibrated blades for surgical navigation
· Seamless integration with other Medtronic
ENT devices
We offer a broad variety of Straightshot M4 blades

and burs for specific applications, including:
· Polypectomy
· Turbinoplasty
· Septoplasty and rhinoplasty
· Ethmoidectomy and sphenoidotomy
· Uncinectomy and maxillary antrostomy
· Trephination of frontal and maxillary sinus
· Tonsils and adenoids
· Choanal atresia
· Larynx and airways
· Microscopy sinus surgery
Visit www.MedtronicENT.com for more information.
Automated EM Tracking Blades
M4-Rotatable
TRICUT® BLADE
LOREM IPSUM LOREM12IPSUM
RAD® BLADE LOREM40IPSUM
RAD® BLADE IRRIGATION
LOREM IPSUMTUBING
.0 4.0
11
11.0 40°
4.0
4.0 4.5 12° 4.5
4.0 mm Tricut® Straight 4.0 mm RAD® 12 Curved 4.0 mm RAD® 40 Curved Irrigation Tubing
Rotatable Blade with Rotatable Blade with Rotatable Blade with for Blades and Burs
Automated EM Tracking Automated EM Tracking Automated EM Tracking 1895522
1884080EM 1884012EM 1884006EM • For use with IPC® blades and burs
· 13.0 cm long with straight shaft · 11.0 cm long with curved shaft · 11.0 cm long with curved shaft • 5 each
· Rotates through 360° · Straightshot® M4 rotates blade · Straightshot M4 rotates blade
· Offset cutting surface cuts in tip 360° without shaft rotation tip 360° without shaft rotation
3 planes · Offset cutting surface cuts · Offset cutting surface cuts
· Application: ethmoidectomy, in 3 planes in 3 planes
sphenoid sinus surgery · Application: uncinectomy, · Application: uncinectomy,
· Operating speed: 5,000 rpm, oscillate ethmoidectomy ethmoidectomy
· 1 each, irrigation tubing separate · Operating speed: 5,000 rpm, oscillate · Operating speed: 5,000 rpm, oscillate
· 1 each, irrigation tubing separate · 1 each, irrigation tubing separate
Speeds are suggested rpm (revolutions

per minute), operated in oscillation
mode for blades and (forward) mode
for burs.
Measurements are listed in millimeters
unless otherwise specified.
2
Automated EM Tracking Blades
First and Only Factory-Calibrated Blades for Navigation
The innovative Automated EM Tracking Blades

deliver unparalleled convenience and technology
integration. They’re the first and only blades that
For Fusion® ENT are factory-calibrated for navigation, right out
Navigation and
the Straightshot® M4 of the box. Attach the blade to the M4 microdebrider
Microdebrider and the Fusion® system, and start navigating.
With this latest innovation, we continue to deliver
the feature expansion and product integration that
you expect from Medtronic.
Unique features include:

· No array, no clamps, no calibration, no waiting
· First and only factory-calibrated blades for navigation
· True “plug and play” is more convenient and efficient
Visit www.MedtronicENT.com for more information.

Quadcut® Blades
for the Straightshot® M4
QUADCUT ™ BLADES
4.3
4.3 mm Quadcut™ Blade

1884380HR
· 13.0 cm long with straight shaft
· Rotates through 360°
· 70% reduction in clogging
over Tricut® Blade
· Outer teeth stabilize tissue
while inner blade cuts
• Better engagement of ethmoid
Quadcut® Blades
bone
· Operating speed: 5,000 rpm, oscillate Real Relief from Blade Clogging
· 5 each with irrigation tubing
Powered FESS is an important advancement in surgical treatment, yet

some challenges remain. Medtronic engineers continually strive to
3.4 enhance technology, making surgery better for you and your patients.
3.4 mm Quadcut Blade
*The Innovative Quadcut® Blades Offer:
1883480HRE
· Reduced blade clogging over the Tricut® Blades
• 13.0 cm long with straight shaft
· Better engagement of ethmoid bone
• Rotates through 360°
• Reduced clogging over the Tricut® · Improved precision and reduced collateral tissue damage
Blade
• Outer teeth stabilize tissue while
inner blade cuts
• Improved precision
Normal Run Conditions (3000 - 5000 rpm, 6 - 24 in Hg)
• Better engagement of ethmoid
bone 19.6 Test Medium
20.0
· Operating speed: 5,000 rpm, oscillate Oyster and eggshell mixture
18.0 MMR (Material Removal Rate)
15.9 (Tissue weight / minutes)
16.0 Tricut 
Cut Score
Quadcut 
14.0 13.0 Material removed / clogs
3.0
3.0 mm Quadcut Blade 12.0 • 70% reduction in clogging over

the Tricut® Blade
1883080HRE 10.0
• Approximately 17% additional
• 13.0 cm long with straight shaft tissue resection
8.0
• Rotates through 360°
• Reduced clogging over the Tricut®
6.0
Blade 4.3
3.9
• Outer teeth stabilize tissue while 3.177
4.0
inner blade cuts 2.650
• Better engagement of the ethmoid 2.0 1.3 * Boone JL, Feldt BA, McMains KC, Weitzel EK. Improved
function of prototype 4.3-mm Medtronic Quadcut
bone microdebrider blade over standard 4.0-mm Medtronic
• Improved precision 0.0 Clogs Weight MRR Cut Score Tricut microdebrider blade. Int Forum Allergy Rhinol,
2011; 1:198-200.
· Operating speed: 5,000 rpm, oscillate
· 1 each with irrigation tubing Data collected from 4.3 mm Quadcut Blade 4
Straight Sinus Blades
M4-Rotatable
TRICUT® BLADES
LOREM IPSUM SERRATED BLADES
LOREM IPSUM SILVER BULLET®
LOREM IPSUM TURBINATE
LOREM IPSUM
4.0 4.0 4.0 2.9
4.0 mm Tricut® Blade 4.0 mm Serrated Blade 4.0 mm Silver Bullet® 2.9 mm Inferior
1884004HR 1884002HRE Blade Turbinate Blade
· 11.0 cm long with straight shaft · 11.0 cm with straight shaft 1884005HRE 1882940HR
· Rotates through 360° · Rotates through 360° · 11.0 cm long with straight shaft · 11.0 cm long
· Offset cutting surface cuts in · Application: ethmoidectomy · Rotates through 360° · Rotates through 360°
3 planes · Operating speed: 5,000 rpm, · Application: ethmoidectomy · Straight shaft with elevator
· Application: ethmoidectomy oscillate · Operating speed: 5,000 rpm, · Application: submucosal resection
· Operating speed: 5,000 rpm, · 1 each with irrigation tubing oscillate of inferior turbinate
oscillate · 1 each with irrigation tubing · Operating speed:
· 5 each with irrigation tubing · Developed in conjunction with 3,000 rpm, oscillate
Rodney Lusk, MD · 5 each with irrigation tubing
4.0 mm Tricut® Blade 3.5
· Developed in conjunction with
1884080HR 3.5 mm Serrated Blade Laurence O’Halloran, MD
· 13.0 cm long with straight shaft 1883502HRE 2.9
· Offset cutting surface cuts in
2.9 mm Silver Bullet® 2.0
3 planes
· Application: ethmoidectomy Blade
· Application: ethmoidectomy,
1882905HRE 2.0 mm Inferior
· Operating speed: 5,000 rpm,
sphenoid sinus surgery
oscillate Turbinate Blade
· Operating speed: 5,000 rpm, · 11.0 cm long with straight shaft
oscillate · 1 each with irrigation tubing · Rotates through 360° 1882040HR
· 5 each with irrigation tubing · Application: choanal atresia · 11.0 cm long
· Operating speed: 5,000 rpm, · Rotates through 360°
oscillate · Straight shaft with elevator
3.5 2.9
· 1 each with irrigation tubing · Application: submucosal resection
2.9 mm Serrated Blade of inferior turbinate
3.5 mm Tricut® Blade · Developed in conjunction with
Rodney Lusk, MD · Operating speed:
1883504HR 1882902HRE 3,000 rpm oscillate
· 11.0 cm long with straight shaft · 11.0 cm long with straight shaft · 5 each with irrigation tubing
· Rotates through 360° · Rotates through 360° · Developed in conjunction with
· Offset cutting surface cuts in · Application: pediatric sinus Laurence O’Halloran, MD
3 planes surgery
· Application: ethmoidectomy · Operating speed: 5,000 rpm,
· Operating speed: 5,000 rpm, oscil- oscillate
late · 1 each with irrigation tubing
2.9
2.9 mm Tricut® Blade

1882904HRE
3 planes
· Application: pediatric sinus
surgery
oscillate
5
Straight Sinus Blades
Non-Rotatable
TRICUT® BLADES SERRATED BLADES SILVER BULLET® BLADES INFERIOR TURBINATE
4.0 4.0 4.0 2.9
4.0 mm Tricut® Blade 4.0 mm Serrated Blade 4.0 mm Silver Bullet® 2.9 mm Inferior
1884004 1884002 Blade Turbinate Blade
· 11.0 cm long with straight shaft · 11.0 cm long with straight shaft 1884005 1882940
· Offset cutting surface cuts in · Application: ethmoidectomy · 11.0 cm long with straight shaft · 11.0 cm long
3 planes · Operating speed: 5,000 rpm, · Application: ethmoidectomy · Straight shaft with elevator
· Application: ethmoidectomy oscillate · Operating speed: 5,000 rpm, · Application: submucosal resection
·O perating speed: 5,000 rpm, · 5 each with irrigation tubing oscillate of inferior turbinate
oscillate · 5 each with irrigation tubing · Operating speed:
· 5 each with irrigation tubing 60-3,000 rpm, oscillate
Rodney Lusk, MD · 5 each with irrigation tubing
3.5 · Developed in conjunction with
Laurence O’Halloran, MD
3.5 3.5 mm Serrated Blade
1883502 2.9
3.5 mm Tricut® Blade
1883504 · Application: ethmoidectomy
2.9 mm Silver Bullet® 2.0
· 11.0 cm long with straight shaft Blade

· Operating speed: 5,000 rpm, 2.0 mm Inferior
· Offset cutting surface cuts in oscillate 1882905 Turbinate Blade
3 planes · 5 each with irrigation tubing · 11.0 cm long with straight shaft
· Application: ethmoidectomy 1882040
· Application: choanal atresia
·O perating speed: 5,000 rpm, · 11.0 cm long
oscillate oscillate · Straight shaft with elevator
· 5 each with irrigation tubing 2.9
· 5 each with irrigation tubing · Application: submucosal resection
of inferior turbinate
2.9 mm Serrated Blade · Developed in conjunction with
· Operating speed:
Rodney Lusk, MD
1882902 60-3,000 rpm, oscillate
2.9
· 11.0 cm long with straight shaft · 5 each with irrigation tubing
· Application: pediatric sinus surgery · Developed in conjunction with
2.9 mm Tricut® Blade Laurence O’Halloran, MD
1882904 oscillate
· 11.0 cm long with straight shaft · 5 each with irrigation tubing
3 planes
· Application: pediatric sinus surgery
·O perating speed: 5,000 rpm,
oscillate

for burs.
6
Powered Inferior Turbinoplasty
Long-Term Results with One Treatment
Chronic inferior turbinate hypertrophy is a common Surgical Technique

cause of nasal obstruction that can have significant
The primary goal of turbinate surgery is volumetric reduction
effects on quality of life.1 Minimally invasive of submucosal vascular stromal tissue with preservation of
surgical technologies have evolved to address this overlying respiratory epithelium (Fig. 01). This mucosa is
condition, including laser, radiofrequency (RF), and essential to proper turbinate function, such as warming and
microdebrider methods. humidifying inspired air and mucociliary clearance.
Inferior turbinoplasty with the Straightshot® M4 is a

Compared to RF Methods, Our Inferior Turbinate Blade2-4 minimally invasive technique, typically requiring just one
• Offers significant and long-term results with one treatment 2.0 mm or 2.9 mm incision into the anterior portion of the
• Results in significantly reduced postoperative complications turbinate (Fig. 02).
• Helps achieve the goals of volumetric reduction
The physician inserts the IT Blade beneath the mucosal
•H elps avoid unpredictable thermal damage to surrounding tissue layer. After creating a submucosal dissection plane with the
blade's elevator tip, remove the intervening stromal tissue
Study Results (Fig. 03-04).
VAS Scores after Inferior Turbinoplasty with
01 02 03 04
Microdebrider-Assisted Surgery2
10
more severe
8
• VAS scores dropped 82%, on average,
and were maintained for 3 years The underlying turbinate bone is not removed and the
7
• Straightshot M4, 2.9 mm IT Blade overlying mucosa is also preserved. This technique reduces
6 the size of the inferior turbinate with no damage to the
SYMPTOMS
• 60 patients
5
functional mucosal tissue, such as blanching or crusting.
4 Once the turbinoplasty has been completed, the turbinate

can be outfractured using standard techniques.
3
1.55 However, none of the patients in the three studies referenced

2
(± 0.81) on this page received an outfracture, and these patients
less severe
1 experienced excellent long-term results.3-5

0 At the surgeon's discretion, Merocel® packing may be used
Pre-op 6 months 1 year 2 years 3 years
post-op post-op post-op post-op for the first 24 hours. Studies suggest its value in eliminating
postoperative bleeding, including the Liu and Chen
VAS Scores: Assessing the Effectiveness of IT Reduction studies.2-4
There are a variety of ways to evaluate surgical results, but
the most direct method is to ask patients how they feel. The For the complete surgical technique, please contact your
Visual Analog Scale (VAS) is a subjective measurement tool Medtronic ENT representative.
that evaluates the patient’s perception of his or her nasal
health, including nasal obstruction, rhinorrhea, snoring, and
Nota Bene: The technique description herein and the use of instructions for
sneezing. Answers usually range from 0 (no symptoms) to 10 the related procedures are made available by Medtronic ENT to the healthcare
(the most severe symptoms). professional to illustrate the author’s suggested treatment for
the uncomplicated patient. In the final analysis, the preferred treatment
is that which, in the healthcare professional’s judgment, addresses the needs
of the individual patient.
Curved Sinus Blades
M4-Rotatable
LOREM12IPSUM
RAD® BLADES RAD® 40IPSUM
LOREM BLADES LOREM60IPSUM
RAD® BLADES RAD®
LOREM90IPSUM
BLADE
3.5
4.0
4.0
11.0
.0
11
.0
18
11.0 40°
4.0
4.5 12° 4.5
90°
4.0 mm RAD® 12 Blade 4.0 mm RAD® 40 Blade 60°
1884012HR 1884006HR
· 11.0 cm long with curved shaft · 11.0 cm long with curved shaft 4.5 4.0
· Straightshot® M4 rotates blade · Straightshot M4 rotates blade

tip 360° without shaft rotation tip 360° without shaft rotation 4.0 mm RAD® 60 Blade 3.5 mm RAD® 90 Blade
· Offset cutting surface cuts · Offset cutting surface cuts 1884016HR 1883519HR
in 3 planes in 3 planes · 11.0 cm long with curved shaft · 11.0 cm long with curved shaft
· Application: uncinectomy, · Application: uncinectomy, · Straightshot M4 rotates blade tip · Straightshot M4 rotates blade tip
ethmoidectomy ethmoidectomy 360° without shaft rotation 360° without shaft rotation
·O perating speed: 5,000 rpm, · Operating speed: 5,000 rpm, · Offset cutting surface cuts · Offset cutting surface cuts
oscillate oscillate in 3 planes in 3 planes
· 5 each, irrigation tubing separate · 5 each, irrigation tubing separate · Application: frontal sinus surgery · Application: maxillary polypectomy,
· Operating speed: 5,000 rpm, frontal sinusotomy
11.0 .0 3.5 oscillate · Operating speed:
3.5 11 2,000-3,000 rpm, oscillate
4.0
· 5 each, irrigation tubing separate
12°
40°
3.5 mm RAD® 12 Blade
3.5
4.0
1883512HRE
3.5 mm RAD® 40 Blade
.0
· 11.0 cm long with curved shaft

18
· Straightshot M4 rotates blade 1883506HRE

tip 360° without shaft rotation · 11.0 cm long with curved shaft
· Offset cutting surface cuts · Straightshot M4 rotates blade tip 60°
in 3 planes 360° without shaft rotation The Straightshot®
· Application: uncinectomy, · Offset cutting surface cuts 4.0 M4 Microdebrider
ethmoidectomy in 3 planes
·O perating speed: 5,000 rpm, · Application: uncinectomy, 3.5 mm RAD® 60 Blade
and 360° rotating
oscillate ethmoidectomy
1883516HRE RAD® 90 blade allow
· 1 each, irrigation tubing separate · Operating speed: 5,000 rpm,
oscillate · 11.0 cm long with curved shaft optimum access to
· 1 each, irrigation tubing separate · Straightshot M4 rotates blade tip maxillary polyps and
SKIMMER® BLADE 360° without shaft rotation
· Offset cutting surface cuts the frontal recess.
in 3 planes
· Application: frontal sinus surgery
oscillate
6.0
2.9 15°
2.9 mm Skimmer®
Angle-Tip Blade
1882979HRE
· 13.0 cm long double-curved blade
Speeds are suggested
· Application: rpm
pituitary (revolutions
tumor
per minute),
resection operated in oscillation
· Operating speed: 60-500 rpm
for burs.
· Low-profile distal bend: 15°
8
Curved Sinus Blades
Key-Rotatable*
LOREM12IPSUM
RAD® BLADE IRRIGATION
LOREM IPSUMTUBING
3.5
.0
18
.0 3.5
11
60°
11.0
3.5 40°
4.0 12° 4.0 4.0
3.5 mm RAD® 12 Blade 3.5 mm RAD® 40 Blade 3.5 mm RAD® 60 Blade Irrigation Tubing
1883514RT 1883507RT 1883516RT for Blades and Burs
· 11.0 cm long with curved shaft · 11.0 cm long with curved shaft · 11.0 cm long with curved shaft 1895522
· Key rotates blade tip 360° without · Key rotates blade tip 360° without · Key rotates blade tip 360° without • For use with IPC® blades and burs
shaft rotation shaft rotation shaft rotation • 5 each
· Offset cutting surface cuts · Offset cutting surface cuts · Offset cutting surface cuts
in 3 planes in 3 planes in 3 planes
· Application: uncinectomy, · Application: uncinectomy, · Application: frontal sinus surgery
ethmoidectomy ethmoidectomy · Operating speed: 5,000 rpm,
·O perating speed: 3,000 rpm, · Operating speed: 5,000 rpm, oscillate
oscillate oscillate · 3 each, irrigation tubing separate
The Straightshot® Magnum II

With Key-Rotatable Blades
*For use with Straightshot® Magnum II

for burs.
9
Curved Sinus Blades
Non-Rotatable
LOREM12IPSUM
RAD® BLADE RAD® 40IPSUM
LOREM BLADE LOREM60IPSUM
RAD® BLADE RAD®
LOREM60IPSUM
BLADE
.0
18
.0
11
.0
18
60°
60°
11.0 40°
4.0 12° 4.0 4.0 2.9
4.0 mm RAD® 12 Blade 4.0 mm RAD® 40 Blade 4.0 mm RAD® 60 Blade 2.9 mm RAD® 60 Blade
1884012 1884006 1884016 1882916
· 11.0 cm long with curved shaft · 11.0 cm long with curved shaft · 11.0 cm long with curved shaft · 11.0 cm long with curved shaft
· Offset cutting surface cuts · Offset cutting surface cuts · Offset cutting surface cuts · Offset cutting surface cuts
in 3 planes in 3 planes in 3 planes in 3 planes
· Application: uncinectomy, · Application: uncinectomy, · Application: frontal sinus surgery · Same inner lumen as wider
ethmoidectomy ethmoidectomy 3.5 mm blades
·O perating speed: 5,000 rpm, · Operating speed: 5,000 rpm, oscillate · Application: frontal sinus surgery
oscillate oscillate
· 5 each, irrigation tubing separate · Operating speed: 1,500 rpm,
· 5 each, irrigation tubing separate · 5 each, irrigation tubing separate oscillate
4.0 mm RAD® 12 4.0 mm RAD® 40
Microscopy Blade
.0
Microscopy Blade
18
1884012M 1884006M RAD® 120 BLADE

· 14.0 cm long 60°
· 13.0 cm long
· Multi-bend curved shaft for · Multi-bend curved shaft for
use with operating microscope use with operating microscope 3.5 3.5
· Offset cutting surface cuts · Offset cutting surface cuts
in 3 planes in 3 planes 3.5 mm RAD® 60 Blade
.0
11
· Application: uncinectomy, · Application: frontal sinus surgery 1883516
ethmoidectomy · Operating speed: 3,000 rpm, · 11.0 cm long with curved shaft
· Operating speed: 3,000 rpm, oscillate
· Offset cutting surface cuts
oscillate · 3 each, irrigation tubing separate in 3 planes
· 5 each, irrigation tubing separate · Application: frontal sinus surgery
.0 · Operating speed: 5,000 rpm,
11
oscillate
11.0
· 3 each, irrigation tubing separate 120°
40°
3.5 12° · Developed in conjunction with
3.5
William Bolger, MD
3.5 mm RAD® 12 Blade 4.0
1883514 3.5 mm RAD® 40 Blade

1883507 3.5 mm RAD® 120 Blade
· 11.0 cm long with curved shaft
· 11.0 cm long with curved shaft 1883517
· Offset cutting surface cuts
in 3 planes · Offset cutting surface cuts · 11.0 cm long with curved shaft
· Application: uncinectomy, in 3 planes · Tapered tip to allow maximum
ethmoidectomy · Application: uncinectomy, bend angle
·O perating speed: 5,000 rpm, ethmoidectomy · Application: maxillary polypectomy
oscillate · Operating speed: 5,000 rpm, · Operating speed:
· 5 each, irrigation tubing separate oscillate 1,500-3,000 rpm, oscillate

for burs.
10
Straight Sinus Burs
LOREMBUR
OVAL IPSUM ROUND BURS
LOREM IPSUM ROUTER BUR
LOREM IPSUM SINUS BUR
LOREM SETS
IPSUM
3.2 4.5 4.5
3.2 mm Oval Bur, 4.5 mm Round Bur, 4.5 mm Aggressive Mini-Trephination Set
High-Speed High-Speed Router Bur, High-Speed The complete set includes:
1883264HS 1884560HS 1884562HS · 1882900, 2.0 mm Drill
· 12.5 cm long with straight shaft · 12.5 cm long with straight shaft · 12.5 cm long with straight shaft · 1892001, Drill Guide
· Cannulated suction bur tip · Cannulated suction bur tip · Cannulated suction bur tip · 1892002, Guide Pin
· Application: sinus drilling · Application: sphenoid drilling · Application: sinus drilling · 1892003, Irrigation Cannula
· Operating speed: · Operating speed: · Operating speed: · 3717005, Instrument Tray
up to 12,000 rpm (forward) up to 12,000 rpm (forward) up to 12,000 rpm (forward) (not shown)
· 3 each, irrigation tubing separate · 3 each, irrigation tubing separate · 3 each, irrigation tubing separate · Irrigation tubing separate
Barry Schaitkin, MD
3.2 DRILL
3.2 mm Round Bur,

High-Speed
1883262HS Maxillary
Trephination Set
· Cannulated suction bur tip Allows trephination through anterior
face of the maxillary sinus while
· Application: sinus drilling 2.0 mm Drill helping to reduce damage to dental
· Operating speed: 1882900 nerve tissue.
up to 12,000 rpm (forward)
· Operating speed: The complete set includes:
6,000 rpm (forward) · 1886301, Endoscope Sheath with
· Irrigation tubing separate Elevator, 4.0 mm
Endoscope sheath helps deflect soft
tissue and nerves during identification
of drill site and guide placement
2.9 · 1893001, Maxillary Trephination
Drill Guide, 5.0 mm
2.9 mm Pediatric Drill guide is irrigated
Round Bur · 1884501, Maxillary Trephination
Drill Bit, 5.0 mm
1882960
· 1893007, Maxillary Trephination
· 10.0 cm long with straight shaft Instrument Tray (not shown)
· Application: choanal atresia · Operating speed: 12,000 rpm
· Operating speed: (forward)
up to 5,000 rpm (forward) · Irrigation tubing separate
· 5 each, irrigation tubing separate · Developed in conjunction with
PJ Wormald, MD
*For use with the M4 only

for burs.
11
Selecting the Best Bur for the Job
Modified Lothrop Procedure
One of the most technically challenging procedures 01

for the rhinologist is the modified Lothrop procedure,
where the frontal sinus nasal floor is removed
endoscopically from lacrimal bone to lacrimal bone,
including the interfrontal sinus septum and a portion
of the nasal bony septum that adjoins the frontal
sinus floor.
Choosing the right bur includes choosing the proper
angle as well as its shape and aggressiveness.
The RAD® 55 Curved Sinus and the RAD® Frontal Finesse 02
Burs provide an elongated fluted geometry that can
drill inferiorly to superiorly into the nasal crest, which
can then be extended laterally in a controlled manner
(Figures 01 and 02). The 70° Tapered Diamond Bur
can assist in extending the frontal sinus laterally,
in a superior to inferior fashion (Figure 03).
Higher frontal sinus cell partitions or osteomas may
exist in patients' anatomy that need to removed. 03
This type of work would require a longer working
length, thus the 70°, 5.0 mm ASB Diamond Bur may
be the best option for this type of procedure.
For the complete surgical technique, please

contact your Medtronic ENT representative.
12
Papilloma Surgical Technique
Using Angled Skimmer® Blades for Papilloma Excision
The microdebrider has emerged as a preferred Surgical Technique Presented

modality of papilloma excision. The Skimmer® by Matthew T. Brigger, MD, and
Christopher J. Hartnick, MD
Laryngeal Blade was specifically designed
for delicate removal of papillomas near the vocal
fold while minimizing damage to the epithelium 01
(Figure 01).
Surgical Technique
The ability to successfully excise papillomas while
avoiding collateral epithelial damage to the vocal
fold serves as a model to the surgical management
of papilloma. The recurrent nature of papilloma
with resultant numerous surgeries often leads
to progressive scarring and poor voice outcomes
02
that may be prevented by the ability to avoid injury
to normal tissues with the microdebrider.
Even for bulky disease associated with airway
obstruction, the Skimmer blade rapidly removes
papilloma in a controlled fashion (Figure 02). In
the setting of acute distress, a single controlled pass
can rapidly relieve airway obstruction and ensure
that the child has a secure airway. Subsequently,
a complete excision can be completed in the manner 03
described above (Figure 03).
The development of longer Tricut® blades, coupled with
the ability to rotate the blade housing, allows access
to the distal airway down to the mainstem bronchi for
papilloma removal (Figure 04). A Tricut blade is safe
for use in the distal airway as the tracheal and bronchial
mucosa is less susceptible to injury than the vocal fold
epithelium. In patients with tracheostomies, a useful
approach is to pass the blade through the stoma while 04
directly visualizing the blade with a transoral endoscope.
Caution: Careful attention to the transition from
papilloma to vocal fold epithelium is requisite.
Particular concern is at the region of the anterior
commissure where consideration of a staged
resection is prudent. Bleeding is generally minimal and
self-limited. If visualization becomes compromised,
a pledget soaked with a vasoconstrictive agent invariably
controls bleeding and allows the surgery to proceed.
13
Curved Sinus Burs
Anterior Skull Base
LOREM
ASB CUTIPSUM
TING BUR LOREM
ASB DIAMOND
IPSUM BURS LOREM
ASB DIAMOND
IPSUM BURS SKIMMER® BLADE
LOREM IPSUM
3.2
.0
25
25.0 5.0 40°

25.0 4.0
15° 6.0
15°
2.9 15°
4.0 mm Anterior Skull 5.0 mm Anterior Skull 3.2 mm Anterior Skull 2.9 mm Skimmer®
Base Cutting Bur,* 15° Base Diamond Bur,* 15° Base Diamond Bur,* 40° Angle-Tip Blade
1884075HSE 1885076HSE 1883277HSE 1882979HRE
· 15.0 cm long · 15.0 cm long · 15.0 cm long · 13.0 cm long double-curved blade
· Application: Removal of bone in · Application: Removal of bone in · Application: Removal of bone in · Application: pituitary tumor
and around sphenoid, sella, clivus, and around sphenoid, sella, clivus, and around sphenoid, sella, clivus, resection
and pterygoid plate and pterygoid plate and pterygoid plate · Operating speed: 60-500 rpm
· Operating speed: · Operating speed: · Operating speed: · Low-profile distal bend: 15°
up to 12,000 rpm (forward) up to 12,000 rpm (forward) up to 12,000 rpm (forward)
· 1 each, irrigation tubing separate · 1 each, irrigation tubing separate · 1 each, irrigation tubing separate
· Developed in conjunction · Developed in conjunction · Developed in conjunction
with PJ Wormald, MD, and Aldo with PJ Wormald, MD, and Aldo with PJ Wormald, MD, and Aldo
Stamm, MD Stamm, MD Stamm, MD 5.0
25.0 3.2
15°
3.2 mm Anterior Skull

35.0
Base Diamond Bur,* 15°

1883274HSE
· 15.0 cm long 70°
· Application: Removal of bone in
and around sphenoid, sella, clivus,
and pterygoid plate
· Operating speed:
· 1 each, irrigation tubing separate 5.0 mm Anterior Skull
· Developed in conjunction Base Diamond Bur,* 70°
with PJ Wormald, MD, and Aldo 1885078HSE
Stamm, MD
· 13.0 cm long
· Application: Removal of frontal
sinus septations and osteomas
above the level of frontal recess
· Operating speed:
· Developed in conjunction
Speeds are suggested rpm (revolutions with PJ Wormald, MD, and Aldo
per minute), operated in oscillation Stamm, MD
for burs.
14
Curved Sinus Burs
(continued)
TAPERED DIAMOND BURS ROUND DIAMOND BUR DCR BURS RAD® BURS
3.0
.0
25
25.0 5.0 25.0 4.0
15.0
4.0 40°
15° 15°
15°
4.0 mm Choanal Atresia 5.0 mm Curved Round 4.0 mm Curved DCR Bur, 3.0 mm RAD® Frontal
Bur, High-Speed Diamond Bur, High-Speed High-Speed Finesse Bur, High-Speed
1883673HS 1885061HS 1884068HS 1883070HS
· 13.0 cm long with curved shaft · 12.5 cm long with curved shaft · 11.0 cm long with curved shaft · 13.0 cm long with curved shaft
· Cannulated suction bur tip · Cannulated suction bur tip · Application: endoscopic drilling · 8 flutes
· Application: removal of vomer · Application: trans-sphenoidal of lacrimal bone · Cannulated suction bur tip
· Operating speed: surgery · Operating speed: · Application: frontal sinus drilling
up to 12,000 rpm (forward) · Operating speed: up to 12,000 rpm (forward) · Operating speed:
· 3 each, irrigation tubing separate up to 12,000 rpm (forward) · 3 each, irrigation tubing separate up to 12,000 rpm (forward)
· Developed in conjunction with · 3 each, irrigation tubing separate · Developed in conjunction with · 3 each, irrigation tubing separate
Gary Josephson, MD · Developed in conjunction with Michael Mercandetti, MD · Developed in conjunction with
David Kennedy, MD Donald Leopold, MD
4.0
3.6
16.0 2.5
0
15.
20°
SEPTOPLASTY BUR
0
70°
35.
2.5 mm Curved Diamond
DCR Bur, High-Speed 55°
4.0 mm Tapered 1882569HS

Diamond Bur, 19.0
3.2 · 11.0 cm long with curved shaft
· Cannulated suction bur tip
High-Speed 12°
· Application: endoscopic drilling 3.6 mm RAD® 55 Curved
1883672HS of lacrimal bone
3.2 mm Septoplasty Bur, Bur, High-Speed
· 13.0 cm long with curved shaft · Operating speed:
· Cannulated suction bur tip High-Speed up to 12,000 rpm (forward) 1883670HS
· Application: frontal sinusotomy 1883212HS · 3 each, irrigation tubing separate · 13.0 cm long with curved shaft
· Operating speed: · 11.0 cm long with curved shaft · Developed in conjunction with · Cannulated suction bur tip
up to 12,000 rpm (forward) · Cannulated suction bur tip PJ Wormald, MD · Application: frontal sinus drilling
· 3 each, irrigation tubing separate · Application: removal of bony and · Operating speed:
· Developed in conjunction with cartilagineous septal deviations up to 12,000 rpm (forward)
David Kennedy, MD · Operating speed: · 3 each , irrigation tubing separate
Donald Leopold, MD, and Eileen
Raynor, MD

for burs.
15
Airway Blades
M4-Rotatable
SKIMMER® BLADES SKIMMER® BLADES TRICUT® BLADES TRICUT® BLADES
11.0 11.0
6.0 6.0
2.9 15° 2.9 15° 4.0 15° 4.0 15°
2.9 mm Skimmer® 2.9 mm Skimmer® 4.0 mm Tricut® Angle-Tip 4.0 mm Tricut® Angle-Tip
Angle-Tip Blade Angle-Tip Blade Laryngeal Blade Tracheal Blade
1882979HRE 1882924HRE 1884030HRE 1884033HRE
· 13.0 cm long double-curved blade · 27.0 cm long double-curved blade · 22.0 cm long double-curved blade · 37.0 cm long double-curved blade
· Application: papilloma and · Application: papilloma removal, · Angled tip allows better visibility · Angled tip allows better visibility
tumor removal, laryngomalacia, laryngomalacia, and with endoscopy with endoscopy
and pediatric trans-sphenoidal hypophysectomy · Application: tumor debulking and · Application: debulking tracheal
· Operating speed: 60-500 rpm · Operating speed: 60-500 rpm granulation tissue removal papilloma and lesions, tumor
· Low-profile distal bend: 15° · Low-profile distal bend: 15° · Operating speed: 500-1,200 rpm debulking, and granulation tissue
· 1 each with irrigation tubing · 1 each with irrigation tubing · 1 each with irrigation tubing removal
· Developed in conjunction · Operating speed: 500-1,200 rpm
2.9 mm Skimmer® with William Lunn, MD, and · 1 each with irrigation tubing
Angle-Tip Blade Armin Ernst, MD · Developed in conjunction
with William Lunn, MD, and
1882925HRE 4.0 mm Tricut® Angle-Tip Armin Ernst, MD
· 18.0 cm long double-curved blade Subglottic Blade
· Application: papilloma removal, 4.0 mm Tricut® Angle-Tip
1884031HRE
laryngomalacia, and Bronchial Blade
trans-sphenoidal hypophysectomy · 27.0 cm long double-curved blade
1884035HRE
· Operating speed: 60-500 rpm · Angled tip allows better visibility
· Low-profile distal bend: 15° with endoscopy · 45.0 cm long double-curved blade
· 1 each with irrigation tubing · Application: tracheal stenosis, · Rotating angled tip offers access
tumor debulking, and granulation to lateral, medial, and posterior
tissue removal bronchial lesions through a rigid
2.9 mm Skimmer® bronchoscope
· Operating speed: 500-1,200 rpm
Angle-Tip Blade · Application: debulking bronchial
1882923HRE · Developed in conjunction
papilloma and lesions, tumor
debulking, and granulation tissue
· 22.0 cm long double-curved blade with William Lunn, MD, and removal
· Application: papilloma removal, Armin Ernst, MD
laryngomalacia, and
trans-sphenoidal hypophysectomy · 1 each with irrigation tubing
· Operating speed: 60-500 rpm · Developed in conjunction
with William Lunn, MD, and
· Low-profile distal bend: 15° Armin Ernst, MD
13 cm long
SKIMMER
18 cm long
22 cm long
27 cm long
22 cm long
TRICUT
27 cm long
16
Airway Blades
Non-Rotatable
SKIMMER® BLADES SKIMMER® BLADES SKIMMER® BLADES TRICUT® BLADES
11.0
6.0 6.0 11.0
2.9 15° 3.5 15° 4.0 15° 4.0 15°
2.9 mm Skimmer® 3.5 mm Skimmer® 4.0 mm Skimmer® Angle- 4.0 mm Tricut® Angle-Tip
Angle-Tip Blade Angle-Tip Blade Tip Laryngeal Blade Laryngeal Blade
1882925 1883525 1884023 1884030
· 18.0 cm long double-curved blade · 18.0 cm long double-curved blade · 22.5 cm long double-curved blade · 22.5 cm long double-curved blade
· Inner suction path is the same · Application: recurrent respiratory · Application: recurrent respiratory · Application: tumor debulking
as larger curved blade papilloma (RRP) removal and papilloma (RRP) removal and · Operating speed: 1,500 rpm
· Application: recurrent respiratory trans-sphenoidal hypophysectomy trans-sphenoidal hypophysectomy · 3 each with irrigation tubing
papilloma (RRP) removal and · Operating speed: 60-500 rpm · Operating speed: 60-500 rpm · Developed in conjunction with
trans-sphenoidal hypophysectomy · Low-profile distal bend: 15° · Low-profile distal bend: 15° Paul Flint, MD, and John Little, MD
· Operating speed: 60-500 rpm · 3 each with irrigation tubing · 3 each with irrigation tubing
· Low-profile distal bend: 15° · Developed in conjunction with
4.0 mm Tricut® Angle-Tip
· 3 each with irrigation tubing 3.5 mm Skimmer® Angle- Charles Myer, III, MD; Paul Wilging, Subglottic Blade
· Developed in conjunction Tip Laryngeal Blade MD; Brian Wiatrak, MD; Paul Flint, 1884031
with Craig Derkay, MD, and MD; David Parsons, MD; and John
David Darrow, MD 1883523 Little, MD · 27.5 cm long double-curved blade
· 22.5 cm long double-curved blade · Application: tracheal stenosis
2.9 mm Skimmer® · Application: recurrent respiratory 4.0 mm Skimmer® Angle- · Operating speed: 1,500 rpm
Tip Subglottic Blade · 3 each with irrigation tubing
Angle-Tip Blade papilloma (RRP) removal and
trans-sphenoidal hypophysectomy 1884024
1882923
· Operating speed: 60-500 rpm · 27.5 cm long double-curved blade
· Low-profile distal bend: 15° · Application: recurrent respiratory 4.0
· Inner suction path is the same
as larger curved blade · 3 each with irrigation tubing papilloma (RRP) removal and
· Developed in conjunction with trans-sphenoidal hypophysectomy
4.0 mm Tricut® Straight-
· Application: recurrent respiratory
papilloma (RRP) removal and Charles Myer, III, MD; Paul Wilging, · Operating speed: 60-500 rpm
Tip Laryngeal Blade
MD; Brian Wiatrak, MD; Paul Flint, 1884020
trans-sphenoidal hypophysectomy · Low-profile distal bend: 15°
MD; David Parsons, MD; and John
· Operating speed: 60-500 rpm Little, MD · 3 each with irrigation tubing · 22.5 cm long
· Low-profile distal bend: 15° · Developed in conjunction with · Straight tip with curve
3.5 mm Skimmer® Angle- Charles Myer, III, MD; Paul Wilging, at handpiece
MD; Brian Wiatrak, MD; Paul Flint, · Application: debulking of RRP
· Developed in conjunction Tip Subglottic Blade lesions
with Craig Derkay, MD, and MD; David Parsons, MD; and John
1883524 Little, MD · Operating speed: 1,200 rpm
David Darrow, MD
· 27.5 cm long double-curved blade · 3 each with irrigation tubing
· Application: recurrent respiratory · Developed in conjunction with
papilloma (RRP) removal and Paul Flint, MD, and John Little, MD
trans-sphenoidal hypophysectomy
· Operating speed: 60-500 rpm
· Low-profile distal bend: 15°
Charles Myer, III, MD; Paul Wilging,
MD; Brian Wiatrak, MD; Paul Flint,
MD; David Parsons, MD; and John
Little, MD
37 cm long
45 cm long
17
Airway Blades
Non-Rotatable (continued)
SERRATED BLADES SERRATED BLADES TRACHEAL BLADE
11.0
11.0
4.0 15° 2.9 15° 4.0
4.0 mm Serrated 2.9 mm Serrated 4.0 mm Straight

Angle-Tip Tracheal Blade Angle-Tip Blade Tracheal Blade
1884033 1882936E 1884032
· 37.0 cm long · 18.0 cm long double-curved blade · 37.0 cm long
· Angled tip allows better visibility · Application: papilloma and · Straight tip to allow access through
with endoscopy hemangioma removal smaller diameter bronchoscope
· Application: debulking distal · Operating speed: 500-1,500 rpm · Application: debulking distal
RRP and tracheal lesions · 1 each with irrigation tubing RRP and tracheal lesions
· Operating speed: 1,200 rpm · Operating speed: 1,200 rpm
· 1 each with irrigation tubing 2.9 mm Serrated · 1 each with irrigation tubing
· Developed in conjunction with Angle-Tip Blade · Developed in conjunction with
Paul Flint, MD Paul Flint, MD, and John Little, MD
1882937E
· Application: papilloma and
hemangioma removal

for burs.
18
Tonsillectomy and Adenoidectomy Blades
RADENOID® BLADES
LOREM IPSUM RADENOID® BLADES
LOREM IPSUM TONSILLECTOMY
LOREM IPSUM BLADE LOREM
T&A IPSUM
BLADE SET
.0
25
40°
.0
18
4.0
45°
40°
4.5 4.0 4.0 12° 4.0 12°
4.5 mm RADenoid® 4.0 mm RADenoid® 4.0 mm Tonsillectomy Powered T&A Blade Set
Adult Blade Blade Blade 1884008TA
1884507 1884008 1884013 · 13.0 cm
· 13.0 cm long with curved 45° blade · 11.0 cm long with curved 40° blade · 11.0 cm · Removable inner cutting tube
· Application: adenoidectomy · Application: adenoidectomy · 12° blade · 40° outer blade designed for
· Allows better access into the choana · Operating speed: 1,500 rpm · Application: intracapsular powered adenoidectomy
· Operating speed: 1,500 rpm · 5 each, irrigation tubing separate tonsillectomy · 12° outer blade designed for
· 5 each, irrigation tubing separate · Operating speed: 1,500 rpm powered intracapsular tonsillectomy
· Designed in conjunction with
· Designed in conjunction with Max April, MD, and J. Lindhe · 5 each, irrigation tubing separate · Operating speed: 1,500 rpm
Max April, MD, and J. Lindhe Guarisco, MD · 5 each, irrigation tubing separate
Guarisco, MD · Developed in conjunction with
Peter J. Koltai, MD
The IPC® Powered T&A Blade Set for the PITA™ Technique
Clinical studies show that PITA™ surgery (Powered Intracapsular Tonsillectomy and Adenoidectomy)
offers significant advantages to most patients.6-22 With interchangeable 12° and 40° outer cutting
tubes, you can remove adenoids and tonsils in the traditional order.
Benefits of Powered Adenoidectomy Benefits of Powered Intracapsular Tonsillectomy

• More precise tissue removal • Reduces postoperative bleeding and dehydration6
• Lowered recurrence rate of otitis media compared • Less postoperative pain9
to other techniques22 • Quicker patient recovery compared to traditional Bovie
techniques6-10,15,21
19
Aesthetic Blades and Burs
FEATHERTOUCH®
LOREM IPSUM RASPS FEATHERTOUCH®
LOREM IPSUM RASPS OTHER
LOREM IPSUM OTHER
LOREM IPSUM
8.0 8.0
19.0 19.0 13.0
4.0 9.0
FeatherTouch® FeatherTouch® Micro-Planer® Blade HydroBrader® Irrigating/

Suction Rasp Tip (Coarse) Suction Rasp Tip (Fine) 1884010 Aspirating Dermabrader
1992208 1992210 · 11.0 cm 1922100
· 8.4 cm · 8.4 cm · Application: submental soft · Coarse grit
· Coarse tip · Fine tip tissue removal · Application: dermabrasion
· Operating speed: · Operating speed: · Operating speed: · Operating speed:
3,000-5,000 rpm (forward) 3,000-5,000 rpm (forward) 1,000-2,000 rpm, oscillate 3,500-5,000 rpm (forward)
· Suction integrated into rasp face · Suction integrated into rasp face · 5 each, irrigation tubing separate · 3 each, irrigation tubing separate
· Used with FeatherTouch · Used with FeatherTouch · Developed in conjunction with
Converter (1922005) and suction Converter (1922005) and suction Ted Cook, MD
tubing (1895524) tubing (1895524)
· Application: rhinoplasty, dorsal · Application: rhinoplasty, dorsal
hump reduction hump reduction 4.5
· Developed in conjunction with · Developed in conjunction with 3.2 RhinoBur®
Ted Cook, MD; M. Eugene Tardy, Ted Cook, MD; M. Eugene Tardy, Rhinoplasty Bur
MD; and Dan Becker, MD MD; and Dan Becker, MD Tardy MicroBur®
1883260 1884566
FeatherTouch® Suction · 10.0 cm · 10.0 cm
Tubing (not pictured) · Application: rhinoplasty · Application: rhinoplasty
1895524 · Operating speed: · Operating speed: 4,000-6,000
rpm (forward)
FeatherTouch® Converter · For use with FeatherTouch Suction 3,000-5,000 rpm (forward)
1922005 Rasp Tip
· 10 each · Developed in conjunction with
· Converts (forward) rotation M. Eugene Tardy, MD Dean Toriumi, MD
to reciprocation
· Used in conjunction with rasp tips,
suction tubing, and sterilizing tray
(1922006)
RhinoBur® Rhinoplasty Bur

• Sculpts the bony dorsum with finesse and control
• Particularly useful in revision cases and patients with thin
nasal skin
Speeds are suggested rpm (revolutions • Allows spot burring to correct
localized irregularities
for burs.
20
References
1. Nathan RA. The burden of allergic rhinitis. Presented at the Mid-Conference Symposium of the Eastern Allergy Conference, Naples, FL. May 2006.
2. Liu C-M, Tan C-D, Lee F-P, Lin K-N, Huang H-M. Microdebrider-assisted versus radiofrequency-assisted inferior turbinoplasty.
Laryngoscope 2009; 119:414-418.
3. Chen Y-L, Liu C-M, Huang H-M. Comparison of microdebrider-assisted inferior turbinoplasty and submucosal resection for children with
hypertrophic inferior turbinates. Intl J Ped Otorhinolaryn. 2007; 71:921-927.
4. Chen Y-L, Tan C-T, Huang H-M. Long-term efficacy of microdebrider-assisted inferior turbinoplasty with lateralization for hypertrophic inferior
turbinates in patients with perennial allergic rhinitis. Laryngoscope 2008; 118:1270-1274.
5. Lin H-C, Lin P-W, Friedman M, Chang H-W, Su Y-Y, Chen Y-J, Pulver T. Long-term results of radiofrequency turbinoplasty for allergic rhinitis refractory
to medical therapy. Arch Otolaryngol Head Neck Surg. 2010; 136(9):892-895.
6. Gallagher TQ, Wilcox L, McGuire E, Derkay CS. Analyzing factors associated with major complications after adenotonsillectomy in 4776 patients:
Comparing three tonsillectomy techniques. Otolaryngol Head Neck Surg 2010; 142:886-892.
7. Vaughan AH, Derkay CS. Microdebrider intracapsular tonsillectomy. ORL J Otorhinolaryngol Relat Spec 2007;69:358-63.
8. Schmidt R, Herzog A, Cook S, O’Reilly R, Deutsch E, Reilly J. Complications of tonsillectomy. A comparison of techniques.
Arch Otolaryngol Head Neck Surg 2007;133:925-8.
9. Derkay CS, Darrow DH, Welch C, Sinacori J. Post-tonsillectomy morbidity and quality of life in pediatric patients with obstructive tonsils and
adenoid: microdebrider vs electrocautery. Otolaryngol Head Neck Surg 2006; Jan; 134(1):114-20.
10. Sobol SE, Wetmore RF, Marsh RR, Stow J, Jacobs IN. Post-operative recovery after microdebrider intracapsular or monopolar electrocautery
tonsillectomy: a prospective, randomized, single-blinded study. Arch Otolaryngol Head Neck Surg 2006;132:270-4.
11. Lister MT, Cunningham MJ, Benjamin B, Williams M, Tirrell A, Schaumberg DA, Hartnick CJ. Microdebrider tonsillectomy vs electrosurgical
tonsillectomy: a randomized, double-blind, paired control study of postoperative pain. Arch Otolaryngol Head Neck Surg 2006;132:599-694.
12. Koltai PJ, Solares CA, Mascha EJ, Xu M. Intracapsular partial tonsillectomy for tonsillar hypertrophy in children. Laryngoscope 2002;112:17-19.
13. Koltai PJ, Solares A, Koempel JA, Hirose K, Abelson TI, Krakovitz PR, Chan J, Xu M, Mascha EJ. Intracapsular tonsillar reduction (partial tonsillectomy):
reviving a historical procedure for obstructive disordered breathing in children. Otolaryngol Head Neck Surg 2003;129:532-8.
14. Sorin A, Bent JP, April MM, Ward RF. Complications of microdebrider-assisted powered intracapsular tonsillectomy and adenoidectomy.
Laryngoscope 2004;114:297-300.
15. Bhayani R, Bent JP, April MM, Ward RF. Comparison of microdebrider assisted partial tonsillectomy with electrocautery tonsillectomy: retrospective
pilot study. Presented at: Seventeenth Annual Meeting of the American Society of Pediatric Otolaryngology; May 12-14, 2002; Boca Raton, FL.
16. Cook SP, O’Reilly RC, Bernat R, Otto T, Lawless ST, Reilly JS. Outcome and satisfaction of intracapsular tonsillectomy in children: one-year follow-up.
Presented at: Nineteenth Annual Meeting of the American Society of Pediatric Otolaryngology; May 2-4, 2004; Phoenix, AZ.
17. Bent JP, April MM, Ward RF, Sorin A, Reilly B, Weiss G. Ambulatory powered intracapsular tonsillectomy and adenoidectomy in children younger
than 3 years. Arch Otolaryngol Head Neck Surg 2004;130:1197-1200.
18. Darrow DH, Weiss DD. Management of sleep-related breathing disorders in children. Oper Tech Otolaryngol Head Neck Surg 2002;13:111-8.
19. Koltai PJ. Capsule sparing in tonsil surgery: the value of intracapsular tonsillectomy [letter]. Arch Otolaryngol Head Neck Surg 2003;129:1357.
20. Lister MT, Cunningham MJ, Benjamin B, Williams M, Tirrell A, Schaumberg DA, Hartnick CJ. Microdebrider partial tonsillectomy vs. electrosurgical
tonsillectomy: a randomized, double-blind, paired-control study of postoperative pain. Presented at: Twentieth Annual Meeting of the American
Society of Pediatric Otolaryngology; May 27-30, 2005; Las Vegas, NV.
21. Mixson C, Austin MB, Weinberger P. Comparison of microdebrider subcapsular tonsillectomy to Harmonic scalpel and electrocautery total
tonsillectomy. Presented at: Twentieth Annual Meeting of the American Society of Pediatric Otolaryngology; May 27-30, 2005; Las Vegas, NV.
22. Shnayder Y, April M, Willging J. Power-Assisted Adenoidectomy in the Treatment of Chronic Otitis Media with Effusion. Poster Presentation at:
American Society of Pediatric Otolaryngology, May 4, 2003, Nashville, TN.
21
Integrated Power Console (IPC®) System
· The innovative IPC® system is the only ENT powered surgery system with the widest range
of application-specific handpieces and accessories
· With fingertip control on the Straightshot® M4, the blade tip rotates 360° independently of the shaft
IPC® Console* PC® System Manuals IPC® System Straightshot®

1898001 1898851 Multifunction Footpedal M4 Microdebrider
English Only 1898430 1898200T
IPC® Power Cords 1898851A
1895820 EL, EN, ES, FR, PT Basket Straightshot® M4
Standard, North America, 3.0 M
1898851B 1897510 Instrument Tray
1897821 DE, EN, FR, IT, NL 1898400
Standard, North America, 6.0 M Cart
1898851C
1895821 DA, EN, FI, NO, SV 1898600
UK/Ireland, 240 V, 2.5 M
1898851D
1895824 CS, EN, HU, PL, TR
UK/Ireland, 6.0 M
1898851E
1895822 EN, RU (CD only)
Continental Europe, 230 V, 2.5 M
1895825
Continental Europe, 6.0 M
1895823
Japan
* Select a Power
Cord and a
System Manual
This literature is intended for the exclusive use of physicians. Rx only USA. © 2013, Medtronic, Inc.
official policy or position of the Department of the Navy, the Department of Defense, nor the U.S.
Fusion®, IntelliFlow®, Quadcut®, Endo-Scrub®, FeatherTouch®, HydroBrader®, IPC®, Micro-Planer®,
RAD®, RADenoid®, RhinoBur®, Silver Bullet®, Skimmer®, Straightshot®, Tardy MicroBur® and Tricut®
The views expressed in this document are those of the authors and do not necessarily reflect the
For further information, please call Medtronic ENT

at 800.874.5797 or 904.296.9600. You may also consult
are registered trademarks of Medtronic, Inc. PITA™ is a trademark of Medtronic, Inc.
our website at www.MedtronicENT.com.

Medtronic ENT International Telephone Numbers
6743 Southpoint Drive N Adriatic Region 385-1-488-1120 Italy 39-02-24137-324
Jacksonville, FL 32216 Australia 1-800-668-670 Japan 81-3-6430-2017
USA Baltic Region 37-1-67560226 Korea 82-2-3404-3600
Belgium 32-2456-09-09 Lebanon 961-1-370-670
www.MedtronicENT.com
Canada 1-800-217-1617 Luxembourg 32-2456-09-09
Toll free: (800) 874-5797
China 86-21-50800998 Netherlands 31-45-566-8800
Fax: (800) 678-3995
Czech Republic 420-2-9657-9580 Poland 48-22-4656900
France 33-470-679-800 Russian Fed. 7-495-580-73-77
Germany 49-2159-8149-209 Singapore 65-6776-6255
Greece 30-210-67-79-099 South Africa 27-11-466-1820
Hong Kong 852-2919-1312 Spain 34-91-625-05-40
891189EN 03.13 2013-480 Rev 9
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India 91-22-26836733 UK 44-1923-205-166
Israel 972-9-972-4400 USA 1-904-296-9600
Government.

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ENT Blades and Burs

FOR THE STRAIGHTSHOT® M4 MICRODEBRIDER

A Generation of Powered ENT Tools. . . . . . . . . . . . . . . . . . . . . . . . . 1

This dynamic combination provides:

We offer a broad variety of Straightshot M4 blades

Speeds are suggested rpm (revolutions

The innovative Automated EM Tracking Blades

Unique features include:

Visit www.MedtronicENT.com for more information.

4.3 mm Quadcut™ Blade

Powered FESS is an important advancement in surgical treatment, yet

3.0 mm Quadcut Blade 12.0 • 70% reduction in clogging over

4.0 4.0 4.0 2.9

2.9 mm Tricut® Blade

4.0 4.0 4.0 2.9

· 11.0 cm long with straight shaft Blade

Speeds are suggested rpm (revolutions

Chronic inferior turbinate hypertrophy is a common Surgical Technique

Inferior turbinoplasty with the Straightshot® M4 is a

4 Once the turbinoplasty has been completed, the turbinate

1.55 However, none of the patients in the three studies referenced

1 experienced excellent long-term results.3-5

· Straightshot® M4 rotates blade · Straightshot M4 rotates blade

· 11.0 cm long with curved shaft

· Straightshot M4 rotates blade 1883506HRE

4.0 12° 4.0 4.0

The Straightshot® Magnum II

*For use with Straightshot® Magnum II

4.0 12° 4.0 4.0 2.9

1884012M 1884006M RAD® 120 BLADE

1883514 3.5 mm RAD® 40 Blade

Speeds are suggested rpm (revolutions

3.2 4.5 4.5

3.2 mm Round Bur,

*For use with the M4 only

One of the most technically challenging procedures 01

For the complete surgical technique, please

The microdebrider has emerged as a preferred Surgical Technique Presented

25.0 5.0 40°

3.2 mm Anterior Skull

Base Diamond Bur,* 15°

4.0 mm Tapered 1882569HS

Speeds are suggested rpm (revolutions

2.9 15° 3.5 15° 4.0 15° 4.0 15°

4.0 15° 2.9 15° 4.0

4.0 mm Serrated 2.9 mm Serrated 4.0 mm Straight

Speeds are suggested rpm (revolutions

4.5 4.0 4.0 12° 4.0 12°

Benefits of Powered Adenoidectomy Benefits of Powered Intracapsular Tonsillectomy

FeatherTouch® FeatherTouch® Micro-Planer® Blade HydroBrader® Irrigating/

RhinoBur® Rhinoplasty Bur

IPC® Console* PC® System Manuals IPC® System Straightshot®

For further information, please call Medtronic ENT

our website at www.MedtronicENT.com.

Hungary 36-30-5052987 Taiwan 886-2-2183-6000

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