Nasal Elevator, Double Ended Angled to Right and Left

What the double ended nasal elevator is

The Double ended nasal elevator is a hand instrument used to separate soft tissue from cartilage and bone inside the nose. Surgeons also call it an angled nasal elevator, a nasal elevator angled to both sides or simply a nasal elevator. It is made by Adas Instruments in high quality medical grade stainless steel, and it is reusable and fully autoclavable.

One end is angled to the right and the other to the left, so the same instrument reaches around the convex side of a deviated septum whichever way the deviation runs.

The work an elevator does is always the same in principle. A layer of soft tissue is stuck to the cartilage or bone under it, and it has to come off in one sheet without a hole in it. Get that right and the rest of the case has a dry field and a flap that will lie back down. That is why the shape of the working end and the stiffness of the blade decide which pattern a surgeon picks up.

Key design features of the double ended nasal elevator

• One working end angled to the right and one angled to the left
• The angle carries the blade past the bulge of a deviated septum
• Blunt working ends that separate a plane rather than divide it
• One shaft covers both sides, so nothing is swapped mid dissection
• Flat knurled handle for a pencil grip that holds when a glove is wet
• High quality medical grade stainless steel, reusable and autoclavable

The handle is flat and knurled rather than round. A flat handle tells you where the blade is facing without looking at it, and the knurling holds when a glove is wet. The shaft runs straight into the blade with no step, so there is no shoulder to catch on the rim of a nostril and nothing for protein to sit in after a case.

Double ended elevator sizes and build options

The build below is the one we ship. Overall length is confirmed on the quotation rather than printed here, because this pattern is made to order for OEM runs and the shaft length is set by the run.

Nothing is listed above that we do not hold. If a build you need is not in the table, ask, because a pattern like this is often made to order for an OEM run and a change of size is a tooling change rather than a new instrument.

Uses of the double ended nasal elevator by specialty

The double ended nasal elevator appears on the same trays across these specialties because the job is the same one each time, lifting a tissue plane cleanly off what lies under it.

The specialty name and the procedure name are both worth knowing when you order, because catalogues file this pattern under whichever of the two the buyer used. An operating room manager searches by procedure and a purchasing office searches by specialty, and they are looking for the same instrument.

Tissue planes the double ended nasal elevator works in

An elevator handles no suture and no needle. What decides the choice of pattern is the plane it has to open and how much force that plane takes.

Force is the part nobody writes down. Perichondrium on young cartilage lifts with almost nothing, while mucoperiosteum on bone needs a firm push and a stiff blade behind it. Match the blade to the plane and the instrument does the work instead of your wrist.

How the double ended nasal elevator compares with other patterns

These four sit next to each other on a nasal tray and they are not interchangeable.

Surgeons who use this pattern usually also hold the spoon shaped nasal elevator, the Freer septum elevator and the McKenty nasal septum elevator. The closest relative in the range is the spoon shaped nasal elevator.

If you are building a tray from scratch, the usual answer is two elevators rather than one. Something light for cartilage and something stiffer for bone covers almost every case.

Materials and finish

The instrument is made in high quality medical grade stainless steel. The steel itself is made to a German specification. The blade is flat ground and satin finished, which cuts glare under the lights in an operating room and keeps the working end readable against wet tissue. There is no coating to chip and nothing on the shaft to trap protein.

Stainless steel is chosen here for a reason that has nothing to do with appearance. An elevator is levered, and a levered instrument that is too hard will crack at the neck while one that is too soft will take a set and stay bent. The grade used sits between the two.

Double ended nasal elevator care and sterilization

Rinse the instrument in cool water straight after use so blood does not dry on the blade. Clean it with a soft brush and a neutral pH enzymatic detergent, rinse in deionized water, then dry it completely. Steam autoclave at 134 degrees Celsius. Lay it in the tray so the blades do not rest against other instruments, because a bruised edge on an elevator is what tears a flap.

Look at the working end against the light before every case. A blunt end should be smooth with no flat spot and no nick, and a working edge should still sit flat on bone. An elevator that has been dropped on a tiled floor is the one that buttonholes a flap two cases later, and it costs nothing to check.

Ordering and wholesale

This pattern is supplied by Adas Instruments to hospitals, surgical distributors and OEM buyers, in single units and in bulk. The item code is AN-54.06 and it is printed in the size table above so a procurement search finds it. Backorder items dispatch in 10 to 12 working days. Every instrument carries a three year replacement against manufacturing defects.

For wholesale and OEM orders, instruments ship unpackaged in bulk or individually poly bagged, and laser marking with a distributor code or a hospital asset number is available on the shaft. Tell us the quantity and the marking you need and the quotation comes back with the lead time for that run rather than a stock figure.

Production is controlled under an ISO 13485 quality management system.

Frequently asked questions

What is a nasal elevator used for?

A nasal elevator lifts the soft tissue layers off the septal cartilage and the bone under them so the septum can be worked on. This pattern is angled to the right at one end and to the left at the other, which is what lets one instrument follow the plane on either side of a deviation.

Why does an elevator need to be angled?

Because a deviated septum bulges to one side, and a straight blade approaching the convex face runs into it instead of sliding under the plane. An angled nasal elevator carries the working end past the widest point, and the opposite angle does the same job from the other side.

Is this a double ended nasal elevator?

Yes. This is a double ended nasal elevator with a blunt working end at each end of one shaft, one angled right and one angled left, so the surgeon turns it in the hand instead of reaching for a second instrument.

Does the angled tip cut the flap?

No. Both ends are blunt, so the tissue plane is separated and not divided. That is the whole point of an elevator, and it is why the perichondrial incision is made with something else before this instrument goes in.

How do you clean and sterilize a nasal elevator angled to both sides?

Rinse in cool water immediately after use, clean with a soft brush and a neutral pH enzymatic detergent, rinse in deionized water, dry fully, then steam autoclave at 134 degrees Celsius. Lay it so the angled ends are not pressed against other instruments.

Related products and categories

Surgeons who work with the double ended nasal elevator usually compare it against the spoon shaped nasal elevator, the Freer septum elevator and the McKenty nasal septum elevator. The whole family sits in dissectors and elevators, and this pattern is also listed under rhinoplasty instruments.