In-office ear tube placement system

The Tula® System is FDA-approved for use in patients aged 6 months older.1

Revolutionary, local anesthesia

The Tula Iontophoresis System applies a low-level electrical charge to the TYMBION™ ionic local anesthetic, accelerating drug uptake into the tympanic membrane. The child may play quietly, watch videos or snack during the process.

1-click tube delivery

The Tula Tube Delivery Device allows a physician to create a myringotomy and insert a 1.14 mm ID grommet in one, automated step without the use of mechanical restraints.2

Behavioral management program

The Tula System is supported with an educational and training program designed with input from experts in pediatric psychology, medical stress and pain management.

See how the Tula System works

Medical education resources

In addition to on-site procedure and staff training, our medical education team offers a variety of education options including live courses, recorded webinars, and peer-to-peer discussions to name a few. Visit the Smith+Nephew Academy Online for e-learning content or contact your rep to request in-person medical education support.

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Tula setup and use resources

Instructions For Use

Attach Earplug

Demonstrates how to attach the Tula earplug to the Tula earset.

Reading Time: < 1 minute Watch Video

Detach Earplug

Demonstrates how to remove the Tula earplug from the Tula earset.

Reading Time: < 1 minute Watch Video

Operating the Iontophoresis control unit

Reviews how to operate the iontophoresis control unit and initiate different modes and explains how to interpret the status lights.

Reading Time: < 1 minute Watch Video

Contact Us

To learn more about the Tula System, ask a question, or speak with your local Sales Representative, send us a message.

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The Tula System is intended to create a myringotomy and insert a tympanostomy tube using the Tula Tube Delivery System in pediatric (aged 6 months and older) and adult patients indicated to receive tympanostomy tubes. The Tula System is used to deliver a tympanostomy tube under local anesthesia induced using the Tula Iontophoresis System and TYMBION, a combination of an amide local anesthetic and an alpha and beta-adrenergic agonist. Contraindications include certain abnormal ear anatomy, sensitivity/allergy to lidocaine or other local anesthetics, and reliance on electrically sensitive medical implants such as a pacemaker. Risks may include, but are not limited to, inadequate local anesthesia, dizziness, and common tympanostomy procedure risks. For full prescribing information, see the Tula IFU and TYMBION Drug Package Insert at www.tulatubes.com/IFU. Rx only.

  1. IFU007011, available at www.tulatubes.com/IFU
  2. Lustig LR, Ingram A, Vidrine M, et. al. In-Office Tympanostomy Tube Placement in Children Using Iontophoresis and Automated Tube Delivery. Laryngoscope 130; S1-S9, 2020.

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