| CPC A61F 11/202 (2022.01) | 13 Claims |

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1. A tympanostomy tube placement system comprising:
a tympanostomy tube placement device comprising a stem connected to a deployment mechanism or having a coupler for connection to a deployment mechanism,
a needle having a tip configured to pierce a tympanic membrane, the needle having a longitudinal axis, and
a retainer comprising a plurality of fingers extending axially at a distance from said longitudinal axis; and
a tympanostomy tube comprising a proximal flange, an inter-lumen connector, and a distal flange, and in which the proximal flange comprises passageways;
wherein the retainer is movable from a pre-deployment distal position at which it is adapted to press radially inwardly against the tube distal flange to retain said distal flange in a folded position, to a deployment proximal position at which the tube distal flange is free to spring out radially to a deployed position;
and in which
in the pre-deployment position the retainer fingers extend through the proximal flange passageways and press the tube distal flange inwardly.
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