CooperSurgical Milex Instrucciones página 5

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CONTRAINDICATIONS
The presence of pelvic infections or lacerations
A noncompliant patient
Endometriosis
Pregnant patient
INSTRUCTIONS
Review these instructions with the
patient to establish use regimen.
1.
Wear dry gloves. When
necessary, lubricate only the
entering end of the pessary
with TRIMO-SAN* or equivalent
vaginal jelly. Hold as illustrated in
Figure 1.
2.
The pessary is folded along
the axis of the bigger outer holes
by bringing the small round holes
together (see Figure 2). The
arch formed points downward as
shown with the RING pessary.
3.
Direct the pessary past the cervix
into the posterior fornix. Allow
the pessary to open again into
the ring shape after passing the
introitus.
4.
The index finger is inserted deep
into the vagina to turn the pessary
approximately 90° (see Figure 3).
The RING pessary in this position
cannot be folded and pushed out.
5.
Ask the patient to sit, stand and bear down slightly. If there is
no leakage, and the patient is comfortable with the pessary
in position, have her empty her bladder. A properly fitted
pessary takes up slack in redundant tissue, holding the
uterus higher in the vagina.
6.
If the patient can void without difficulty, and the pessary
remains in position upon re-examination, and the patient
is comfortable with the pessary in place, this is a good
indication that the correct size may have been selected.
Patient experience may vary.
Note: If the patient is unable to urinate with the pessary in
position, remove it and fit her with the next smaller size. Repeat as
necessary.
7.
Examine the patient while she is in the standing position
to ensure the pessary has not shifted position. The patient
should not feel the pessary once it is in position. The pessary
should not be too loose as it may turn or be expelled and it
should not be too tight as it may cause discomfort.
8.
The healthcare professional should be able to sweep one
finger between the pessary and the vaginal walls. If there
is not enough space to do this, the next smaller size should
be tried. If excessive space exists, the pessary will not be
effective and may rotate or even be expelled.
9.
It is sometimes necessary to refit the patient with a different
size or type of pessary after a period of time. Do not assume
that a replacement will always be the same size as the
previous one. Check the fitting to ensure continued patient
comfort and relief of symptoms. The useful life of a pessary is
limited. Examine frequently for signs of deterioration (such as
cracks or breaks in silicone outer surface). A pessary should
be replaced if damaged.
TO REMOVE
Use one finger to depress the perineum. Turn the pessary
until the notches face the introitus. Fold the pessary and
gently ease it out.
* TRIMO-SAN is not sold outside the USA.
DONUT Fitting Pessary
Support for third-degree prolapse/procidentia
(Stage III + Stage IV)
Fitting pessary sizes available in kit and corresponding pessary sizes
Fitting Kit
Replacement
Pessary Part No.
Figure 1
MXFIT0805
MXFIT0806
MXFIT0807
MXFIT0808
Figure 2
DESCRIPTION
The Milex
that is inserted into the vagina to function as a supportive structure
of the uterus, bladder and/or rectum.
WARNINGS
Figure 3
INDICATIONS FOR USE
For effective support of third-degree prolapse or procidentia.
CONTRAINDICATIONS
INSTRUCTIONS
Review these instructions with the patient to establish use regimen.
1.
2.
3.
5
DONUT
Product
Size
Part No.
2
MXPDO02
3
MXPDO03
4
MXPDO04
5
MXPDO05
Donut Pessary is a medical device made from silicone
®
Do not leave pessaries in place for long periods of time, as
serious complications can occur which may require surgical
intervention.
Do not use these pessaries on a patient with a known silicone
allergy.
Chemicals in various vaginal preparations can interact with
the pessary material, resulting in discoloration or deterioration
of the pessary. TRIMO-SAN™* does not interact with the
pessary material.
Use only TRIMO-SAN*. Other materials have not been tested
for compatibility.
The presence of pelvic infections and/or lacerations
Sexually active patient
A noncompliant patient
Endometriosis
Pregnant patient
Wear dry gloves. When necessary, the entering end of the
pessary can be coated with TRIMO-SAN* or equivalent
vaginal jelly.
Use one finger to depress the perineum. Hold the DONUT
almost parallel to the introitus. Guide the pessary into the
vaginal vault using corkscrew motion (see Figure 1).
The cervix should rest behind the DONUT (see Figure 2).
Figure 1
inches
mm
2-1/2"
64 mm
2-3/4"
70 mm
3"
76 mm
3-1/4"
83 mm
Figure 2

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