CooperSurgical Milex Instrucciones página 4

DESCRIPTION
The Milex INCONTINENCE DISH Pessary is a medical device
®
made from silicone that is inserted into the vagina to function as a
supportive structure of the uterus, bladder and/or rectum.
WARNINGS
• 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.
INDICATIONS FOR USE
Stress urinary incontinence
• The INCONTINENCE DISH with Support is indicated if
stress urinary incontinence with a mild uterine prolapse is
complicated by a mild cystocele.
CONTRAINDICATIONS
• The presence of pelvic infections and/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. Compress the
pessary (bringing sides together)
as shown in Figure 1.
2. Use one finger of the opposite
hand to depress the perineum. Hold the pessary almost
parallel with the introitus
(see Figure 2). Direct the
entering end of the pessary
past the cervix into the
posterior fornix. Allow the
pessary to open into shape
after passing the introitus.
3. Use the index finger to guide
the pessary along the lower
vaginal wall, behind the cervix,
and into the posterior fornix.
4. Use the index finger to bring
the knob up behind the
symphysis pubis (see
Figure 3).
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.
5. 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.
6. Examine the patient while she is in the standing position
to ensure the pessary has not shifted position. The patient
* TRIMO-SAN is not sold outside the USA.
TO REMOVE
RING with Support
Fitting Pessary
For uterine prolapse (Stage I and Stage II)
Fitting Kit
Figure 1
Replacement
Pessary Part No.
MXFIT0020
MXFIT0021
MXFIT0022
MXFIT0023
MXFIT0024
MXFIT0025
Figure 2
DESCRIPTION
WARNINGS
Figure 3
INDICATIONS FOR USE
4
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.
7. 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.
8. 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.
Use the index finger to depress the perineum. Hook other index
finger under the knob of the INCONTINENCE DISH pessary and
pull down. Fold the pessary by bringing the sides together, angling
it so that it is almost parallel to the introitus, and gently ease the
pessary out.
Fitting pessary sizes available in kit and corresponding pessary sizes
RING with Support
Size
2
3
4
5
6
7
The Milex RING Pessary is a medical device made from silicone
®
that is inserted into the vagina to function as a supportive structure
of the uterus, bladder and/or rectum.
.
• 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 RING with Support pessary is indicated for support in
Stage I and Stage II prolapse complicated by a mild cystocele.
Product
Part No. inches
MXPRS02 2-1/4" 57 mm
MXPRS03 2-1/2" 64 mm
MXPRS04 2-3/4" 70 mm
MXPRS05 3" 76 mm
MXPRS06 3-1/4" 83 mm
MXPRS07 3-1/2" 89 mm
mm