CooperSurgical Milex Instrucciones página 7

Examine frequently for signs of deterioration (such as cracks
or breaks in silicone outer surface). A pessary should be
replaced if damaged.
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.
8. If the patient can void without difficulty, 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.
TO REMOVE
1. Use one finger to depress the perineum.
2. Use other hand to grasp the "knob,"
pulling the pessary away from the
cervix, turning the pessary so that the
disc is almost parallel to the introitus.
Using corkscrew motion ease the
pessary out. See Figure 3.
3. Removal may be facilitated by passing
a finger along the stem and behind the
disk and folding in against the stem for
removal.
CUBE Flexible
Fitting Pessary
Support for Stage III prolapse/procidentia
Fitting pesssary sizes available in kit and corresponding pessary sizes
Fitting Kit
Replacement
Pessary Part No. Size
MXFIT0809 2
MXFIT0810 3
MXFIT0811 4
MXFIT0812 5
D ESCRIPTION
The Milex CUBE 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 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.
* TRIMO-SAN is not sold outside the USA.
Figure 3
CUBE
Product
Part No. inches
MXPEC02 1-3/8"
MXPEC03 1-1/2"
MXPEC04
1-5/8"
MXPEC05
1-3/4"
INDICATIONS FOR USE
• The CUBE pessary is effective in the support of Stage III
prolapse. The CUBE pessary will give additional support
in those cases associated with complete lack of vaginal
tonicity. The CUBE pessary is also effective in patients having
procidentia combined with rectocele and/or cystocele.
• The CUBE pessary is also indicated in vaginal wall prolapse.
The unique support is due to the suction action of the six
concavities, which, by a slight negative pressure, supports the
prolapse and the vaginal walls.
• The CUBE pessary should be removed nightly and washed
with mild soap and water, then thoroughly rinsed. If possible,
leave out overnight.
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. The pessary is
compressed between the thumb
and forefingers (see Figure 1). If
necessary, the entering edge can
be coated with TRIMO-SAN* or
equivalent vaginal jelly.
2. Use the fingers of the other hand
to spread the labia and guide the
pessary into the vagina. Check
the fit (see Figure 2).
3. Have the patient sit, stand and
bear down. Examine the
patient while she is in the
standing position to ensure
pessary has not shifted
position. The patient should not
feel the pessary once it is in
position.
4. Have the patient (or caregiver)
mm
insert and remove the CUBE
pessary several times before
35 mm
the patient leaves your office.
38 mm
5. It is sometimes necessary to
refit the patient with a different
41 mm
size or type of pessary after a period of time. Do not assume
44 mm
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. 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.
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.
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.
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.
7
Figure 1
Figure 2