Date post: | 08-Jul-2015 |
Category: |
Health & Medicine |
Upload: | ahmed-zaki |
View: | 649 times |
Download: | 3 times |
Contraceptive museum
Dr. Lippe
in Yr.2000
at world
congress
First generatin
I.U.C.D.is
Lipes loop
Second generation
I.U..C.D.is
Copper T-200
Third generation
I.U.C.D.is
Gyne-T 380
With 4 years
Intra uterine life
.
4th generation IUCD
Mirena IUCD
Menorrhgia
Contraception
HRT
Endometriosis
Reproductive benefits
Mirena® old inserterOpen the sterile package completely.
Release the threads.
Rotate the inserter so that the centimeter scale is upwards (Fig. 1a).
Check that the arms of the system are in horizontal position (Fig. 1b).
Holding the slider in the furthest position, pull on the threads to draw the IUS system into the insertion tube (Fig. 2a).
If the knobs at the ends of the arms do not meet properly (Fig. 2b), release the arms by pulling the slider back to the mark.
Re-load the product by aligning the open arms on a sterile surface (Figure 1a). Return the slider to its furthermost position and pull on both threads. Check for proper loading (Fig. 2b).
Fix the threads in the cleft at the near end of the inserter shaft (Fig. 3).
Figure 1a Figure 1b
Figure 2a Figure 2b
Knobs at the
end of the
arms
Figure 2b
Why changes????
Packaging
Size of secondary package smaller
EvoInserter™ is positioned horizontally
in the primary package
Primary package contains a sticker
EVO Inserter
Threads are released when the
slider is pulled downwards and
past the mark
The IUS system is already in the
horizontal position in the package.
No need to check the horizontality.
New shape
of the slider
Scale on both sides
of the insertion tube
Loading of the IUS system is
achieved by only pushing
the slider upwards.
The removal threads are thinner and softer, and
are inside the inserter handle: no handling of
threads required for the loading of the IUS system.
Insertion procedure
Less preparatory steps:
simplified loading by pushing the slider forward to its furthest position
Insertion technique remains the same as before!
Mirena® EvoInserter
Open the sterile package completely (Figure 1).
Push the slider forward in the direction of the
arrow to the furthest position to load Mirena®
into the insertion tube (Figure 2).
Figure 1 Figure 2
(Click the picture to see video)
Preparatory steps
Loading of Mirena®: note the arrow in the slider which indicates the direction of movement
What has changed?
Dimensions
Mirena®
old inserter
Mirena®
EvoInserter™
Insertion tube cross-
section (mm)4.8 4.4
Removal thread lenght
(cm)40 27
Removal thread
thickness (mm)0.30 0.27
Modified knobs to form a smooth sphere when loaded
NewOld
T-body of Mirena®
What is different about
this inserter? threads are now inside the inserter handle, eliminating the
handling of threads
preloaded in the horizontal position
The arms of the LNG-IUS can be loaded into the inserter using a one-step
technique (slider pushed forward)
The diameter of the insertion tube, reduced from 4.8mm to
4.4mm
There is now a centimetre scale on both sides of the insertion tube
The LNG-IUS cannot be reloaded into the inserter if it is released
prematurely (important to avoid pulling the slider down before the inserter
is correctly positioned in the uterus)
To make it easy to insert in the correct position
GOLDEN RULE
IF YOU USE EXCESSIVE FORCE TO DO
ANYTHING, YOU ARE DOING SOMETHING
WRONG
CONCLUSION
Mirena I.U.C.D., if properly inserted with aseptic
precautions, by an experienced gynecologist,
chances of its expulsion, failure and misplacement
are rare and few.
Some patients experience pain during insertion as
the device is relatively bulky
Doctors must follow the instructions of application
THANK
YOU