MILEX Pessary Reference Guide

Transcription

1 MILE essary Reference Guide essaries for Incontinence and elvic Organ rolapse The Support Your atient Needs... the Quality You Depend On! MEDESIGN Dietramszell Dubai München

2 essaries are the preferred choice for women who may prefer to avoid surgery or have medical contraindications. essaries... The perfect noninvasive solution for assessing or resolving pelvic organ prolapse, stress incontinence, urge incontinence and nocturia associated with urinary retention. The pessary is a safe and effective device used to manage a number of gynecologic issues including pelvic support defects, stress urinary incontinence and urinary retention. The pessary was designed to reposition the appropriate organs as a first line therapy for all women with prolapse and/or control the timing of urine flow, thus regaining her quality of life. The market-leading Milex silicone pessaries come in a wide variety of configurations to afford the optimal fit for your patients needs. As a nonsurgical tool to manage prolapse and incontinence situations, Milex pessaries have no peer. The device is inexpensive and easily managed. It also provides the opportunity to assess which surgical approach, if any, will improve the patient s condition before going to a surgical solution. hysicians can use pessaries to assess the effect of prolapse reduction on symptoms and assist in determining surgical options. essary Fitting rocess roper fitting of the pessary may require the patient to try several pessary shapes and sizes. Once a complete pelvic examination has been performed, the physician should start with a shape and size based on physician's experience. Once the correct shape is determined, the largest pessary that the patient can comfortably wear is usually the most effective. After a comfortable fit, a patient should be able to squat, sit or stand without delivery of the pessary. The physician s finger should pass easily between the pessary and the vaginal wall. The physician should check the pessary to be sure that the intended function is met. When the indication for the pessary is stress urinary incontinence, the patient should be asked to cough to test for any leakage of urine, with the pessary out and again with it

3 essary Selection Chart* MERK with knob MRS with support MRSK with support and knob MCON Incontinence MSH Shaatz MDO MREG Regula MGE Gellhorn Flexible MEH Hodge MHS Hodge with support MEHK Hodge with knob MHSK Hodge with knob and support MRI Risser MES Smith MCOND Incontinence Dish MCONDS Incontinence Dish with support MEC MECT Tandem MGS MGSK MINF Incompetent Cervix Material Ease of Insertion/ Removal ½ - ¾" Easy ¼ - ½" Easy ½ - ¾" Easy ¼ - ½" Easy ¼ - ½" Easy ¼ - " Silicone Medium Stress Incontinence Most Coon Sizes Compatible with Sexual Activity MER Rectocele Cystocele - - Condition and Selection Criteria Vaginal Wall rolapse Code Retro Displacement rocedentia ½ - ¼" Silicone Medium/Difficult ¼ - ½" ¼ - " Silicone Difficult ½-"x¼-⅝" ½ - ⅛" ¼-¾"x/6 -¼" ¼-¾"x/6 -¼" ½-"x¼-⅝" ½-"x¼-⅝" ½ - ⅛" Silicone ½ - ⅛" Silicone ⅜ - " Silicone Medium ⅜ - " Silicone Medium ⅜ -"x-⅜" Medium/Difficult with knob ⅜ -"x-⅜" Medium/Difficult Inflatoball ¼ - ½" Latex Easy *Source: Viera AJ, Larkins-ettigrew M. ractical use of the pessary. Am Fam hysician. May, 000;6(9): 79-6

4 MILE Brand essary Offerings MILE Brand essary Offerings = For mild prolapse. MER (essary Only) For mild prolapse. MKER MER (essary Only) (essary,trimo-san, Jel Jector) MKER Incontinence For stress urinary incontinence. Incontinence MCON (essary Only) For stress urinary incontinence. MKCON MCON (essary Only) MKCON I I gs = rolapse I = Incontinence with Support by a mild cystocele. MRS (essary Only) MKRS with Knob MER00 MER0 MER00 MER0 MER0 MER0 MER0 MER0 MER0 ¼ ½ ¼ by stress urinary incontinence. MERK (essary Only) by stressurinary incontinence. MKERK MERK (essary Only) (essary,trimo-san, Jel Jector) MKERK, I, I 8 8 MER08 MER07 MER09 MER08 ¾ ½ ¾ 0 MERK08 MERK07 MERK09 MERK08 ¾ ½ ¾ 0 MER0 MER09 MER MER0 ¼ ¼ 0 MERK0 MERK09 MERK MERK0 ¼ ¼ 0 MER MER MER MER 7 MERK MERK MERK MERK 7 MER 7 MERK 7 with Support & Knob Incontinence Incontinence MCON00 MCON0 MCON00 MCON0 MCON0 ¼ MCON0 MCON0 MCON0 MCON0 ½ ¼ ¾ ½ MCON0 MCON0 MCON06 MCON0 ¾ ¼ 8 MCON07 MCON06 MCON08 MCON07 ½ ¼ ¾ ½ MCON09 MCON08 MCON0 MCON09 For mildwith prolapse complicated by Support & Knob a mild cystocele and stress urinary by incontinence. a mild cystocele and stress urinary MRSK (essary Only) incontinence. MKRSK MRSK (essary Only) MKRSK Incontinence w/ Support & Knob Incontinence w/ Support & Knob MRSK00 MRSK0 MRSK00 MRSK0 ¼ MRSK0 MRSK0 MRSK0 MRSK0 MRSK0 ½ ¼ ¾ ½ MRSK0 MRSK0 MRSK06 MRSK0 ¾ ¼ 8 8 MRSK07 MRSK06 MRSK08 MRSK07 ½ ¼ ¾ ½ 8 ¾ ¼ 0 0 MRSK09 MRSK08 MRSK0 MRSK09 ¾ ¼ 0 0 MCON MCON0 MCON MCON ¼ MRSK MRSK0 MRSK MRSK ¼ MCON MCON 7 MRSK MRSK 7 MCON 7 MRSK 7, I, I I = In For mi by a m For mi rodu by am rodu rodu (essa rodu (essa Shaa For mi Shaa by a m For mi roduc by am roduc roduc (essa roduc (essa with Support MRS00 MRS0 MRS0 ¼ MRS0 ½ 8 MRS06 ¼ 8 MRS07 ½ MRS08 ¾ 0 MRS09 0 Brand essary Offerings MRS0 ¼ MRS MRS 7 MRS 7 with Knob ¼ ½ ¼ ¾ ½ ¾ MERK06 MERK0 MERK07 MERK06 MERK0 MERK0 MERK0 MERK0 8 8 ¼ ½ ¼ ¾ ¼ ½ ¼ MER0 MER0 MER06 MER0 MER07 MER06 MRS0 MERK0 MERK0 MERK0 MERK0 MRS0 08 with Knob MERK00 MERK0 MERK00 ¾ ½ ¾ For mild prolapse complicated with Knob with Knob I ==In by stress urinary incontinence. I = Incontinence with Support with Knob = rolapse by a mild cystocele. wit

5 Hodge Hodge w/ Support Hodge w/ Knob For stress urinary incontinence for a woman who has a very small vaginal introitus. For stress urinary incontinence with a mild cystocele for a woman who has a very small vaginal introitus. For stress urinary incontinence in the woman who has a small vaginal introitus. MEH (essary Only) MKEH MHS (essary Only) MKHS MEHK (essary Only) MKEHK I I I essary Offerings se/procidentia. Not to be deflated ee Inflatoball if a deflatable nly) ) MDO00 with Knob MDO0 ¼ For rd degre For stress urinary incontinence complicated by a mild cystocele in the woman who has a small vaginal introitus. MHSK (essary Only) MKHSK I with Support with Support A8 MERK0 ¼ Hodge MDO06 ½ MERK0 ½ MDO07 ¾ MERK0 ¾ MEH00 MHS00 MERK0 MEH0 MHS0 MEHK0 MHSK0 8 MERK06 B ¼ MEH0 8 MHS0 MEHK0 MHSK0, I MERK00 MERK0 MERK07 MEHK00 MHSK00 ¾MRS0 ¾ MRS0 ⅞ 8 ¼MRS06 8 /6 ¼ 9 8 ½ MEH0 MHS0 MEHK0 MHSK0 ½MRS07 ½ MEH0 MHS0 MEHK0 MHSK0 ⅝MRS08 9 ⅛ ¾ MERK08 ¾ 0 MERK09 MEH0 0 MHS0 MEHK0 MHSK0 ¾MRS09 ¼ 0 ¼ MEH06 MHS06 MEHK06 MHSK06 ⅞MRS0 98 ⅜ ¼ apse/procidentia with or without cele. nly) 7 ) Inflatoball Size MERK0 MERK MINFS MINFM ¼ MINFL ½ MINFL ¾ with Support & Knob by a mild cystocele and stress urinary incontinence. MRSK (essary Only) MKRSK, I MERK MERK MEH07 MHS07 MEHK07 MHSK07 ¼MRS ½ MEH08 MHS08 MEHK08 MHSK08 ⅝MRS 7 ⅝ 67 MEH09 7 MHS09 MEHK09 MHSK09 MRS 7 ¾ 7 by a mild cystocele. Incontinence w/ Support & Knob MRSK00 MRSK0 MRSK0 ¼ MRSK0 ½ MRSK0 ¾ MRSK0 Shaatz MSH (essary Only) MKSH Shaatz MSH-½ ½ 8 MSH- MSH- MSH-¼ ¼ MSH-½ ½ MSH-¾ ¾ 8 MRSK06 ¼ 8 MSH- MRSK07 ½ MSH-¼ ¼ 8 MRSK08 ¾ MSH-½ ½ 0 MRSK09 0 MSH-¾ ¾ MRSK0 Note: Shaded areas show the MRSK minimum assortment neccessary to fit approximately 8% of patients. MRSK ¼ MRSK Also availab Short Stem Rigid roduc (essary Onl I = Incontinence with Knob M M (essary, Trim Short Stem Rigid roduc (essary, Trim by a mild cystocele. MRS00 Hodge MRS (essary Only) MRS0 MKRS w/ Support w/ Support w/ Knob & Knob MRS0 ¼ (A) (A) ½ (B) (B) MRS0 For mild prolapse complicated ½ MDO0 by stress urinary incontinence. MDO0 ¾ MERK (essary Only) MDO0 MKERK MDO0 (essary, Trimo-San, Jel Jector) ¼ Gellhorn = rolapse Hodge w/ Support & Knob Regula For uterine p (st and nd M M (essary, Tri

6 Gellhorn ob ncontinence mild cystocele o has a small ob ncontinence K (essary Only) mild cystocele SK o has a small n, Jel Jector) K (essary Only) SK n, Jel Jector) Gellhorn For rd degree prolapse/procidentia. Flexible Rigid Short Stem MGE (essary Only) Gellhorn MKGE For rd degree prolapse/procidentia. Also available in: MGE (essary Only) Short Stem MGRS MKGE Rigid MGRS (essary Only) Also available in: Short Stem MKGRS Short Stem MGRS Rigid MKGRS Rigid MGRS (essary Only) MGE-½ Gellhorn MGRS-½ MGSS-½ ½ 8 Flexible MGE- Rigid MGRS- Short Stem MGSS- MGE- MGRS- MGSS- MGE-½ MGE-¼ MGRS-½ MGRS-¼ MGSS-½ MGSS-¼ ½ ¼ 8 MGE- MGE-½ MGRS- MGRS-½ MGSS- MGSS-½ ½ MGE- MGE-¾ MGRS- MGRS-¾ MGSS- MGSS-¾ ¾ MGE-¼ MGE- MGRS-¼ MGRS- MGSS-¼ MGSS- ¼ MGE-½ MGE-¼ MGRS-½ MGRS-¼ MGSS-½ MGSS-¼ ½ ¼ 8 MGE-¾ MGE-½ MGRS-¾ MGRS-½ MGSS-¾ MGSS-½ ¾ ½ MGE- MGE-¾ MGRS- MGRS-¾ MGSS- MGSS-¾ ¾ MGE-¼ MGRS-¼ MGSS-¼ ¼ 8 MGE-½ MGRS-½ MGSS-½ ½ MGE-¾ MGRS-¾ MGSS-¾ ¾ Short Stem MKGRS Rigid MKGRS Regula Regula Folding For uterine prolapse (st and nd degree). (B) (B) ¾ ⅞ 8 9(B) /B) 6 Regula MREG (essary Only) MKREG For uterine prolapse (st and nd degree). MREG (essary Only) MKREG (A) (A) (B) (B) (C) (C) MREG00 MREG0 /6 /6 9 ⅜ Regula Folding 7 ½ 8 ⅛ (A) 9(A) ⅛ (B) (B) ⅝ (C) (C) MREG0 MREG00 MREG0 ¼ // ⅜ MREG0 MREG0 ⅜ /6 7 ¼ ½ ⅞ 8 8 MREG0 MREG0 ⅛ 7/6 9 7 ⅛ ⅜ ⅝ MREG0 MREG06 ¼ ½ 8 ⅝ / ⅛ MREG0 MREG07 ⅜ ⅝ ¼ ⅞ 7 ⅞ ¼ 8 MREG0 MREG08 7 /6 7 ⅜ ⅛ 79 ⅜ ¾ ⅞ ⅛ 8 ¼6 9 ⅜ ⅛ ½ MREG06 ½ 8 ⅝ 67 ⅛ ¼ ⅝ 67 MREG07 ⅝ ⅞ 7 ¼ ⅜ ¾ MREG08 ⅛ 79 ⅜ ½ ⅝ 67 ¾ Brand essary Offerings with Knob by stress urinary incontinence. I = Incontinence with Support with Knob = rolapse by a mild cystocele. wit

7 Tandem- Support for rd degree prolapse/procidentia. Should be removed nightly. Support for rd degree prolapse/ procidentia when single cube Tandem- provides inadequate support. Should be nightly. Support for removed rd degree prolapse/ Support rd degree formec (essary Only) prolapse/procidentia. procidentia when single cube MKEC MECT (essary Only) Should removed nightly. (essary,betrimo-san, Jel Jector) provides inadequate MKECT support. Should removed nightly. (essary,betrimo-san, Jel Jector) MEC Also available in: (essary Only) MKEC MECT (essary Only) with Drainage Holes (essary, Jel Jector) Trimo-San, MECH (essary Only) MKECT MKECH Also available in: (essary, Jel Jector) withtrimo-san, Drainage Holes MECH (essary Only) MKECH w/ Holes MECH00 w/ Holes MECH0 MECH0 MECH00 MECH0 MECH0 MECH0 MECH0 MECH0 MECH0 MECH06 MECH0 MECH07 MECH0 MEC00 MEC0 MEC0 MEC00 MEC0 MEC0 MEC0 MEC0 MEC0 MEC0 MEC06 MEC0 MEC07 MEC0 MEC06 MECH06 Tandem MEC07 MECT-0 MECT- MECT- MECT-0 MECT- MECT- MECT6- MECT- MECT7- MECT- MECH07 ⅜ & Tandem ½ & /6 ⅝ & ⅜ ⅜ & & ½ ½ & /6 & ⅝ ⅝ & ⅜ ¼ & & ½ MECT6- Incontinence Dish For stress urinary incontinence with mild prolapse. Incontinence Dish MCOND For stressonly) urinary incontinence (essary with mild prolapse. MKCOND (essary,trimo-san, MCONDJel Jector) Incontinence Dish with Support For stress urinary incontinence with Incontinence mild prolapse and Dish a mild cystocele. Risser & ⅝ /6 ⅜ ½ /6 ⅝ ⅜ ½ ⅝ ¼ M M (essary, Trim ¼ FOR OUTSIDE DIAMETER & 8 & 0 & & & 8 8 & 0 & & & & 8 MEASURE ACROSS FOR OUTSIDE DIAMETER & ¼ & & Incontinence Dish Dish Dish w/ Support Incontinence Dish MCONDS00 Dish w/ Support MCONDS0 MCONDS0 MCONDS00 MCONDS0 MCONDS0 MCONDS0 MCONDS0 MCONDS0 MCONDS0 MCONDS06 MCONDS0 ⅛ ⅜ ½ ⅛ ¾ ⅜ ½ ⅛ ¾ ⅜ MCOND0 MCONDS0 ⅛ 80 MCOND06 MCONDS06 ⅜ 8 MCOND00 MCONDS (essary Only) Dish For stressurinary incontinence with MCOND0 MKCONDS mild prolapse and a mild cystocele. (essary, Trimo-San, Jel Jector) MCOND0 MCOND00 MCONDS (essary Only) (essary Only) MCOND0 MCOND0, I MKCONDS, I MKCOND MCOND0 MCOND0 MCOND0 MCOND0, I, I MCOND06 MCOND0 of repeated Mm incompetent M the weighttrio (essary, MEASURE ACROSS MECT7- with Support Designed for pubic notch. Risser bearing zone aspects offor pu Designed of repeated pubic notch. incompetent bearing zone the weight o aspects of pu Smith Modification For stress ur Smith designed for well-defined Modification in cases For stressofurre due to incom designed for repositioning well-defined thecases growing in of re due to incom M repositioning M the growing (essary, Tri M M (essary, Trim

8 Risser g Risser Designed for patient with shallow pubic notch. Has larger weight w/ bearing zone to support vaginal Knob/Folding Folding aspects of pubis. Helpful in cases of repeated miscarriages due toan (A) (B) (B) incompetent cervix by(a)repositioning the weight of the growing fetus. ½ 8 MGSK00 MGS00 /6 7 and rectocele. ble in cases the uterus en other 0 essary Only) 8 MGS0 MRI (essary MGSK0 ⅛ 9Only) MKRI MGSK0 MGS0 ⅜ MGSK0 MGS0 ½ 8 ⅛ Jel Jector) MGSK0 EASURE ACROSS FOR OUTSIDE DIAMETER MGS0 MGSK0 MGS0 ⅜ MGSK06 MGS06 ⅞ 8 ½ MGSK07 MGS07 MGSK08 MGS08 MGSK09 MGS09 /Folding th ng ⅝ ¼ (A) (A) (B) (B) Support for rd degree prolapse/procidentia. Not to be deflated ⅛ 79 during insertion or removal. See Inflatoball if a deflatable ¼ pessary 8 is necessary.⅛ ½ ¼ MDO (essary Only) MRI00 MRI0 MRI0 (C) (C) MRI0 ⅜ MRI0 ½ 8 MRI0 ⅝ MRI06 MRI07 ⅞ 8 MRI08 MRI09 ⅛ MKDO ⅜ ¾ ¼ ½ MDO00 MDO0 ¼ MDO0 ½ ⅝ 67 MDO0 ¾ ¾ MDO0 7 ⅞ 7 MDO0 ¼ 8 ½ 0 MDO06 ½ ¾ 6 ⅛ 79 MDO07 ¾ ⅞ 7 ¼ ⅛ ⅜ I ¼ ⅛ 79 ⅜ Support for cystocele and rectocele. It is also more adaptable in cases of procidentia where the uterus tends to herniate when other pessaries are used. Support for rd degree prolapse/procidentia. Not to be deflated during insertion or removal. See Inflatoball if a deflatable Inflatoball Size pessary is necessary. Inflatable for rd degree prolapse/procidentia with or without (A) (A) (B) (B) (C) (C) MDO (essary Only) a mild cystocele and/or rectocele. GSK (essary Only) MKDO MINFS 7 ½ 8 ⅜ Only) MGSK00 MGS00 /6 MGS (essary Only) MINF (essary GSK MINFM ¼ MKINF -San, Jel Jector) MKGS MGSK0 MGS0 ⅛ 9 ½ 8 MINFL ½ MGSK0 MGS0 ⅜ Smith ⅝ Smith MINFL ¾ ½ 8 ⅛(A) Modification of Hodge pessary.mgsk0 MGS0 (A) (B) (B) For stress urinary incontinence MGSK0 MGS0 ⅛⅝ ¼ MES00 79 ⅞ 8 designed for patients with a MGSK0 MGS0 ⅜ well-defined pubic-notch. Helpful MES0 ¼ 8 ⅛ in cases of repeated miscarriagesmgsk06 MGS06 ½⅞ 8 ½ MES0 ⅛¼ due to incompetent cervix by MGSK07 MGS07 ⅞ 7 ¼ 6 MES0 ¾ ⅜ repositioning the weight of MGSK08 MGS08 ¼⅛ ⅜½ the growing fetus. MES0 MGSK09 MGS09 ¼ ⅛ 79 ⅜ MES (essary Only) 7 MES0 ⅝ 67 MKES 80 MES06 ¾ 8 MES07 7 ⅞ 7 Inflatoball with or without complicated by ncontinence. w/ Knob/Folding Folding Inflatoball MDO0 MDO0 MDO0 MDO0 MDO0 MDO0 MDO0 MDO0 In Brand essary Offerings MES08 MES09 ctor) ¾ 6 ⅛ 79 I with Knob Only) 0 Inches imeters ½ 0 0 MER MER0 MER0 ¼ MER0 ½ MER0 ¾ 0 MINF (essary Only) MKINF MINFM, I with Support with Knob by stress urinary 80incontinence MERK (essary Only) MKERK = rolapse Inflatable for rd degree prolapse/procidentia with or without a mild cystocele and/ori rectocele. = Incontinence 0 0 MERK00 0 MERK0 MERK0 ¼ MERK0 ½ MERK0 ¾ MINFS MINFL with Supp MINF Note: Shaded areas show the minimum assortment neccessary to by a mild cystocele. fit approximately 8% of patients.mrs00 MRS (essary Only) MRS0 MKRS MRS0 ¼ MRS0 ½ MRS0 ¾ MER0 MERK0 MRS0 MER06 ¼ 8 MERK06 ¼ 8 MRS06 ¼ MER07 ½ MERK07 ½ MRS07 ½ MER08 ¾ MERK08 ¾ MRS08 ¾ MERK09 0 MERK0 ¼ MER09 0 MER0 ¼ MER Inches MERK MER MERK MER MERK Millimeters with Support & Knob Incontinence ence. ary Only) MCON00 by a mild cystocele and stress urinary MRS09 MRS0 ¼ MRS MRS Note: Shaded MRS minimum ass fit approxima Incontinence w/ Support & Knob MRSK Shaatz by a mild cystocele. Shaatz MSH-½ ½

9 ocele. ases rus r Only) or) with Knob/Folding /Folding For cystocele with or without mild rectocele complicated by stress urinary incontinence. Support for cystocele and rectocele. It is also more adaptable in cases of procidentia where the uterus tends to herniate when other pessaries are used. MGSK (essary Only) MGS (essary Only) MKGSK MKGS I w/ Knob/Folding Folding MGSK00 MGS00 /6 7 ½ 8 ⅜ MGSK0 MGS0 ⅛ 9 ½ 8 Support for during insert pessary is ne (A) (A) (B) (B) (C) (C) M M (essary, Trim MGSK0 MGS0 ⅜ MGSK0 MGS0 ½ 8 ⅛ ⅝ MGSK0 MGS0 ⅝ ¼ ⅞ 8 MGSK0 MGS0 ⅜ ⅞ 8 ½ ⅛ MGSK06 MGS06 MGSK07 MGS07 MGSK08 MGS08 ⅛ MGSK09 MGS09 ¼ ⅛ 79 ⅜ ⅞ 7 ¼ ⅜ Inflatobal Inflatable fo a mild cysto M M (essary, Trim w/ Knob/Folding Support for rd degree prolapse/procidentia. Not to be deflated during insertion or removal. See Inflatoball if a deflatable pessary is necessary. Folding (A) (A) (B) (B) (C) (C) MGSK00 MGS00 /6 7 ½ 8 ⅜ MGSK0 MGS0 MDO (essary Only) MKDO ⅛ 9 ½ 8 MGSK0 MGS0 ⅜ MGSK0 MGS0 ½ 8 ⅛ ⅝ MGSK0 MGS0 ⅝ ¼ ⅞ 8 MGSK0 MGS0 ⅜ MGSK06 MGS06 ⅞ 8 ½ ⅛ MGSK07 MGS07 MGSK08 MGS08 ⅛ MGSK09 MGS09 ¼ ⅛ 79 ⅜ MDO00 MDO0 ¼ MDO0 ½ MDO0 ¾ MDO0 MDO0 ¼ 8 MDO06 ½ MDO07 ¾ ⅞ 7 ¼ Inches ⅜ Millimeters Inflatoball 0 0 Inflatoball Size Inflatable for rd degree prolapse/procidentia with or without a mild cystocele and/or rectocele. MINF (essary Only) MKINF MINFS MINFM ¼ MINFL ½ MINFL ¾

10 Fitting Set Replacement arts MED000 MFIT-CA Fitting Case MED0006 MFIT007 Manikin essary - Non-kitted MED00077 MCON00 0: -/" (Incontinence) MED00078 MCON0 : " (Incontinence) MED00079 MCON0 : -/" (Incontinence) MED00080 MCON0 : -/" (Incontinence) MED0008 MCON0 : -/" (Incontinence) MED0008 MCON0 : " (Incontinence) MED0008 MCON06 6: -/" (Incontinence) MED0008 MCON07 7: -/" (Incontinence) MED0008 MCON08 8: -/" (Incontinence) MED00086 MCON09 9: " (Incontinence) MED00087 MCON0 0: -/" (Incontinence) MED00088 MCON : -/" (Incontinence) MED000 MCON : -/" (Incontinence) MED00090 MCON : " (Incontinence) MED0009 MEHK00 Hodge With Knob 0: -/" x -/" (Incontinence) MED0009 MEHK0 Hodge With Knob : " x -7/8" (Incontinence) MED0009 MEHK0 Hodge With Knob : -/" x-/6" (Incontinence) MED0009 MEHK0 Hodge With Knob : -/" x " (Incontinence) MED000 MEHK0 Hodge With Knob : -/8" x -/8" (Incontinence) MED00096 MEHK0 Hodge With Knob : -/" x -/" (Incontinence) MED00097 MEHK06 Hodge With Knob 6: -7/8" x -/8" (Incontinence) MED00098 MEHK07 Hodge With Knob 7: -/" x -/" (Incontinence) MED00099 MEHK08 Hodge With Knob 8: -/8" x -/8" (Incontinence) MED0000 MEHK09 Hodge With Knob 9: " x -/" (Incontinence) MED000 MGSK00 With Knob 0: -/6" (Incontinence) MED000 MGSK0 With Knob : -/8" (Incontinence) MED000 MGSK0 With Knob : -/6" (Incontinence) MED000 MGSK0 With Knob : -/" (Incontinence) MED000 MGSK0 With Knob : -/8" (Incontinence) MED0006 MGSK0 With Knob : -/" (Incontinence) MED0007 MGSK06 With Knob 6: -7/8" (Incontinence) MED00 MGSK07 With Knob 7: -/6" (Incontinence) MED0009 MGSK08 With Knob 8: " (Incontinence) MED000 MGSK09 With Knob 9: -/" (Incontinence) Hodge With Knob with Knob Hodge with Knob & Support MED00 MHSK00 Hodge With Knob With Support 0: -/" x -/" (Incontinence) MED00 MHSK0 Hodge With Knob With Support : " x -7/8" (Incontinence) MED00 MHSK0 Hodge With Knob With Support : -/" x -/6" (Incontinence)

11 MED00 MHSK0 Hodge With Knob With Support : -/8" x -/8" (Incontinence) MED006 MHSK0 Hodge With Knob With Support : -/" x -/" (Incontinence) MED007 MHSK06 Hodge With Knob With Support 6: -7/8" x -/8" (Incontinence) MED008 MHSK07 Hodge With Knob With Support 7: -/" x -/" (Incontinence) MED009 MHSK08 Hodge With Knob With Support 8: -/8" x -/8" (Incontinence) MED000 MHSK09 Hodge With Knob With Support 9: " x -/" (Incontinence) Hodge with Support Folding MED00 MHS00 Hodge With Support Folding O: -/" x -/" (Incontinence) MED00 MHS0 Hodge With Support Folding : " x -7/8" (Incontinence) MED00 MHS0 Hodge With Support Folding : -/" x -/6" (Incontinence) MED00 MHS0 Hodge With Support Folding : -/" x " (Incontinence) MED00 MHS0 Hodge With Support Folding : -/8" x -/8" (Incontinence) MED006 MHS0 Hodge With Support Folding : -/" x -/" (Incontinence) MED007 MHS06 Hodge With Support Folding 6: -7/8" x -/8" (Incontinence) MED008 MHS07 Hodge With Support Folding 7: -/" x -/" (Incontinence) MED009 MHS08 Hodge With Support Folding 8: -/8" x -/8" (Incontinence) MED000 MHS09 Hodge With Support Folding 9: " x -/" (Incontinence) MEH00 Hodge Folding O: -/" x -/" (Incontinence) Hodge Folding MED00 Hodge Folding no Support MED00 MEH0 Hodge Folding - No Support : " x -7/8" (Incontinence) MED00 MEH0 Hodge Folding - No Support : -/" x -/6" (Incontinence) MED00 MEH0 Hodge Folding - No Support : -/" x " (Incontinence) MED00 MEH0 Hodge Folding - No Support : -/8" x -/8" (Incontinence) MED006 MEH0 Hodge Folding - No Support : -/" x -/" (Incontinence) MED007 MEH06 Hodge Folding - No Support 6: -7/8" x -/8" (Incontinence) MED008 MEH07 Hodge Folding - No Support 7: -/" x -/" (Incontinence) MED009 MEH08 Hodge Folding - No Support 8: -/8" x -/8" (Incontinence) MED000 MEH09 Hodge Folding - No Support 9: " x -/" (Incontinence) Smith Folding no Support MED00 MES00 Smith Folding - No Support 0: -/8" x " (Incontinence) MED00 MES0 Smith Folding - No Support : -/" x -/8" (Incontinence) MED00 MES0 Smith Folding - No Support : -/" x -/" (Incontinence) MED00 MES0 Smith Folding - No Support : -/" x -/8" (Incontinence) MED00 MES0 Smith Folding - No Support : -/" x -/" (Incontinence) MED006 MES0 Smith Folding - No Support : -/" x -/8" (Incontinence) MED007 MES06 Smith Folding - No Support 6: -/" x -/" (Incontinence) MED008 MES07 Smith Folding - No Support 7: " x -7/8" (Incontinence) MED009 MES08 Smith Folding - No Support 8: -/" x " (Incontinence) MED000 MES09 Smith Folding - No Support 9: /" /8" (Incontinence) MED00 MRI00 Risser Folding - No Support 0 (Incontinence) MED00 MRI0 Risser Folding - No Support (Incontinence) MED00 MRI0 Risser Folding - No Support (Incontinence) MED00 MRI0 Risser Folding - No Support (Incontinence) MED00 MRI0 Risser Folding - No Support (Incontinence) MED006 MRI0 Risser Folding - No Support (Incontinence) MED00 MRI06 Risser Folding - No Support 6 (Incontinence) MED008 MRI07 Risser Folding - No Support 7 (Incontinence) Risser Folding

12 MED009 MRI08 Risser Folding - No Support 8 (Incontinence) MED00 MRI09 Risser Folding - No Support 9 (Incontinence) MED006 MCOND00 Dish 0 Folding MM (rolapse/incontinence) MED006 MCOND0 Dish Folding MM (rolapse/incontinence) MED006 MCOND0 Dish Folding 6MM (rolapse/incontinence) MED00 MCOND0 Dish Folding MM (rolapse/incontinence) MED006 MCOND0 Dish Folding 7MM (rolapse/incontinence) MED0066 MCOND0 Dish Folding 80MM (rolapse/incontinence) MED0067 MCOND06 Dish 6 Folding 8MM (rolapse/incontinence) MED0068 MCONDS00 Dish Folding With Support 0: MM (rolapse/incontinence) MED0069 MCONDS0 Dish Folding With Support : MM (rolapse/incontinence) MED00 MCONDS0 Dish Folding With Support : 6MM (rolapse/incontinence) MED007 MCONDS0 Dish Folding With Support : MM (rolapse/incontinence) MED007 MCONDS0 Dish Folding With Support : 7MM (rolapse/incontinence) MED007 MCONDS0 Dish Folding With Support : 80MM (rolapse/incontinence) MED007 MCONDS06 Dish Folding With Support 6: 8MM (rolapse/incontinence) Dish Folding with Knob No Support Folding MED007 MERK00 With Knob NoSupport Folding 0: -/" (rolapse/incontinence) MED00 MERK0 With Knob NoSupport Folding : " (rolapse/incontinence) MED0077 MERK0 With Knob NoSupport Folding : -/" (rolapse/incontinence) MED0078 MERK0 With Knob NoSupport Folding : -/" (rolapse/incontinence) MED0079 MERK0 With Knob NoSupport Folding : -/" (rolapse/incontinence) MED0080 MERK0 With Knob NoSupport Folding : " (rolapse/incontinence) MED008 MERK06 With Knob NoSupport Folding 6: -/" (rolapse/incontinence) MED008 MERK07 With Knob NoSupport Folding 7: -/" (rolapse/incontinence) MED008 MERK08 With Knob NoSupport Folding 8: -/" (rolapse/incontinence) MED008 MERK09 With Knob NoSupport Folding 9: " (rolapse/incontinence) MED008 MERK0 With Knob NoSupport Folding 0: -/" (rolapse/incontinence) MED0086 MERK With Knob NoSupport Folding : -/" (rolapse/incontinence) MED0087 MERK With Knob NoSupport Folding : -/" (rolapse/incontinence) MED0088 MERK With Knob NoSupport Folding : " (rolapse/incontinence) with Knob with Support Folding MED00 MRSK00 With Knob With Support Folding 0: -/" (rolapse/incontinence) MED0090 MRSK0 With Knob With Support Folding : " (rolapse/incontinence) MED009 MRSK0 With Knob With Support Folding : -/" (rolapse/incontinence) MED009 MRSK0 With Knob With Support Folding : -/" (rolapse/incontinence) MED009 MRSK0 With Knob With Support Folding : -/" (rolapse/incontinence) MED009 MRSK0 With Knob With Support Folding : " (rolapse/incontinence) MED00 MRSK06 With Knob With Support Folding 6: -/" (rolapse/incontinence) MED0096 MRSK07 With Knob With Support Folding 7: -/" (rolapse/incontinence) MED0097 MRSK08 With Knob With Support Folding 8: -/" (rolapse/incontinence) MED0098 MRSK09 With Knob With Support Folding 9: " (rolapse/incontinence) MED0099 MRSK0 With Knob With Support Folding 0: -/" (rolapse/incontinence) MED0000 MRSK With Knob With Support Folding : -/" (rolapse/incontinence) MED000 MRSK With Knob With Support Folding : -/" (rolapse/incontinence) MED000 MRSK With Knob With Support Folding : " (rolapse/incontinence)

13 Regula MED000 MREG00 Regula 0 - " x /6" x /8" (rolapse) MED000 MREG0 Regula - /6" x " x /" (rolapse) MED000 MREG0 Regula : -/8" x -/8" x -/8" (rolapse) MED0006 MREG0 Regula : -/" x -/6" x -/" (rolapse) MED0007 MREG0 Regula : -/8" x -/" x -7/8" (rolapse) MED0008 MREG0 Regula : -7/6" x -/8" x -/6" (rolapse) MED0009 MREG06 Regula 6: -/" x -/8" x -/6" (rolapse) MED000 MREG07 Regula 7: -/8" x -7/8" x -/6" (rolapse) MED00 MREG08 Regula 8: -/" x -/8" x -/6" (rolapse) MED00 MDO0 " (rolapse) MED00 MDO0 -/" (rolapse) MED00 MDO0 -/" (rolapse) MED00 MDO0 -/" (rolapse) MED006 MDO0 " (rolapse) MED007 MDO0 -/" (rolapse) MED008 MDO06 -/" (rolapse) MED009 MDO07 -/" (rolapse) MED000 MEC00 0: " (rolapse) MED00 MEC0 : -/6" (rolapse) MED00 MEC0 : -/8" (rolapse) MED00 MEC0 : -/" (rolapse) MED00 MEC0 : -/8" (rolapse) MED00 MEC0 : -/" (rolapse) MED006 MEC06 6: " (rolapse) MED007 MEC07 7: -/" (rolapse) MED008 MECH00 With Holes 0: " (rolapse) MED009 MECH0 With Holes : -/6" (rolapse) MED000 MECH0 With Holes : -/8" (rolapse) MED00 MECH0 With Holes : -/" (rolapse) MED00 MECH0 With Holes : -/8" (rolapse) MED00 MECH0 With Holes : -/" (rolapse) MED00 MECH06 With Holes 6: " (rolapse) MED00 MECH07 With Holes 7: -/" (rolapse) MED006 MECT-0 Tandem -0 (rolapse) MED007 MECT- Tandem - (rolapse) MED008 MECT- Tandem - (rolapse) MED009 MECT- Tandem - (rolapse) MED000 MECT6- Tandem 6- (rolapse) MED00 MECT7- Tandem 7- (rolapse) Tandem

14 Folding MED00 MER00 Folding 0: -/" MED00 MER0 Folding : " (rolapse) MED00 MER0 Folding : -/" (rolapse) MED00 MER0 Folding : -/" (rolapse) MED006 MER0 Folding : -/" (rolapse) MED007 MER0 Folding : " (rolapse) MED008 MER06 Folding 6: -/" (rolapse) MED009 MER07 Folding 7: -/" (rolapse) MED000 MER08 Folding 8: -/" (rolapse) MED00 MER09 Folding 9: " (rolapse) MED00 MER0 Folding 0: -/" (rolapse) MED00 MER Folding : -/" (rolapse) MED00 MER Folding : -/" (rolapse) MED00 MER Folding : " (rolapse) with Support Folding MED006 MRS00 With Support Folding 0: -/" (rolapse) MED00 MRS0 With Support Folding : " (rolapse) MED008 MRS0 With Support Folding : -/" (rolapse) MED009 MRS0 With Support Folding : -/" (rolapse) MED00 MRS0 With Support Folding : -/" (rolapse) MED006 MRS0 With Support Folding : " (rolapse) MED006 MRS06 With Support Folding 6: -/" (rolapse) MED006 MRS07 With Support Folding 7: -/" (rolapse) MED00 MRS08 With Support Folding 8: -/" (rolapse) MED006 MRS09 With Support Folding 9: " (rolapse) MED0066 MRS0 With Support Folding 0: -/" (rolapse) MED0067 MRS With Support Folding : -/" (rolapse) MED0068 MRS With Support Folding : -/" (rolapse) MED0069 MRS With Support Folding : " (rolapse) MED00 MGE-/ Gellhorn Flexible -/" (rolapse) MED007 MGE-/ Gellhorn Flexible -/" (rolapse) MED007 MGE- Gellhorn Flexible " (rolapse) MED007 MGE-/ Gellhorn Flexible -/" (rolapse) MED007 MGE-/ Gellhorn Flexible -/" (rolapse) MED007 MGE-/ Gellhorn Flexible -/" (rolapse) MED00 MGE- Gellhorn Flexible " (rolapse) MED0077 MGE-/ Gellhorn Flexible -/" (rolapse) MED0078 MGE-/ Gellhorn Flexible /" (rolapse) MED0079 MGE-/ Gellhorn Flexible /" (rolapse) MED0080 MGRS-/ Gellhorn % Rigid -/" (rolapse) MED008 MGRS-/ Gellhorn % Rigid -/" (rolapse) MED008 MGRS- Gellhorn % Rigid " (rolapse) MED008 MGRS-/ Gellhorn % Rigid -/" (rolapse) MED008 MGRS-/ Gellhorn % Rigid -/" (rolapse) MED008 MGRS-/ Gellhorn % Rigid -/" (rolapse) Gellhorn Flexible Gellhorn % Rigid

15 MED0086 MGRS- Gellhorn % Rigid " (rolapse) MED0087 MGRS-/ Gellhorn % Rigid -/" (rolapse) MED0088 MGRS-/ Gellhorn % Rigid -/" (rolapse) Gellhorn Short Stem Flexible MGSS-/ Gellhorn Short Stem Flexible -/" (rolapse) MED0090 MGSS-/ Gellhorn Short Stem Flexible -/" (rolapse) MED009 MGSS- Gellhorn Short Stem Flexible " (rolapse) MED009 MGSS-/ Gellhorn Short Stem Flexible -/" (rolapse) MED009 MED00 MGSS-/ Gellhorn Short Stem Flexible -/" (rolapse) MED009 MGSS-/ Gellhorn Short Stem Flexible -/" (rolapse) MED00 MGSS- Gellhorn Short Stem Flexible " (rolapse) MED0096 MGSS-/ Gellhorn Short Stem Flexible -/" (rolapse) MED0097 MGSS-/ Gellhorn Short Stem Flexible -/" (rolapse) MED0098 MGSS-/ Gellhorn Short Stem Flexible -/" (rolapse) MED0099 MGS00 Folding 0: -/6"x -/" x -/8" (rolapse) MED0000 MGS0 Folding : -/8" x -/" x -/" (rolapse) MED000 MGS0 Folding : -/8" x " x -/8" (rolapse) MED000 MGS0 Folding : -/" x -/8" x -/" (rolapse) MED000 MGS0 Folding : -/8" x -/" x -7/8" (rolapse) MED000 MGS0 Folding : -/" x -/8" x " (rolapse) MED000 MGS06 Folding 6: -7/8" x -/" x -/8" (rolapse) MED0006 MGS07 Folding 7: " x -7/8" x -/ (rolapse) MED0007 MGS08 Folding 8: -/8" x " x -/8" (rolapse) MED0008 MGS09 Folding 9: -/" x -/8" x -/" (rolapse) MED0009 MINFL Inflatoball -Lg. - 00% Latex (rolapse) MED000 MINFL Inflatoball Large - 00% Latex (rolapse) MED00 MINFM Inflatoball Medium - 00% Latex (rolapse) MED00 MINFS Inflatoball Small. - 00% Latex (rolapse) MED00 MSH-/ Shaatz Folding -/" (rolapse) MED00 MSH-/ Shaatz Folding -/" (rolapse) MED00 MSH- Shaatz Folding " (rolapse) MED006 MSH-/ Shaatz Folding -/" (rolapse) MED007 MSH-/ Shaatz Folding -/" (rolapse) MED008 MSH-/ Shaatz Folding -/" (rolapse) MED009 MSH- Shaatz Folding " (rolapse) MED000 MSH-/ Shaatz Folding -/" (rolapse) MED00 MSH-/ Shaatz Folding -/" (rolapse) MED00 MSH-/ Shaatz Folding -/" (rolapse) Folding Inflatoball Shaatz Folding

16 MEDESIGN coopersurgical.com Corporate Dr. Trumbull, CT CooperSurgical, Inc 898 Rev B / CooperSurgical is the leading company dedicated to providing medical devices and procedure solutions that improve health care delivery to women regardless of clinical setting. Our company is fostering that position through expansion of its core businesses and introduction of advanced technology-based products which aid clinicians in the management and treatment of coonly seen conditions. RN S0.000 / medesign I.C. GmbH Dietramszeller Str. 6 D-86 Dietramszell Germany +9 (0) (0) info@medesign.de 0-0 Dietramszell Dubai München