MILEX Pessary Reference Guide

Transcription

1 MLEX essary Reference Guide essaries for ncontinence and elvic Organ rolapse The Support Your atient Needs... the Quality You Depend On!

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. 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 in. 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. t 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.

3 essary Selection Chart* rocedentia roduct Code Condition and Selection Criteria 1-2 rolapse 3-4 Vaginal Wall Cystocele Rectocele Stress ncontinence Retro Displacement ncompetent Cervix Most Common Sizes Material Ease of nsertion/ Removal Compatible with Sexual Activity MXER Ring X 2½ - 3¾" Silicone & Metal Easy X MXERK Ring with knob X X X 2¼ - 3½" Silicone & Metal Easy X MXRS Ring with support X X 2½ - 3¾" Silicone & Metal Easy X MXRSK Ring with support and knob X X X 2¼ - 3½" Silicone & Metal Easy X MXCON ncontinence Ring X 2¼ - 3½" Silicone & Metal Easy X MXSH Shaatz X 2¼ - 3" Silicone Medium X MXDO Donut X X X 2½ - 3¼" Silicone Medium/Difficult MXREG Regula X X X X 1¼ - 1½" Silicone & Metal Easy/Medium MXGE Gellhorn Flexible X 2¼ - 3" Silicone Difficult MXEH Hodge X X X 3½ - 4½" x 2¼ - 2⅝" Silicone & Metal Easy/Medium X MXHS Hodge with support X X X 2½ - 3⅛" Silicone & Metal Easy/Medium X MXEHK Hodge with knob X X X 3¼ - 3¾" x 1 15 /16-2¼" Silicone & Metal Easy/Medium X MXHSK Hodge with knob and support X X X X 3¼ - 3¾" x 1 15 /16-2¼" Silicone & Metal Easy/Medium X MXR Risser X X X 3½ - 4½" x 2¼ - 2⅝" Silicone & Metal Easy/Medium X MXES Smith X X X 3½ - 4½" x 2¼ - 2⅝" Silicone & Metal Easy/Medium X MXCOND ncontinence Dish X X 2½ - 3⅛" Silicone Easy/Medium X MXCONDS ncontinence Dish with support X X X 2½ - 3⅛" Silicone Easy/Medium X MXEC Cube X X X X 1⅜ - 1¾" Silicone Medium X MXECT Tandem Cube X X X X 1⅜ - 1¾" Silicone Medium X MXGS Gehrung X X X 1⅜ - 1¾" x 2-2⅜" Silicone & Metal Medium/Difficult X MXGSK Gehrung with knob X X X X 1⅜ - 1¾" x 2-2⅜" Silicone & Metal Medium/Difficult X MXNF nflatoball X X X 2¼ - 2½" Latex Easy X *Source: Viera AJ, Larkins-ettigrew M. ractical use of the pessary. Am Fam hysician. May 1, 2000;61(9):

4 MLEX Brand essary roduct Offerings = rolapse = ncontinence Ring Ring Ring with Knob Ring with Knob Ring with Support Ring with Support For mild prolapse. roduct # MXER (essary Only) roduct # MXKER roduct # in. mm MXER00 1¾ 44 MXER MXER02 2¼ 57 MXER03 2½ 64 MXER04 2¾ 70 For mild prolapse complicated by stress urinary incontinence. roduct # MXERK (essary Only) roduct # MXKERK, roduct # in. mm MXERK00 1¾ 44 MXERK MXERK02 2¼ 57 MXERK03 2½ 64 MXERK04 2¾ 70 For mild prolapse complicated by a mild cystocele. roduct # MXRS (essary Only) roduct # MXKRS roduct # in. mm MXRS00 1¾ 44 MXRS MXRS02 2¼ 57 MXRS03 2½ 64 MXRS04 2¾ 70 MXER MXERK MXRS MXER06 3¼ 83 MXERK06 3¼ 83 MXRS06 3¼ 83 MXER07 3½ 89 MXERK07 3½ 89 MXRS07 3½ 89 MXER08 3¾ 95 MXERK08 3¾ 95 MXRS08 3¾ 95 MXER MXERK MXRS MXER10 4¼ 108 MXERK10 4¼ 108 MXRS10 4¼ 108 MXER11 4½ 114 MXERK11 4½ 114 MXRS11 4½ 114 MXER12 4¾ 121 MXERK12 4¾ 121 MXRS12 4¾ 121 MXER MXERK MXRS ncontinence Ring For stress urinary incontinence. roduct # MXCON (essary Only) roduct # MXKCON ncontinence Ring roduct # in. mm MXCON00 1¾ 44 MXCON MXCON02 2¼ 57 MXCON03 2½ 64 MXCON04 2¾ 70 MXCON Ring with Support & Knob For mild prolapse complicated by a mild cystocele and stress urinary incontinence. roduct # MXRSK (essary Only) roduct # MXKRSK, ncontinence Ring w/ Support & Knob roduct # in. mm MXRSK00 1¾ 44 MXRSK MXRSK02 2¼ 57 MXRSK03 2½ 64 MXRSK04 2¾ 70 MXRSK Shaatz For mild prolapse complicated by a mild cystocele. roduct # MXSH (essary Only) roduct # MXKSH Shaatz roduct # in. mm MXSH-1½ 1½ 38 MXSH-1¾ 1¾ 44 MXSH MXSH-2¼ 2¼ 57 MXSH-2½ 2½ 64 MXSH-2¾ 2¾ 70 MXCON06 3¼ 83 MXRSK06 3¼ 83 MXSH MXCON07 3½ 89 MXRSK07 3½ 89 MXSH-3¼ 3¼ 83 MXCON08 3¾ 95 MXRSK08 3¾ 95 MXSH-3½ 3½ 89 MXCON MXRSK MXSH-3¾ 3¾ 95 MXCON10 4¼ 108 MXRSK10 4¼ 108 MXCON11 4½ 114 MXRSK11 4½ 114 MXCON12 4¾ 121 MXRSK12 4¾ 121 MXCON MXRSK

5 Hodge For stress urinary incontinence for a woman who has a very small vaginal introitus. roduct # MXEH (essary Only) roduct # MXKEH Hodge w/ Support For stress urinary incontinence with a mild cystocele for a woman who has a very small vaginal introitus. roduct # MXHS (essary Only) roduct # MXKHS Hodge w/ Knob For stress urinary incontinence in the woman who has a small vaginal introitus. roduct # MXEHK (essary Only) roduct # MXKEHK Hodge w/ Support & Knob For stress urinary incontinence complicated by a mild cystocele in the woman who has a small vaginal introitus. roduct # MXHSK (essary Only) roduct # MXKHSK Gellhorn For 3rd degree prolapse/procidentia. roduct # MXGE (essary Only) roduct # MXKGE Also available in: Short Stem roduct # MXGRS Rigid roduct # MXGRS (essary Only) Short Stem roduct # MXKGRS Rigid roduct # MXKGRS Gellhorn Flexible Rigid Short Stem roduct # roduct # roduct # in. mm MXGE-1½ MXGRS-1½ MXGSS-1½ 1½ 38 MXGE-1¾ MXGRS-1¾ MXGSS-1¾ 1¾ 44 MXGE-2 MXGRS-2 MXGSS MXGE-2¼ MXGRS-2¼ MXGSS-2¼ 2¼ 57 MXGE-2½ MXGRS-2½ MXGSS-2½ 2½ 64 MXGE-2¾ MXGRS-2¾ MXGSS-2¾ 2¾ 70 MXGE-3 MXGRS-3 MXGSS MXGE-3¼ MXGRS-3¼ MXGSS-3¼ 3¼ 83 MXGE-3½ MXGRS-3½ MXGSS-3½ 3½ 89 MXGE-3¾ MXGRS-3¾ MXGSS-3¾ 3¾ 95 A B Hodge w/ Support w/ Knob Hodge w/ Support & Knob roduct # roduct # roduct # roduct # in. (A) mm (A) in. (B) mm (B) MXEH00 MXHS00 MXEHK00 MXHSK00 2¾ 70 1¾ 44 MXEH01 MXHS01 MXEHK01 MXHSK ⅞ 48 MXEH02 MXHS02 MXEHK02 MXHSK02 3¼ /16 49 MXEH03 MXHS03 MXEHK03 MXHSK03 3½ MXEH04 MXHS04 MXEHK04 MXHSK04 3⅝ 92 2⅛ 54 MXEH05 MXHS05 MXEHK05 MXHSK05 3¾ 95 2¼ 57 MXEH06 MXHS06 MXEHK06 MXHSK06 3⅞ 98 2⅜ 60 MXEH07 MXHS07 MXEHK07 MXHSK07 4¼ 108 2½ 64 Regula For uterine prolapse (1st and 2nd degree). roduct # MXREG (essary Only) roduct # MXKREG Regula Folding roduct # in. (A) mm (A) in. (B) mm (B) in. (C) mm (C) MXREG / ⅜ 35 MXREG / ½ 38 MXREG02 1⅛ 29 2⅛ 54 1⅝ 41 MXREG03 1¼ / ¾ 44 MXREG04 1⅜ 35 2¼ 57 1⅞ 48 MXREG / ⅜ MXREG06 1½ 38 2⅝ 67 2⅛ 54 MXREG07 1⅝ 41 2⅞ 73 2¼ 57 MXREG08 1¾ 44 3⅛ 79 2⅜ 60 MXEH08 MXHS08 MXEHK08 MXHSK08 4⅝ 117 2⅝ 67 MXEH09 MXHS09 MXEHK09 MXHSK ¾ 70

6 Cube Support for 3rd degree prolapse/procidentia. Should be removed nightly. roduct # MXEC (essary Only) roduct # MXKEC Also available in: Cube with Drainage Holes roduct # MXECH (essary Only) roduct # MXKECH Tandem-Cube Support for 3rd degree prolapse/ procidentia when single cube provides inadequate support. Should be removed nightly. roduct # MXECT (essary Only) roduct # MXKECT Cube Cube w/ Holes roduct # roduct # in. mm MXEC00 MXECH MXEC01 MXECH /16 30 MXEC02 MXECH02 1⅜ 35 MXEC03 MXECH03 1½ 38 MXEC04 MXECH04 1⅝ 41 MXEC05 MXECH05 1¾ 44 MXEC06 MXECH Risser Designed for patient with shallow pubic notch. Has larger weight bearing zone to support vaginal aspects of pubis. Helpful in cases of repeated miscarriages due to an incompetent cervix by repositioning the weight of the growing fetus. roduct # MXR (essary Only) roduct # MXKR Risser roduct # in. (A) mm (A) in. (B) mm (B) MXR00 3⅛ MXR01 3¼ 83 2⅛ 54 MXR02 3½ 89 2¼ 57 MXR03 3¾ 95 2⅜ 60 MXR04 4¼ 108 2½ 64 MXR05 4½ 114 2⅝ 67 MXR06 4¾ 121 2¾ 70 MXR ⅞ 73 MXEC07 MXECH07 2¼ 57 Tandem Cube roduct # in. mm MXECT2-0 1⅜ & 1 35 & 25 MXECT3-1 1½ & 1 3 /16 38 & 30 MEASURE ACROSS FOR OUTSDE DAMETER MXR08 5½ MXR09 5¾ 146 3⅛ 79 MXECT4-2 1⅝ & 1⅜ 41 & 35 MXECT5-3 1¾ & 1½ 44 & 38 MXECT6-4 2 & 1⅝ 51 & 41 MXECT7-5 2¼ & 1¾ 57 & 44 ncontinence Dish For stress urinary incontinence with mild prolapse. roduct # MXCOND (essary Only) roduct # MXKCOND, ncontinence Dish with Support For stress urinary incontinence with mild prolapse and a mild cystocele. roduct # MXCONDS (essary Only) roduct # MXKCONDS, ncontinence Dish Dish Dish w/ Support roduct # roduct # in. mm MXCOND00 MXCONDS00 2⅛ 55 MXCOND01 MXCONDS01 2⅜ 60 MXCOND02 MXCONDS02 2½ 65 MXCOND03 MXCONDS03 2¾ 70 MXCOND04 MXCONDS MXCOND05 MXCONDS05 3⅛ 80 MXCOND06 MXCONDS06 3⅜ 85 Smith Modification of Hodge pessary. For stress urinary incontinence designed for patients with a well-defined pubic-notch. Helpful in cases of repeated miscarriages due to incompetent cervix by repositioning the weight of the growing fetus. roduct # MXES (essary Only) roduct # MXKES Smith roduct # in. (A) mm (A) in. (B) mm (B) MXES00 3⅛ MXES01 3¼ 83 2⅛ 54 MXES02 3½ 89 2¼ 57 MXES03 3¾ 95 2⅜ 60 MXES04 4¼ 108 2½ 64 MXES05 4½ 114 2⅝ 67 MXES06 4¾ 121 2¾ 70 MXES ⅞ 73 MXES08 5½ MXES09 5¾ 146 3⅛ 79

7 Gehrung with Knob/Folding For cystocele with or without mild rectocele complicated by stress urinary incontinence. roduct # MXGSK (essary Only) roduct # MXKGSK Gehrung/Folding Support for cystocele and rectocele. t is also more adaptable in cases of procidentia where the uterus tends to herniate when other pessaries are used. roduct # MXGS (essary Only) roduct # MXKGS Gehrung w/ Knob/Folding Gehrung Gehrung Folding roduct # roduct # in. (A) mm (A) in. (B) mm (B) in. (C) mm (C) MXGSK00 MXGS / ½ 38 1⅜ 35 MXGSK01 MXGS01 1⅛ 29 1¾ 44 1½ 38 MXGSK02 MXGS02 1⅜ ⅝ 41 MXGSK03 MXGS03 1½ 38 2⅛ 54 1¾ 44 MXGSK04 MXGS04 1⅝ 41 2¼ 57 1⅞ 48 MXGSK05 MXGS05 1¾ 44 2⅜ MXGSK06 MXGS06 1⅞ 48 2½ 64 2⅛ 54 Donut Support for 3rd degree prolapse/procidentia. Not to be deflated during insertion or removal. See nflatoball if a deflatable pessary is necessary. roduct # MXDO (essary Only) roduct # MXKDO Donut roduct # in. mm MXDO MXDO01 2¼ 57 MXDO02 2½ 64 MXDO03 2¾ 70 MXDO MXDO05 3¼ 83 MXDO06 3½ 89 MXDO07 3¾ 95 MXGSK07 MXGS ⅞ 73 2¼ 57 MXGSK08 MXGS08 2⅛ ⅜ 60 MXGSK09 MXGS09 2¼ 57 3⅛ 79 2⅜ 64 nflatoball nflatable for 3rd degree prolapse/procidentia with or without a mild cystocele and/or rectocele. roduct # MXNF (essary Only) roduct # MXKNF nflatoball Size roduct # in. mm MXNFS 2 51 MXNFM 2¼ 57 MXNFL 2½ 64 Trimo-San Vaginal Jelly * Trimo-San is a recommended adjunct for pessary wearers. For complete information, see product enclosure. Trimo-San Vaginal Jelly roduct # Description Size MX5030 Trimo-San Jelly with Jector 4 oz MXNFXL 2¾ 70 *Not sold outside U.S. MXA Jector Replacement BX Has not been tested for use during pregnancy nches Millimeters Note: Shaded areas show the minimum assortment neccessary to fit approximately 85% of patients.

8 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 commonly seen conditions coopersurgical.com 95 Corporate Dr. Trumbull, CT CooperSurgical, nc Rev B 12/16