GyneFix®

GInsertion Instructions

 

Insertion Instructions

 

GyneFix® Mark I

 

         

 

Insertion pictures
Insertion video
56k  780Kb Microsoft Mediaplayer
broadband 2.4MB Quicktime

 

 

GyneFix® Mark II

 

                                    

Insertion pictures
Insertion video
56k   730Kb Microsoft Mediaplayer
broadband 1.8MB Quicktime

 

 

 

 

Key recommendations for proper GyneFix® insertion
(Key recommendations for proper insertion are provided by Dr. Dirk Wildemeersch based on longstanding clinical experience in ongoing gynecological practice and during training workshops)

  • Ideally use litothomy position

  • Always conduct a pelvic examination to establish the position of the uterus

  • Ensure alignment of the cervical canal and uterine cavity as the inserter is not very flexible

  • Always sound the uterus to know the direction and depth of the cavity

  • Do not proceed with the insertion if sounding is impossible or if you have any doubt

  • Insert the GyneFix® applicator until you reach the fundus and keep it in contact with the fundus until you release the thread

  • Move the inserter forward slowly and gently to implant the knot

  • Check with an ultrasound scan if you have any doubt and remove the implant if it is not in the correct position

Since GyneFix® represents a unique design in intrauterine contraception, physicians are cautioned that it is imperative for them to make themselves thoroughly familiar with the instructions for insertion before attempting placement of GyneFix®.

Prior to insertion, the physician must review all aspects associated with the use of GyneFix®.  The patient should be given the opportunity to discuss fully any questions she may have.

A relevant medical history should be obtained to determine conditions that might influence the selection of an IUD as a method of contraception.  Physical examination should include a pelvic examination and, if indicated, a ‘Pap’ smear, and appropriate tests for other forms of genital disease. Pregnancy should be ruled out prior to insertion.

If the women is anxious, the use of local intra-cervical or local/regional anaesthesia should be considered. A NSAID may also help.

After disinfection the uterus is sounded using the GyneFix® uterine sound.

The flange on the outer tube is then adjusted to the measured uterine length (plus 0,5 cm to allow for the flexibility of the fundal tissue). The insertion tube is provided with centimeter marks facilitating correct placement of the flange.

Ensure alignment of the cervical canal and uterine cavity as the inserter is not very flexible.  The tenaculum or atraumatic forceps (Allis) should not be placed too high on the cervix to allow proper traction to straighten the uterine axis, especially in case of marked retroversion or anteversion.