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EC  CONKIN  REP  Obelis s.a. Bd. Général Wahis 53, 1030 Brussels, Belgium Tel.: +32.2.732.59.54 Fax: +32.2.732.60.03 E-mail:  SURGICAL INSTRUMENTS LTD.  ®  UTERINE MOBILIZER  MODEL VUM - 6  20  8 17  21  22  16A  19  11  10  24  18  15A  12  23  3 9A  5  FIG.1 G1 4  14 13  INSTRUCTIONS FOR USE OF THE VALTCHEV® UTERINE MOBILIZER, MODEL VUM-6 THE VALTCHEV® UTERINE MOBILIZER, MODEL VUM-6 (Fig.1) consists of a body and interchangeable obturators and cannulas. The body consists of a metal bar (10) and a metal tube (9 A) which pivot the head (13). One end of the tube is attached to a piston (4) and the opposite end is attached to a Luer syringe connector (22). The locking wheel (23) is also attached to the tube. The locking wheel is held in place by a lock (21). The arm space bar (24) permits manipulation of the head. By means of a locking screw (8) on the upper end of the arm space bar (24) the Mobilizer can be locked in the desired position. The finger ring (5) is located at the lower end of the arm spacer bar. The head accommodates, in its cavity (3), an obturator or a cannula locking in place by a lock (14). The four uterine obturators, which are of different lengths and thicknesses are used as follows: No.17 and No.18 are for mobilization of a smaller uterus, No.19 and No.20 are for mobilization of larger uterus. F834B  The cannulas: (15A) and (16A) are used for injection of either dye or an X-ray contrast medium. The syringe for injection is attached to the Luer syringe connector (22). The Mobilizer is held in place by a Valtchev® tenaculum, supported by a tenaculum holder (11) and held taut by a spring (12). TECHNIQUE After the patient has been anaesthetized and prepped, a sterile towel is placed below the buttocks and on the abdomen and the patient is catheterized. A vaginal examination is done to establish the size, position and mobility of the uterus. The surgeon’s gloves are changed. A vaginal speculum (with a side opening, which allows removal of the Uterine Mobilizer) is introduced into the vagina. The anterior lip of the cervix is grasped by a Valtchev® tenaculum in the horizontal plane with the curved end pointing downward. The uterine cavity is sounded and    measured, and the appropriate uterine obturator or cannula is selected. The selected obturator or cannula is inserted into the cavity of the head Fig2. The pin on the obturator or cannula must slip into the notch of the head Fig2. This locks the cannula or obturator in place. Then the arm spacer bar is turned forward and the axis of the head is aligned with the bar. The Mobilizer is then locked into position by tightening the locking screw (8). The surgeon inserts the obturator or cannula carefully into the uterine cavity following the direction of the cervical canal and the uterine cavity. If the uterus is retroverted the Valtchev® Mobilizer is rotated around it’s longitudinal axis to 135 degrees, so that the curve of the uterine obturator or cannula is directed posteriorly. The uterine obturator or cannula is inserted following the cervical canal posteriorly. After the insertion is completed the instrument is gently rotated to its previous position.          Revision Date: May 06, 2014
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