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

https://www.mirena.com/en/professional/placement_and_removal/placement/index.php

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