Novaplus T380 GYNECOLOGICAL IUD

DESCRIPTION

The body of the spiral in the form of "Y" is made of polyethylene. A copper wire is wound along its vertical axis, and polyethylene threads are attached to the lower end. The body is placed in an introduction cannula with a silicone ring that marks the depth of the uterine cavity. An introduction plunger is also included. Sterilization by ETO.

Indications

Intrauterine contraception;

Uterine adhesions.

Raw materials

Copper, copper + silver, polyethylene.

Incompatibility

Not established.

Storage conditions

To be stored between 15 and 30 ºС. Keep away from direct sunlight and humidity.

Package

The IUD is sterilized in individual packaging. Do not re-sterilize. Do not use if package is open or damaged. Always follow the rules of asepsis. After removal, dispose of the IUD in accordance with local legislation for the disposal of potentially infectious biological devices.

Models

1 intrauterine device

"T 200 Ag". Active copper surface 200 mm2 and silver core.

"Novaplus T 380 Cu". Active copper surface 380 mm2.

"Novaplus T 380 Ag". Active copper surface 380 mm2 and silver core.

Pearl Index: T 200 Ag: 1.0 / T380 Cu - T380 Ag: 0.7

CONTRAINDICATIONS

Absolute:

Pregnancy;

Inflammatory diseases of the small pelvis;

Acute cervicitis;

Postpartum endometritis or abortion;

Abnormal genital bleeding;

Malignant gynecological diseases;

Congenital abnormalities of the uterus;

Uterine leiomyomatosis;

Allergies to copper;

Wilson's disease.

Relative:

Severe dysmenorrhea;

Blood coagulation disorders;

Cardiovascular diseases.

EFFICIENCY

Contraceptive efficacy is very high. After removal or disposal of the IUD, the probability of pregnancy is completely normal.

If you suspect that you have become pregnant while using the IUD, contact your doctor to have it removed if necessary.

Input technique

Before placing an intrauterine spiral, it is necessary to do cytological tests to exclude all possible contraindications.

When inserting the IUD, observe the following procedures:

Perform a gynecological examination to determine the depth and position of the uterus.

Use a speculum to examine the cervix.

Disinfect the cervix using an antiseptic solution.

Clamp the front of the neck to pull the neck when needed.

Measure the depth and direction of the cervical canal.

Follow the steps to enter:

After probing the uterus, open the package in half to reveal the removable ring of the introducer cannula. Adjust the ring so that the distance from the horizontal arms of the helix to the bottom edge of the ring corresponds to the distance measured with the probe.

Before insertion, you can bend the cannula so that it assumes the position of the uterus. Bending should be done while the coil is still in the sterile package and not inserted into the introduction cannula.

Grasp the threads and pull the coil into the cannula until the ends of the horizontal arms cover the cannula opening. The IUD should not remain in the insertion cannula for more than 5 minutes. Insert the plunger into the cannula, while keeping the threads taut with the other hand. This ensures that the polyethylene sutures will remain taut inside the cannula and will not be tangled by the plunger.

Place the plunger in the direction of opening the arms. Insert the cannula into the cervical canal until the ring rests against the cervix.

Check the round part of the piston. Release the coil arms by sliding the cannula toward the plunger until the tip rests against the round part of the cannula. Make sure that the distance between the ring and the cervical inlet is about 15 mm.

Continue inserting the IUD using the cannula and plunger until the ring rests against the cervix again.

Very important!

Release the IUD completely from the introducer cannula by pulling the cannula out until the plunger is fully inside. Carefully remove the plunger while holding the cannula still. Make sure that the polyethylene threads move freely in the cannula and are not in danger of dislodging the coil.

Cut the polyethylene threads so that about 2 cm of them remain outside the neck.

When to insert the IUD

It is recommended to insert the IUD during the menstrual cycle. After childbirth or abortion, it is necessary to wait until the uterus returns to its normal size (4-6 weeks) to avoid the risk of perforation of the uterus and/or expulsion of the IUD.

Checkup

It is necessary for the doctor to perform the first control examination after the first menstruation after inserting the IUD. After that, check-ups are done every six or twelve months.

Removing the IUD

It is best to do it during the menstrual cycle, as the cervix is slightly dilated. After inserting a speculum to view the cervix and clamping it, gently and gradually pull the thread until the IUD is fully removed.

Precautions when inserting the IUD

Before inserting the IUD, it is necessary to have a gynecological examination. The IUD must be inserted by a doctor's prescription and by a doctor. Sexual intercourse is not recommended during the first 5-6 days after insertion of the IUD. During these days, it is recommended to use pads instead of tampons.

Menstruation

During the first periods after the introduction of the IUD, bleeding may increase or last longer than usual. Occasional bleeding may occur between two cycles. It is not appropriate to use a tampon during menstruation. If it is still used, care must be taken when removing it so as not to pull the IUD threads.

Risks

No change in the functional efficiency of the product has been observed in practice.

Drug interactions

No change in the functional efficiency of the product has been observed in practice.

UNWANTED REACTIONS

Pelvic inflammatory disease / Bleeding: reaches a maximum level during the first month of insertion of the IUD, after which it begins to decrease. If necessary, remove the mascara;

Discard: during the first cycle after insertion, it is necessary to do an ultrasound examination to control the position of the IUD. If the IUD is discarded, bleeding and/or pain may be present;

Perforation: if there is a risk of perforation of the wall or cervix, remove the IUD immediately;

Pregnancy: If pregnancy is detected, the IUD should be removed before the end of the third month of pregnancy. In this case, it has not been proven that the spiral can cause congenital deformities of the fetus.

Patient information

It is important for the patient to read these instructions for use in order to understand the benefits and risks of using the IUD. The patient must be informed and consent prior to insertion of the IUD.

Term of contraception:

Five years.