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Pelvic Cavity Evaluation
Evaluating Pelvic Lateral Fossa and Posterior Surface of the Ovaries
Diagnostic and Operative Laparoscopy with R-Med® Mini-Retractor

Product Link: R-Med® Mini-Retractor

INTENDED USE:

R-Med® Mini-Retractor is a single use product supplied sterile. This device is used during laparoscopy or under direct visualization. It has a sharp end. Precaution is advised to prevent self inflicted needle wounds. It has an ambidextrous locking mechanism that can be activated by twisting the thumb. Under direct visualization, insert the needle to the abdominal wall. When the tip of needle is visualized, lock the retractor by pushing the plunger and twist the thumb. The J hook will be fully extended and ready to use. To unlock, reverse the order of the steps to this maneuver. The curved end of the needle gives easy access to tissue and augments visualization.

CONTRAINDICATIONS:

This device is not intended for use when endoscopic techniques are contraindicated or needle penetration is not visualized.

WARNING:

This device is not a trocar sleeve. Extreme caution is recommended and when in abdominal cavity the retractor should be in locked position. Refer to endoscopy labeling.
Read all instructions prior to using device.
This device is used in diagnostic or operative laparoscopy.

R-Med(R) Mini-Retractor

R-Med® Mini-Retractor
R-Med(R) Mini-Retractor in Locked Position

Locked Position: To lock hook, push plunger and twist thumb

DIAGNOSTIC LAPAROSCOPY:

A.) Assisting visualization of the posterior surface ofovaries, tubes and lateral pelvic wall by elevating and displacing them. To elevate filmy adhesions so intended organs posterior surface can be visualized through the scope.(See Fig. 1, 2 and 3).
B.) Assisting full diagnostic evaluation and determining the most feasible ancillary trocar placement sides.
C.) Assisting for cauterization or dissection of adhesions by elevating and displacing them.(See Fig. 4, 5 and 6).
D.) It can be inserted to multiple sides of the abdomen with minimal penetration trauma.
E.) Assists full diagnostic evaluation of pelvic organs.


DIRECTIONS:
  1. Abdominal wall or surgical field should already be prepared and scope has been inserted after abdominal insulation.
  2. Open package and remove R-Med® Mini-Retractor in sterile fashion.
  3. Remove protective cap from tip of needle.
  4. Test for proper function of instrument by pushing plunger several times and visualize the performed J hook. Lock the plunger and make sure that the hook is in full shape. Unlock the plunger and the hook should be completely retracted. If parts do not move easily, discard the unit.
  5. Under laparoscopic visualization, pass needle nearest side of the intended area attention paid to abdominal wall vasculator.
  6. When tip of needle is visualized, push plunger to the end of stroke and twist thumb to lock J hook out of the needle.
  7. Perform the diagnostic procedure.
  8. To visualize other sides repeat steps 5 to 8.
  9. Upon completion of endoscopic procedure, dispose of R-Med® Mini-Retractor in accordance with local regulations.

A) Assisting visualization ofthe posterior surface of ovaries.

Fig 1: Normal Looking Ovary
 Fig 2
 Fig 3: Endiometric Lesions
Fig. 1
Normal looking ovary
Fig. 2
Fig. 3
Endiometric lesions

B) Assisting for cauterization or dissection of adhesions.

Fig 4
 Fig 5
 Fig 6
Fig. 4
Fig. 5
Fig. 6

 
R-Med, Inc is a member of the following organizations:

AAGL		 American Association of Office Endoscopy, Inc.
AAOE		 The Society of Laparoendoscopic Surgeons
AHS		 The American Hernia Society, Inc.
SLS
Information provided here is Copyright © R-Med, Inc.
R-MED, INC., P.O. BOX 167636, OREGON, OH 43616-7636
U.S.A.
rmed@rmed.com