Bard Ajust Helical Gebrauchsanweisung Seite 5

10. Gently pull on the adjusting tab to adjust the suburethral sling. To aid in adjustment, insert a finger vaginally to stabilize
the adjustable anchor at the obturator internus muscle. The sling can also be loosened by using gentle counter-traction
on the suburethral sling on the adjustable side of the sling implant. A thin, blunt instrument (such as a hemostat) between
the urethra and the suburethral sling may be used as a spacer to aid in setting the appropriate tension. A cough or Créde
test can also be employed to achieve the appropriate tension. The midline indicator should be visible at the patient's
midline, no more than 1 cm away from the urethra in either direction.
11. Once proper tensioning is achieved, insert the flexible stylet into the adjusting tab opening and slide it up the adjustment
mesh to push the sling lock into place at the adjustable anchor (Refer to Figure 5). When properly seated, the flexible
stylet will bow, signifying that the sling lock is in the proper location and the sling implant has been secured.
nOTE: Once the sling is locked, additional tightening can be achieved using the adjusting tab. Once desired tension has been
achieved, repeat the above step for securing the sling.
12. Remove the flexible stylet after final securement of the sling implant.
13. Insert Metzenbaum scissors into the incision and trim the excess adjustment mesh lateral to the urethra at the level of the
anterior sulcus. Close the vaginal incision using suture.
sTORAgE
Store at ambient temperature. Do not use the device past the last day of the labeled month of the expiration date. Upon receipt
of shipment, ensure that the packaging is not open or damaged and retains its sealed integrity. Do not use the device if the
integrity of the packaging appears compromised.
inQUiRiEs
For additional information, to place an order, or to report adverse events experienced in the US, contact C. R. Bard, Inc.,
Customer Service at 1-800-526-4455. For additional information, to place an order, or to report adverse events experienced in
European markets, contact Bard Limited at +44 1293 527 888.
Bard and Ajust are trademarks and/or registered trademark of C. R. Bard, Inc.
Copyright© 2011 C. R. Bard, Inc. All Rights Reserved.
Figure 5: Deployment of the mesh lock using the stylet
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