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Uterine Explora
5. Gently insert curette up to the yellow collar. (If cervical canal is very dry, apply a small amount
of sterile water-soluble gel to the distal end of the curette.) Remove the stylet. Release traction
on the tenaculum.
6. Remove cap on syringe. Depress plunger to the bottom of the syringe barrel (this is the starting
position of the syringe when attached to the curette). Attach syringe to curette by twisting.
7. Withdraw plunger to desired level of negative pressure. Be careful not to twist plunger until ready
to lock into position. Hold plunger as illustrated in Figure A to maintain suction. Use the following
values as a guideline:
6 cc (ml) gives you 15 in. (38.1 cm) H
9 cc (ml) gives you 18 in. (45.7 cm) H
12 cc (ml) gives you 20 in. (50.8 cm) H
8. To lock plunger in place: grasp plunger close to barrel, as shown in Figure B. Twist plunger
clockwise (to the right) 1/4 of a turn until you feel it catch. This locks plunger in place to
maintain negative pressure throughout the procedure (test to be sure it is secure). You now have
one-hand control of curette/syringe.
9. Use long slow strokes to sample the four quadrants of the endometrium. For endometrial
dating, one or two swipes are usually sufficient.
10. Should the syringe fill with tissue and/or blood and you need additional negative pressure,
disconnect syringe from curette, leaving the curette in the uterine cavity. Unlock syringe by
twisting plunger to the left (counter-clockwise) 1/4 turn. Empty contents of syringe into collection
jar containing fixative. Now reattach syringe to curette as directed in Steps 6 and 7.
NOTE: This avoids the need to reintroduce this or a second Explora
WARNING: Never introduce an instrument that has been exposed to fixative into the uterus.
11. When you have completed the curettage, withdraw the curette from uterus. Hold over container
of fixative. To expel tissue, twist plunger to the left (counter-clockwise) to unlock plunger. Expel
tissue from curette into container of formalin or other acceptable fixative. Measure distance from
yellow collar to distal (entering) end of curette. Enter this measurement into
patient's chart.
12. After the procedure is completed, cut distal end of curette (approximately 1 in. [2.5 cm]; see
Figure C) and drop into container of fixative to be included with tissue expressed. See
Figure D. (There may be residual tissue that pathologists would like to have available in this
portion of the curette.)
13. Withdraw fixative into curette and syringe and flush into specimen container. This will wash
through any tissue that may have lodged in syringe or curette.
14. Allow patient to remain in prone position on examining table for about 10-15 minutes.
NOTE: Fill specimen container with fixative. Endometrial tissue is very hygroscopic and
should be placed in fixative at least 10 times its volume to maintain tissue in satisfactory
condition for pathologist.
Inadequate tissue collection may occur in the presence of large uterine polyps or fibroids, an
enlarged uterine cavity and/or an atrophic endometrium.
EXPLANATION OF SYMBOLS
Reorder Number
REF
LOT
Batch Code
Use-by date
Caution
Do not use if package
is damaged.
Marks bearing ™ are trademarks of CooperSurgical, Inc.
© 2017 CooperSurgical, Inc.
™
Curette • Model I - Instructions for Use • English
O negative pressure (approximate)
2
O negative pressure (approximate)
2
O negative pressure (approximate)
2
Consult Instructions
for Use
2
Do not re-use
Authorized Representative
EC REP
in the European Community.
into the same patient.
™
STERILE EO
2
(Continued)
A.
B.
TWIST TO
LOCK
PLUNGER
C.
D.
LATEX
Not made with
natural rubber latex.
Product conforms to the Medical
Device Directive 93/42/EEC
Sterilized using
Ethylene Oxide
Manufacturer
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