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VCare® Uterine Manipulator FAQs

(Frequently Asked Questions)

How do I insert the VCare® Uterine Manipulator?

Here are the VCare® insertion steps.*

  1. Grasp the anterior cervical lip with an Allis clamp or similar instrument.
  2. Sound the uterus. Graduation markings on VCare® can be used as a guide to ensure proper depth during insertion.
  3. If necessary, dilate the cervix to accommodate the 5 mm (0.2 in) diameter of the manipulator tube.
  4. Before insertion, lubricate intrauterine balloon and tip with a sterile surgical lubricant.
  5. Carefully insert the distal tip of VCare® through the Cervical Os until the intrauterine balloon reaches the desired position. For retroverted uteri, rotate VCare® 180° (tip facing downward) prior to insertion. To antevert the uterus, rotate VCare® 180° to the upright position.
  6. Remove the clamp from the cervix.
  7. Stabilize the external end of VCare® to prevent accidental dislodging or forward movement of the device until fully positioned.
  8. Attach the syringe to the Luer-lock adapter on the pilot balloon to inflate the intrauterine balloon with 7-10cc of air only.
  9. Remove the syringe to prevent spontaneous deflation of the balloon by backward pressure.
  10. Slide the green cervical cup forward until the outer edges surround the vaginal fornix.
  11. Slide the blue vaginal cup forward until it sits flush against the cervical cup and is properly positioned within the vaginal wall to maintain pneumoperitoneum.
  12. Slide lock towards the vaginal cup and secure in place by turning thumbscrew clockwise until tight.
  13. Apply gentle traction to the manipulator to check that VCare® is secured within the uterine cavity.
  14. Proceed with manipulation

What if my patient is in-between cervical cup sizes?

It is better to size up in cervical cup if desired size is unavailable.

Can I inflate the Intrauterine Balloon with saline?

No, the Intrauterine Balloon can only be inflated with 7-10cc of air.

Can VCare® be used to extract the uterus after colpotomy is made?

VCare® is not indicated for uterine extraction. However, you can use the Anchor TRS-TV-25 Bag to retrieve the uterus.

What can VCare® Dx be used for?

VCare® Dx can be used for tubal ligation, supracervical hysterectomy, diagnostic laparoscopy, and tubal occlusion.

Is use of energy okay on the cervical cup?

Yes, the cervical cup is compatible with all energy modalities. If ultrasonic energy is used, continuous energy contact shall not exceed more than 3 seconds at a time to maintain integrity of the cervical cup.

* Refer to Instructions for Use for more information