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Instructions for use
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Safety and simplicity. Every step of the way.

Prepare ExEm® Foam according to the instructions for use

Place catheter on syringe and insert a small amount of foam into the catheter to expel air

Place the side opening speculum, then the catheter into the cervix

Remove speculum and place TVUS transducer under the catheter

Infuse 1ml foam; check access to uterine cavity

 

Confirm adequate placement of the catheter, then gently infuse 2-3ml to fill the tubes

Start longitudinally, spot fundus

Rotate to transverse plane. Spot intramural of right tube

Continue to distal. Look for flow secondary. Look for spillage of foam intra-abdominally

Repeat at left side (be prepared for a winding tube)

 

Remove the probe and catheter
Learn more about ExEm® Foam
Give your patients with known or suspected infertility the option of an innovative and gentle tubal patency assessment.
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Here's what patients and doctors say

Over a half-million patients around the world have experienced a tubal patency procedure with ExEm Foam.
Here is some of their feedback:

❝
❝Trying to conceive brings enough insecurities. Having the doctor explain the test results and discuss the next step in my fertility journey straight away, gave me clarity and reduced anxiety❞.
_PATIENT TESTIMONIAL
❝Trying to conceive brings enough insecurities. Having the doctor explain the test results and discuss the next step in my fertility journey straight away, gave me clarity and reduced anxiety❞.
_PATIENT TESTIMONIAL
❝Trying to conceive brings enough insecurities. Having the doctor explain the test results and discuss the next step in my fertility journey straight away, gave me clarity and reduced anxiety❞.
_PATIENT TESTIMONIAL
☰
The ExEm® Foam Kit is a procedure pack consisting of CE marked components (medical devices ExEm® Gel, ExEm® Water and Combifix® Adapter). With the ExEm® Foam Kit, a foam can be created for Hysterosalpingo Sonography.
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Contact Information:
IQ Medical Ventures
Giskit MD B.V.
Veerkade 5F
3016DE Rotterdam
Netherlands
Office +31 102619100
Important Safety Information:
The ExEm® Foam Kit is intended for use by medical professionals skilled in ultrasound tubal patency testing. The ExEm® Foam Kit is intended for single use only.
Contraindications
• Do not use the gel foam during pregnancy.
• Do not use the gel foam if the patient may be pregnant.
• Do not use the gel foam between ovulation and menstruation.
• Do not use the gel foam in the presence of active pelvic infection, sexually transmitted diseases and profuse bleeding.
• Do not use the gel foam in case of allergy to any of the constituents of ExEm® Gel (hydroxyethylcellulose, glycerol and purified water).
READ MORE
Precautions and warnings:
• The ExEm® Foam Kit should be considered as contaminated medical waste after use.
• Do not use if package has been previously opened or damaged.
• This device is intended for single use only. Any foam not used in one examination session must be discarded.
• Do not reuse, re-sterilize or autoclave. Reuse of single use devices creates a potential risk of patient or user infections. Contamination of the device may lead to injury, illness or death of the patient. Cleaning, disinfection and sterilization may compromise essential material and design characteristics leading to device failure. The manufacturer will not be responsible for any direct, incidental or consequential damages resulting from re-sterilization or reuse.
• Do not use the ExEm® Foam Kit after the expiry date of the ExEm® Gel, the ExEm® Water, the coupling device and/or the GIS catheter.
• Do not use the ExEm® Gel and the ExEm® Water separately for Hysterosalpingo Sonography.
• The ExEm® Gel and the ExEm® Water are not to be used for injections.click here for instructions for use, including the Contraindications and Warnings.
Note: Some patients may experience painful uterine contractions, vasovagal reaction, abdominal pain, fluid loss or spotting. These symptoms are well known and related to all intra-uterine and tubal patency testing procedures. Pain treatment should be according to local protocol.

References:
1. Ludwin I., Ludwin, A. et al. Accuracy of hysterosalpingo-foam sonography in comparison to hysterosalpingo-contrast sonography with air/saline and to laparoscopy with dye. Human Reproduction 2017, 32(4):758–69 / 2. Riganelli L., Casorelli A. et al. Ultrasonography reappraisal of tubal patency in assisted reproduction technology patients: comparison between 2D and3D-sonohysterosalpingography. A pilot study. Minerva Ginecologica 2018, 70(2):123-28 / 3. Dreyer, K., Out, R. et al. Hysterosalpingo-foam sonography, a less painful procedure for tubal patency testing during fertility workup compared with (serial) hysterosalpingography: A randomized controlled trial. Fertility and Sterility 2014, 102(3):821-25