aspirators uterine.pdf

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 5200 Butler Pike, Plymouth Meeting, PA 19462-1298, USA  Tel +1 (610) 825-6000  Fax +1 (610) 834-1275  Web www.ecri.org  E-mail [email protected] UMDNS Information This Product Comparison covers the following device term and product code as listed in ECRI Institute’s Universal Medical Device Nomenclature System™ (UMDNS™):    Aspirators, Uterine [10-222] Aspirators Uterine Scope of this Product Comparison This Product Comparison covers line-powered uterine aspirators. Attachments and disposables used with these aspirators (e.g., gauze sacks, curet handles, dilators) and endometrial sampling kits ha ve been excluded. These devices are also called:  curettage vacuums. For more information on aspirators, see the following Product Comparisons:  ASPIRATORS, EMERGENCY  ASPIRATORS, SURGICAL  ASPIRATORS, THORACIC Purpose Uterine aspirators provide constant high-vacuum suction (at least 400 mm Hg) and high flow through a fine curet to evacuate fluid and tissue from the uterus. Uterine aspiration is used primarily for dilation and evacuation (D & E) therapy for terminating early pregnancies (up to 12 weeks), treatment of incomplete spontaneous abortions, and removal of retained afterbirth. Aspiration is also used in diagnostic dilation and curettage (D & C) procedures in hospitals and in endometrial  biopsy procedures in physician offices to remove the outermost layers of the endometriu m (uterus lining) so that further microscopic examination can be performed. Principles of operation A basic uterine aspirator consists of a vacuum pump, a vacuum regulator and gauge, vacuum curets, a curet handle, two collection bottles, and an optional bacterial filter. Plastic tubing connects these components, completing an open- ended system that continuously draws tissue and fluid from the patient’s uterus into the collection bottles. The gauge allows the user to set a safe limit for suctioning, to assess the performance of the vacuum pump, and to detect leaks or blockages. Units are either portable or mounted on a stand or cart for mobility. Vacuum pumps A single or do uble vacuum pump creates suction within the system. Double-pump systems operate in synchrony, with bot h pumps contributing to the suctioning capacity and increasing the airflow. The three types of pumps used in uterine aspirators are rotary vane, diaphragm, and cylinder piston. In a rotary-vane pump, a rotor is mounted off-center in relation to Comprehensive of Biomedical Engineering Site (www.dezmed.com)     W     W     W  .     D     E     Z     M     E     D  .      C      O     M

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Page 1: Aspirators uterine.PDF

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5200 Butler Pike, Plymouth Meeting, PA 19462-1298, USA  Tel +1 (610) 825-6000  Fax +1 (610) 834-1275  Web www.ecri.org  E-mail [email protected]

UMDNS Information

This Product Comparison covers the followingdevice term and product code as listed inECRI Institute’s Universal Medical DeviceNomenclature System™ (UMDNS™): 

  Aspirators, Uterine [10-222]

Aspirators Uterine

Scope of this Product Comparison

This Product Comparison covers line-powered uterine aspirators. Attachments and disposables used with

these aspirators (e.g., gauze sacks, curet handles, dilators) and endometrial sampling kits have been excluded.

These devices are also called: curettage vacuums.

For more information on aspirators, see the following Product Comparisons:

  ASPIRATORS, EMERGENCY 

  ASPIRATORS, SURGICAL 

  ASPIRATORS, THORACIC 

Purpose

Uterine aspirators provide constant high-vacuum suction (at least 400 mm Hg) and high flow through a fine

curet to evacuate fluid and tissue from the uterus. Uterine aspiration is used primarily for dilation and evacuation

(D & E) therapy for terminating early pregnancies (up to 12 weeks), treatment of incomplete spontaneous

abortions, and removal of retained afterbirth.

Aspiration is also used in diagnostic dilation and curettage (D & C) procedures in hospitals and in endometrial biopsy procedures in physician offices to remove the outermost layers of the endometrium (uterus lining) so that

further microscopic examination can be performed.

Principles of operation

A basic uterine aspirator consists of a vacuum pump, a vacuum regulator and gauge, vacuum curets, a curet

handle, two collection bottles, and an optional bacterial filter. Plastic tubing connects these components,

completing an open-ended system that continuously draws tissue and fluid from the patient’s uterus into the

collection bottles. The gauge allows the user to set a safe limit for suctioning, to assess the performance of the

vacuum pump, and to detect leaks or blockages. Units are either portable or mounted on a stand or cart for

mobility.

Vacuum pumps

A single or double vacuum pump creates suction within the system.

Double-pump systems operate in synchrony, with both pumps

contributing to the suctioning capacity and increasing the airflow. The

three types of pumps used in uterine aspirators are rotary vane,

diaphragm, and cylinder piston.

In a rotary-vane pump, a rotor is mounted off-center in relation to

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2 ©2007 ECRI Institute. All Rights Reserved.

Figure 1. Rotary-vane pump

the inside diameter of the pump housing (see Figure 1).

As the rotor turns, sliding vanes that fit into notches in

the rotor follow the contour of the housing. Air that is

trapped between a set of vanes is compressed and

expelled through the pressure outlet. As rotation

continues, the space between the vanes expands, and the

pressure of the air trapped between the vanes drops,

creating suction. Several rotary-vane models use graphite

vanes because of the friction between the vanes and the

chamber wall and the need to achieve airtight contact.

In a diaphragm pump, a mechanical drive flexes a

rubber diaphragm back and forth in a chamber,

alternately increasing and decreasing the chamber

volume (see Figure 2). As the chamber volume decreases,

air is compressed and directed out through the one-way exhaust valve; as it increases, a vacuum draws air into

the one-way intake valve.

Uterine aspirators that use cylinder pistons to create suction operate similarly to diaphragm pumps; however,

the pistons slide in a reciprocating motion within the pump cylinder to alternately increase and decrease chamber

volume and pressure. One-way valves respond to pressure differences to draw air from the patient end of the

tubing.

Vacuum curets

Uterine aspirators apply suction to the patient’s uterus through vacuum curets that are available in various

types, sizes, and tip designs. Rigid curets are made of plastic or metal (stainless steel or chrome plated) and are

either curved or straight (a curved shaft reduces the risk of perforating the uterus). Semirigid and flexible curets

are made of nylon or plastic. Plastic curets are often transparent to allow maximum visibility during suctioning. A

stylet can be placed inside a flexible curet to give it rigidity during insertion. Many manufacturers can also

custom-design curets for specialized procedures.Most curets are 15 to 31 cm (6 to 12 in) in length and 2 to 16 mm (0.078 to 0.63 in) in outer diameter. In some

uterine aspirators, the outer diameter of the curet varies within a specified range based on whether the curet is

rigid, semirigid, or flexible. The type of curet used

depends on the procedure, the size of the patient’s

cervix, and the type of material being aspirated.

Most curets have a single opening located at the top

or on the side of the shaft to allow the passage of

aspirate from the patient; some curets have a dual-

sided opening, while others have two separate

openings. Regardless of the type and size, all curets

have a tapered base that fits into a dedicatedhandle/hose assembly, which swivels to allow free

movement within the uterus during aspiration. In

addition to being controlled by the regulator, suction

can also be controlled through the use of a footswitch,

use of an on/off switch in the handle/hose assembly, or

placement of a finger over holes in the shaft of the curet

to increase suctioning power.

Figure 2. Diaphragm pump

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  Aspirators, Uterine

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Collection bottles

Aspirate from the curet passes through the tubing and into the collection bottle. Most manufacturers have

moved away from use of reusable glass collection containers toward use of plastic disposable units, which save

cleaning time and prevent cross-contamination among patients and hospital personnel. If the aspirator utilizes a

glass bottle, it must be emptied, cleaned, and sterilized after use on each patient.

When large volumes of tissue and fluid are removed from the uterus, aspirate can collect within the bottles

quickly. As a result, most uterine aspirators use two collection bottles connected in series. The bottle closest to the

curet collects aspirate primarily for later microscopic examination or disposal. Gauze sacks can be attached within

this bottle to collect the specimens. The second bottle, called a “trap,” collects the overflow from the first bottle,

allowing the operator to postpone emptying it in response to the rising level of aspirate.

Most uterine aspirators have an overflow-protection assembly in

the cap of the second bottle to prevent large amounts of fluid from

overflowing into the pump and valves. Some units feature a third

 bottle to collect overflow. Most uterine aspirators use a float

mechanism as overflow protection. As aspirate collects in the

second bottle, a ball or other mechanical device floats to the top,

covering the opening leading to the suction source and cutting off

suction, thereby alerting the user that the collection bottle is full.

This overflow mechanism cannot be totally relied upon to prevent

pump contamination; often, some fluid passes through the tubing

to the pump before the float blocks the opening. As a result, most

aspirators also include a disposable in-line hydrophobic filter

 between the trap bottle and the pump. This filter prevents fluid or

aerosol contaminants from flowing back into the vacuum pump; it

can be reused several times, provided that no overflow has

occurred. Although most units have these overflow-protection

features, the user should check the collection bottles frequently and

not allow them to fill above the caution line.In some systems, a special filter/specimen container fitted

 between the curet handle and the hose leading to the collection

 bottle is used in place of a gauze sack to collect uterine samples for

microscopic examination. This container has a filter to trap solid aspirate (tissue fragments) yet allows fluid to

pass through the tubing and into the collection bottle. When an adequate sample has been obtained, the container

is removed and capped.

Reported problems

Perforation, hemorrhage, or infection of the uterus from aspiration can result in unanticipated surgery.

Perforations of the uterine wall—such as those caused by overinserting a curet or applying too much vacuum to

increase the airflow—are rare when trained personnel aspirate the patient and when an appropriately sized curet

is used. In addition, curets can rupture an artery, a vein, or a capillary, causing hemorrhaging. Unsterilized curets

can introduce pathogens into the uterus, thereby producing infections that complicate the recovery process.

Bacterial endometritis, a common inflammatory condition, can occur following aspiration. Failed abortion can

result if improper aspiration techniques are used or if the curet is too small.

Factors affecting pump operation can also alter aspiration. Aspirate that overflows beyond the second bottle

and filter can enter the pump and clog the valves; a clogged pump can jam and be difficult to restart. A pump

containing aspirated fluid can also be a source of contamination.

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4 ©2007 ECRI Institute. All Rights Reserved.

Purchase considerations

ECRI Institute recommendations

Included in the accompanying comparison chart are ECRI Institute’s recommendations for minimum

performance requirements for uterine aspirators. Units should have an adjustable vacuum range with at least a

400 mm Hg maximum vacuum level and a flow rate higher than 30 L/min at maximum vacuum, as well as some

type of vacuum-level regulator. Vacuum level should be displayed in mm Hg. Collection canisters should hold at

least 1.5 L of liquid and have overflow protection or another anticontamination mechanism. Because uterine

aspirators are used in potentially wet environments, they should be impervious to fluid spills. Manufacturers

should specify methods to clean and disinfect units.

Other considerations

The aspirator should be easy and intuitive to turn on, adjust, and operate. Emptying and exchanging reusable

canisters should be uncomplicated and without significant risk of instrument or operator contamination.

Discarding disposable canisters and their contents should be easy, with minimal risk of spills or contamination.

Some manufacturers offer disposable collection containers. The cost of disposables should be weighed againstthe cost, time, and infection risks associated with the disinfection of reusables. Most units with disposable

containers can accept alternative manufacturers’ containers. These standard containers may be more convenient

to order and offer the user a choice of suppliers. However, installed filters supplied with the canisters will differ;

some may severely limit airflow rates.

Some manufacturers have incorporated higher suction rates so that their units can also be used to perform

general-purpose suction. Some units are also being used for liposuction procedures.

Cost containment

Because uterine aspirators entail ongoing operational costs, the initial acquisition cost does not accurately

reflect the total cost of ownership. Therefore, a purchase decision should be based on issues such as life-cycle cost

(LCC), discount rates and non-price-related benefits offered by the supplier, and standardization with existingequipment in the department or hospital (i.e., purchasing all aspirators and/or collection containers from one

supplier).

An LCC analysis can be used to compare high-cost alternatives and/or to determine the positive or negative

economic value of a single alternative. Because it examines the cash-flow impact of initial acquisition costs and

operating costs over a period of time, LCC analysis is most useful for comparing alternatives with different cash

flows and for revealing the total costs of equipment ownership. One LCC technique—present value (PV)

analysis—is especially useful because it accounts for inflation and for the time value of money (i.e., money

received today is worth more than money received at a later date). Conducting a PV/LCC analysis often

demonstrates that the cost of ownership includes more than just the initial acquisition cost and that a small

increase in initial acquisition cost may produce significant savings in long-term operating costs. The PV is

calculated using the annual cash outflow, the dollar discount factor (the cost of capital), and the lifetime of theequipment (in years) in a mathematical equation.

The following represents a sample seven-year PV/LCC analysis for a uterine aspirator.

Present Value/Li fe-Cycle Cost An alysis

 Assumptions

  Operating costs are considered for years 1 through 7.

  Dollar discount factor is 5%.

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  400 procedures are performed per year with single-use disposable collection containers, PVC

(polyvinyl chloride) tubing, and Yankauer tips.

Capital Costs

  Aspirator with charger = $2,000

Total Capital Costs = $2,000

Operating Costs

  Disposable collection containers = $3,200/year

  Disposable PVC tubing = $2,400/year

  Disposable Yankauer catheters = $400/year

Total Operating Costs = $6,000/year

PV = ($39,148)

Other costs not included in the above analysis that should be considered for budgetary planning include those

associated with the following:

  Other disposables and accessories, such as bacterial filters, as well as optional accessories  Contributions to overhead

As illustrated by the above sample PV/LCC analysis, the initial acquisition cost is only a fraction of the total

cost of operation over seven years. Therefore, rather than making a purchase decision based solely on the

acquisition cost of a uterine aspirator, buyers should consider operating costs over the lifetime of the equipment.

Prices for disposable tubing and catheters vary greatly depending on a number of factors, including type, size,

material, and manufacturer, as well as bulk-rate discounts. Many of these disposables can be used with a number

of manufacturers’ uterine aspirators. Disposables are usually more relevant to an LCC analysis for aspirators than

is the device itself—many device models can be used with various manufacturers’ disposables.  

For further information on PV/LCC analysis, customized analyses, and purchase decision support, readers

should contact ECRI Institute’s SELECT™ Group. 

Stage of development

Uterine aspiration is a mature and well-accepted technology. Advancements have included improved curet

design and ultrasound guidance to facilitate clearance and reduce injury to the uterine wall.

Bibliography

ECRI. Aspirators. Health Devices Inspection and Preventive Maintenance System. Procedure no. 433.

Kaunitz AM, Rovira EZ, Grimes DA, et al. Abortions that fail. Obstet Gynecol 1985 Oct;66(4):533-7.

Lefler HT Jr, Sullivan GH, Hulka JF. Modified endometrial ablation: electrocoagulation with vasopressin and

suction curettage preparation. Obstet Gynecol 1991 Jun;77(6):949-53.Mittal S, Misra SL. Uterine perforation following medical termination of pregnancy by vacuum aspiration. Int J

Gynaecol Obstet 1985 Feb;23(1):45-50.

Scott JR, DiSaia PJ, Hammond CB, et al., eds. Danforth’s obstetrics and gynecology. 9th ed. Philadelphia: Lippincott;

2003.

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Supplier information

ACMI

ACMI Corp [403304]

136 Turnpike Rd

Southborough, MA 01772-2104

Phone: (508) 804-2600, (888) 524-7266 Fax: (262) 681-4038Internet: http://www.acmicorp.com  

E-mail: [email protected] 

ALLIED HEALTHCARE

Allied Healthcare Products Inc [105171]

1720 Sublette Ave

St Louis, MO 63110

Phone: (314) 771-2400, (800) 444-3954 Fax: (314) 771-4616, (800) 477-7701

Internet: http://www.alliedhpi.com  

ANAND

Anand Medicaids Pvt Ltd [287761]

16 Road No 33 Punjabi Bagh (Extension)

New Delhi 110 026

India

Phone: 91 (11) 5160025 Fax: 91 (11) 5451062

Internet: http://www.anandind.com  

E-mail: [email protected] 

ATLAS

Atlas Surgical Co [177269]

4/109 Pardhan Marg Nirankari Colony

New Delhi 110 009

India

Phone: 91 (11) 7215458 Fax: 91 (11) 7141952Internet: http://www.sahaj.com 

E-mail: [email protected] 

ATMOS

ATMOS Medica SL [439522]

Calle Torrent d’en Pregaria 27 

Mataro (Barcelona) E-08304

Spain

Phone: 34 (90) 2193580 Fax: 34 (93) 7573283

Internet: http://www.atmosmed.es  

E-mail: [email protected] 

ATMOS MedizinTechnik GmbH & Co KG [152463]Ludwig-Kegel-Strasse 16

Lenzkirch D-79853

Germany

Phone: 49 (7653) 6890 Fax: 49 (7653) 689190

Internet: http://www.atmosmed.de  

E-mail: [email protected] 

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Phone: (510) 732-9950, (800) 633-8423 Fax: (510) 785-8182

Internet: http://www.mdresource.com  

E-mail: [email protected]  

MGE WORLDWIDE

MG Electric (Colchester) Ltd [151092]

Wyncolls RoadColchester CO4 4HT

England

Phone: 44 (1206) 842244 Fax: 44 (1206) 845849

Internet: http://www.mgeworldwide.com  

E-mail: [email protected]  

NOUVAG

Nouvag AG [170072]

St Gallerstrasse 23-25

Goldach CH-9403

Switzerland

Phone: 41 (71) 8466600 Fax: 41 (71) 8453536

Internet: http://www.nouvag.com E-mail: [email protected] 

Electronic Services Nouvag USA [226127]

18058 Albyn Ct

Lake Hughes, CA 93532

Phone: (661) 724-0217, (800) 673-7427 Fax: (661) 724-1590

Internet: http://www.nouvag.com 

E-mail: [email protected] 

SAMED

Samed Elettromedicali srl [187040]

strada Provinciale 181 N 1/B

Merlino LO I-26833

Italy

Phone: 39 (02) 90658787 Fax: 39 (02) 90658795

Internet: http://www.samedelettromedicali.com  

E-mail: [email protected] 

WELLS JOHNSON

Wells Johnson Co [101872]

8000 S Kolb Rd

Tucson, AZ 85706-9104

Phone: (520) 298-6069, (800) 528-1597 Fax: (520) 885-1189

Internet: http://www.wellsgrp.com  

E-mail: [email protected] 

Note:  The data in the charts derive from suppliers’ specifications and have not been verified through

independent testing by ECRI Institute or any other agency. Because test methods vary, different products’

specifications are not always comparable. Moreover, products and specifications are subject to frequent changes.

ECRI Institute is not responsible for the quality or validity of the information presented or for any adverse

consequences of acting on such information.

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When reading the charts, keep in mind that, unless otherwise noted, the list price does not reflect supplier

discounts. And although we try to indicate which features and characteristics are standard and which are not,

some may be optional, at additional cost.

For those models whose prices were supplied to us in currencies other than U.S. dollars, we have also listed the

conversion to U.S. dollars to facilitate comparison among models. However, keep in mind that exchange rates change

often.

Need to know more?

For further information about the contents of this Product Comparison, contact the HPCS Hotline at +1 (610)

825-6000, ext. 5265; +1 (610) 834-1275 (fax); or [email protected] (e-mail).

Last updated May 2007

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10 ©2007 ECRI Institute. All Rights Reserved.

Policy Statement

The Healthcare Product Comparison System (HPCS) is published by ECRI Institute, a nonprofit organization.

HPCS provides comprehensive information to help healthcare professionals select and purchase diagnostic and

therapeutic capital equipment more effectively in support of improved patient care.

The information in Product Comparisons comes from a number of sources: medical and biomedical

engineering literature, correspondence and discussion with manufacturers and distributors, specifications from

product literature, and ECRI Institute’s Problem Reporting System. While these data are reviewed by qualified

health professionals, they have not been tested by ECRI Institute’s clinical and engineering personnel and are

largely unconfirmed. The Healthcare Product Comparison System and ECRI Institute are not responsible for the

quality or validity of information derived from outside sources or for any adverse consequences of acting on such

information.

The appearance or listing of any item, or the use of a photograph thereof, in the Healthcare Product Comparison

System does not constitute the endorsement or approval of the product’s quality, performance, or value, or of

claims made for it by the manufacturer. The information and photographs published in Product Comparisons

appear at no charge to manufacturers.

Many of the words or model descriptions appearing in the Healthcare Product Comparison System are

proprietary names (e.g., trademarks), even though no reference to this fact may be made. The appearance of any

name without designation as proprietary should not be regarded as a representation that is not the subject of

proprietary rights.

ECRI Institute respects and is impartial to all ethical medical device companies and practices. The Healthcare

Product Comparison System accepts no advertising and has no obligations to any commercial interests. ECRI

Institute and its employees accept no royalties, gifts, finder’s fees, or commissions from the medical device

industry, nor do they own stock in medical device companies. Employees engage in no private consulting work

for the medical device industry.

About ECRI Institute

ECRI Institute, a nonprofit organization, dedicates itself to bringing the discipline of applied scientific research

in healthcare to uncover the best approaches to improving patient care. As pioneers in this science for nearly 40

years, ECRI Institute marries experience and independence with the objectivity of evidence-based research.

More than 5,000 healthcare organizations worldwide rely on ECRI Institute’s expertise in patient safety

improvement, risk and quality management, healthcare processes, devices, procedures, and drug technology.

ECRI Institute is one of only a handful of organizations designated as both a Collaborating Center of the World

Health Organization and an Evidence-based Practice Center by the U.S. Agency for Healthcare Research and

Quality. For more information, visit http://www.ecri.org. 

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Product Comparison Chart

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Product Comparison Chart

MODEL ECRI INSTITUTE'SRECOMMENDEDSPECIFICATIONS1 

ACMI ALLIED HEALTHCARE ALLIED HEALTHCARE

Uterine Aspirators Berkeley VC-10 Gomco 3830 Gomco 4072

WHERE MARKETED Worldwide Worldwide WorldwideFDA CLEARANCE Yes Yes YesCE MARK (MDD) No No NoCONFIGURATION Mobile Mobile MobileSUCTION SYSTEM TYPE Double-diaphragm pump Single-diaphragm pump Double rotary-vane pump,

oil-freeVACUUM RANGE, mm Hg Maximum level should

reach at least 4000-730 0-635 0-635

Flow, L/min >30 Not specified 30 30Gauge, units mm Hg cm Hg mm Hg, in Hg mm Hg, in HgRegulating valve Yes Yes Yes Yes

TUBINGInternal diameter, mm(in)

9.53 (0.38), 12.7 (0.5) 12.7 (0.5) 12.7 (0.5)

Length, m (ft) 1.8 (6), 2.7 (9) 1.8 (6) 1.8 (6)CURETS, type Plastic Chrome plated Chrome plated

Rigid Curved, straight Yes YesLength, cm (in) 19.1 (7.5) 24.8 (9.8) 24.8 (9.8)Outer diameter, mm 7-12 (1 mm steps), 14, 16 6, 9, 11, 13 6, 9, 11, 13Shaft design Curved, straight Curved Curved

Flexible F-tip design No NoLength, cm (in) 27.9 (11) NA NAOuter diameter, mm 4-8, 1 mm steps NA NA

Others None None NoneCOLLECTION BOTTLE(S)Number 2 2 2Capacity, mL 1,500 (1.5 L) 1,200 (plastic); unit can

accommodate glass bottles600 600

Trap bottle, mL 155 600 600Overflow protection Required, hydrophobic filter

preferred Automatic cutoff, in-linefilter, 2 safety traps

 Automatic cutoff Automatic cutoff, in-line filter

Disposable bottles Yes Optional OptionalLINE POWER, VAC 115/230 115/230 115/230

H x W x D, cm (in) 96.5 x 46.5 x 63.5 (38 x18.3 x 25)

81.3 x 50.8 x 38.1 (32 x 20x 15)

83.8 x 45.7 x 43.2 (33 x 18x 17)

WEIGHT, kg (lb) 59.9 (110) 61.2 (135) 34.5 (76)PURCHASEINFORMATIONList price $6,500 $3,255, with curets $2,982, with curetsWarranty 1 year preferred 1 year 1 year 1 yearFiscal year January to December July to June July to June

OTHER SPECIFICATIONS Protection from fluid spill;easy cleaning anddisinfecting methods.

Integrated front/backhandles; heavy-dutycasters; large storagecompartment; includes 10Safetouch collection sets,secondary Safetouch bottle,10 Vacurette cannulae, 5bottle-to-bottle hoses, disp

collection set, disposablefilter; optional footpedal.

Storage drawer; explosion-resistant motor (grounded).

Stainless steel top; cordstorage; nonmarkingcasters.

LAST UPDATED May 2007 June 2005 June 2005Supplier Footnotes 1These recommendations

are the opinions of ECRIInstitute's technologyexperts. ECRI Instituteassumes no liability fordecisions made based onthis data.

Model FootnotesData Footnotes

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Product Comparison Chart

MODEL ANAND ANAND ATLAS ATMOSHI-VAC MB-27 Mobile Suction Unit E-104 C401

WHERE MARKETED Worldwide Europe, Malaysia, PersianGulf, Sri Lanka

Worldwide Worldwide

FDA CLEARANCE No No No SubmittedCE MARK (MDD) Yes Yes Submitted YesCONFIGURATION Mobile, 4 casters Mobile, 2 casters Mobile, on wheels Mobile, portableSUCTION SYSTEM TYPE Rotary-vane pump Rotary-vane pump Rotary-vane pump Diaphragm pumpVACUUM RANGE, mm Hg 0-700 0-700 0-720 0-682Flow, L/min 40 28 30 40Gauge, units mm Hg mm Hg mm Hg mm Hg, kPa, barRegulating valve Yes Yes Yes Yes

TUBINGInternal diameter, mm(in)

10 (0.4) 10 (0.4) 6.35 (0.25) 6 (0.2)

Length, m (ft) 2 (6.6) 2 (6.6) 1.8 (6) 2 (6.6)CURETS, type Plastic Plastic Plastic, steel Plastic, steelRigid No No Yes YesLength, cm (in) 22 (8.7) 22 (8.7) 24.1 (9.5) 24.1 (9.5)Outer diameter, mm 6, 8, 10 6, 8, 10 7-16 7-16

Shaft design Curved Curved Not specified Curved, straightFlexible Yes Yes Yes NoLength, cm (in) Not specified Not specified 24 (9.4) NAOuter diameter, mm Not specified 12 4-12 NA

Others None specified None specified None specified None specifiedCOLLECTION BOTTLE(S)Number 2 2 2 2Capacity, mL 2,000 2,000 2,000 1,500, 3,000, 5,000Trap bottle, mL NA 250 NA 400Overflow protection Yes Yes Automatic cutoff, filter Safeguard, filtersDisposable bottles Optional Optional No Optional

LINE POWER, VAC 230, 50 Hz 230, 50 Hz Not specified 100/115/127/230H x W x D, cm (in) 50 x 38.1 x 70 (19.7 x 15 x

27.6)40 x 29 x 90 (15.8 x 11.4 x35.4)

50 x 38 x 70 (19.7 x 15 x27.6)

33 x 24 x 36 (13 x 9.4 x14.1)

WEIGHT, kg (lb) 40 (88.2) 26 (57.3) 40 (88.2) 6.3 (16), portablePURCHASEINFORMATION

List price $200 $165 $450  €1,090 (US$1,479),portable; €1,060(US$1,438), mobile

Warranty 1 year 1 year 1 year 2 yearsFiscal year  April to March April to March April to March January to December

OTHER SPECIFICATIONS None specified. None specified. Low noise; SS box. Meetsrequirements of ISO 9000;ISO 9001 certified by

 ASQR.

Meets requirements of TUV.

LAST UPDATED May 2007 May 2007 February 2004 May 2007Supplier FootnotesModel FootnotesData Footnotes

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Product Comparison Chart

MODEL BERKELEY MEDEVICES BERKELEY MEDEVICES BERKELEY MEDEVICES BERKELEY MEDEVICESSynevac GP System 20 Synevac GP System 5 Synevac System 10 Synevac System 15

WHERE MARKETED Worldwide Worldwide Worldwide WorldwideFDA CLEARANCE Yes Yes Yes YesCE MARK (MDD) Not specified Not specified Not specified Not specifiedCONFIGURATION Portable or stand mounted Mobile Mobile MobileSUCTION SYSTEM TYPE 2-cylinder pump 2-stage double-diaphragm

pump2-stage double-diaphragmpump

2-stage double-diaphragmpump

VACUUM RANGE, mm Hg 0-735 0-740 0-730 0-730Flow, L/min 45 127 127 127Gauge, units cm Hg cm Hg cm Hg cm HgRegulating valve Yes Yes Yes Yes

TUBINGInternal diameter, mm(in)

6.35 (0.25), 9.53 (0.38),12.7 (0.5)

6.35 (0.25), 9.53 (0.38),12.7 (0.5)

6.35 (0.25), 9.53 (0.38),12.7 (0.5)

6.35 (0.25), 9.53 (0.38),12.7 (0.5)

Length, m (ft) 1.8 (6), 2.4 (7.9) 1.8 (6), 2.4 (7.9) 1.8 (6), 2.4 (7.9) 1.8 (6), 2.4 (7.9)CURETS, type Plastic Plastic Plastic PlasticRigid Yes Yes Yes YesLength, cm (in) 19.1 (7.5), 24.1 (9.5) 19.1 (7.5), 24.1 (9.5) 19.1 (7.5), 24.1 (9.5) 19.1 (7.5), 24.1 (9.5)

Outer diameter, mm 7-12, 14, 16 7-12, 14, 16 7-12, 14, 16 7-12, 14, 16Shaft design Curved, straight Curved, straight Curved, straight Curved, straight

Flexible Yes Yes Yes YesLength, cm (in) 24.1 (9.5) 24.1 (9.5) 24.1 (9.5) 24.1 (9.5)Outer diameter, mm 4-8, 10, 12 4-8, 10, 12 4-8, 10, 12 4-8, 10, 12

Others Vabra 2 and 3 mm stainlesssteel, 4 mm plastic

Vabra 2 and 3 mm stainlesssteel, 4 mm plastic

Vabra 2 and 3 mm stainlesssteel, 4 mm plastic

Vabra 2 and 3 mm stainlesssteel, 4 mm plastic

COLLECTION BOTTLE(S)Number 2 2 2 2Capacity, mL 1,400 1,400 1,400 1,400Trap bottle, mL 480 480 480 480Overflow protection  Automatic cutoff, disposable

filter Automatic cutoff, disposablefilter

 Automatic cutoff, disposablefilter

 Automatic cutoff, disposablefilter

Disposable bottles Optional Optional Optional OptionalLINE POWER, VAC 115/230 115/230 115/230 115/230H x W x D, cm (in) 25.4 x 48.3 x 36.8 (10 x 19

x 14.5)

58.4 x 38.1 x 30.5 (23 x 15

x 12)

68.6 x 50.8 x 35.6 (27 x 20

x 14)

68.6 x 50.8 x 35.6 (27 x 20

x 14)WEIGHT, kg (lb) 20.4 (45) 34 (75) 42.2 (93) 48.1 (106)PURCHASEINFORMATIONList price $1,500 $2,475 $2,300 $2,525Warranty 1 year 1 year 1 year 1 yearFiscal year Not specified Not specified Not specified Not specified

OTHER SPECIFICATIONS Raised bottles; assortedsterile disposables; general-purpose pump; easily visiblecontrols; optional footswitchand roll-away stand. Tubingand curets meetrequirements of CE 0044.

Stainless steel top; raisedbottles; cabinet; pneumaticfootswitch; solenoid valve;conductive rubber casters;automatic vacuum release;assorted sterile disposables;general-purpose pump.Tubing and curets meetrequirements of CE 0044.

Recessed collection bottles;storage compartment;plastic top with moldedinstrument tray; conductiverubber casters; optionalfootswitch; assorted steriledisposables. Tubing andcurets meet requirements ofCE 0044.

Recessed collection bottles;storage compartment;plastic top with moldedinstrument tray; conductiverubber casters; explosion-proof motor and switch;conductive tubing; assortedsterile disposables. Tubingand curets meetrequirements of CE 0044.

LAST UPDATED June 2005 June 2005 June 2005 June 2005Supplier FootnotesModel FootnotesData Footnotes

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Product Comparison Chart

MODEL BERKELEY MEDEVICES BERKELEY MEDEVICES ESCHMANN EQUIPMENT GIMASynevac System 5 Synevac V-80 Intrauterine Aspirator VP45 Tobi Clinic

WHERE MARKETED Worldwide Worldwide Worldwide WorldwideFDA CLEARANCE Yes Yes No NoCE MARK (MDD) Not specified Not specified Yes YesCONFIGURATION Mobile Portable Mobile Mobile, 4 castersSUCTION SYSTEM TYPE 2-stage double-diaphragm

pump1-cylinder pump Rotary-vane pump Diaphragm pump, piston

typeVACUUM RANGE, mm Hg 0-730 0-690 700 (-93 kPa) 0-750Flow, L/min 127 38 40 40Gauge, units cm Hg cm Hg mm Hg, kPa mm HgRegulating valve Yes Yes Yes Yes

TUBINGInternal diameter, mm(in)

6.35 (0.25), 9.53 (0.38),12.7 (0.5)

6.35 (0.25), 9.53 (0.38) 12.5 (0.5) wide bore 8 (0.31)

Length, m (ft) 1.8 (6), 2.4 (7.9) 1.8 (6), 2.4 (7.9) Not specified 2 (6.6)CURETS, type Plastic Plastic Not supplied PlasticRigid Yes Yes NA YesLength, cm (in) 19.1 (7.5), 24.1 (9.5) 19.1 (7.5), 24.1 (9.5) NA 24.1 (9.5)

Outer diameter, mm 7-12, 14, 16 7-12 NA 4-12Shaft design Curved, straight Curved, straight NA Curved, straight

Flexible Yes Yes NA YesLength, cm (in) 24.1 (9.5) 24.1 (9.5) NA 24 (9.4)Outer diameter, mm 4-8, 10, 12 4-8, 10, 12 NA 4-12

Others Vabra 2 mm and 3 mmstainless steel, 4 mm plastic

Vabra 2 mm and 3 mmstainless steel, 4 mm plastic

NA None specified

COLLECTION BOTTLE(S)Number 2 1 1, 2, or 4 2Capacity, mL 1,400 750 2,000 per bottle 2,000 or 4,000Trap bottle, mL 480 60 Not specified Not specifiedOverflow protection  Automatic cutoff, disposable

filter Automatic cutoff, disposablefilter

 Automatic float valve Security valve

Disposable bottles Optional Optional Autoclavable Not specifiedLINE POWER, VAC 115/230 115/230 100/120, 200/240; 50/60 Hz 115/230H x W x D, cm (in) 58.4 x 38.1 x 30.5 (23 x 15

x 12)

27.9 x 45.7 x 20.3 (11 x 18

x 8)

88.9 x 55.9 x 31.8 (35 x 22

x 12.5)

48 x 45 x 41 (18.9 x 17.7 x

16.1)WEIGHT, kg (lb) 31.3 (69) 9.1 (20) 32 (70) 17 (37.5)PURCHASEINFORMATIONList price $2,000 $785 Not specified $756Warranty 1 year 1 year 1 year 1 yearFiscal year Not specified Not specified August to July Not specified

OTHER SPECIFICATIONS Stainless steel top; raisedbottles; cabinet; conductiverubber casters; assortedsterile disposables; easilyvisible controls; optionalfootswitch. Tubing andcurets meet requirements ofCE 0044.

Recessed collection bottle;assorted sterile disposables.Tubing and curets meetrequirements of CE 0044.

Used generally as VP45high-specification suctionunit; disposable specimenfilters; wide-bore connectorblock.

Vacuum gauge.

LAST UPDATED June 2005 June 2005 May 2007 May 2007Supplier FootnotesModel FootnotesData Footnotes

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Product Comparison Chart

MODEL IMPACT/SORENSON MD RESOURCE MGE WORLDWIDE MGE WORLDWIDE1666 LS-2 SAM 15 SAM 36

WHERE MARKETED Worldwide Worldwide Worldwide, except North America

Worldwide, except North America

FDA CLEARANCE Yes Yes No NoCE MARK (MDD) No Yes Yes YesCONFIGURATION Portable Mobile Mobile or stationary MobileSUCTION SYSTEM TYPE Double-diaphragm pump Single rotary-vane pump Diaphragm pump Diaphragm pumpVACUUM RANGE, mm Hg 0-725 0-737 0-600 0-700Flow, L/min 25 with filter, 40 without filter 200 25 25Gauge, units mm Hg, in Hg (dual scale) in Hg mm Hg, kPa mm Hg, kPaRegulating valve Yes Yes Yes Yes

TUBINGInternal diameter, mm(in)

12.7 (0.5) 12.7 (0.5) 8 (0.31) 8 (0.31)

Length, m (ft) 1.5 (5) 2.4 (8) 2 (6.6) 2 (6.6)CURETS, type Steel (chrome plated) Stainless steel Not supplied Not suppliedRigid Yes Yes NA NALength, cm (in) 23.5 (9.3) 10.2 (4), 15.2 (6), 20.3 (8),

30.5 (12)

NA NA

Outer diameter, mm 8-14 3, 4, 6, 8, 10 NA NAShaft design Curved Curved, straight NA NA

Flexible No No NA NALength, cm (in) NA NA NA NAOuter diameter, mm NA NA NA NA

Others None specified None NA NACOLLECTION BOTTLE(S)Number 2 2 1 2Capacity, mL 950 2,000 2,000 2,000Trap bottle, mL 950 10 Not available Not availableOverflow protection Hydrophobic filter Automatic cutoff, in-line filter Safety cutoff valve, internal

filterSafety cutoff valve, internalfilter

Disposable bottles Optional Yes Optional OptionalLINE POWER, VAC 115, 60 Hz; 220/230, 50 Hz 110/120 220/250 or 110/120, 50/60

Hz, single phase220/240 or 110/120, 50 Hz,single phase

H x W x D, cm (in) 43 x 33 x 27.9 (17 x 13 x11) 44.5 x 47 x 47 (17.5 x 18.5x 18.5) 38 x 45 x 20 (15 x 17.7 x7.9) 85 x 39 x 33 (33 x 15.4 x13)WEIGHT, kg (lb) 15.5 (33) 42.7 (94) 10 (22) 27.6 (60.9)PURCHASEINFORMATIONList price $2,050 (115 VAC), $2,120

(220/230 VAC)$2,595-3,895 £571 (US$1,118) £1,143 (US$2,239)

Warranty 1 year 5 years 1 year 1 yearFiscal year January to December January to December June to May June to May

OTHER SPECIFICATIONS None specified. Can perform liposuction andgeneral-purpose suction;pneumatic footswitch;conductive rubber casters;infiltration systems. Meetsrequirements of ISO 13485-2003, CMD, and CAS.

 Autoclavable collectionvessel supplied; automaticshutoff; overflow controlvalves; internal filter; noiselevel of 65 dB; bacterial andhydrophobic filters available.Meets requirements of BSI,DEMKO, EN ISO 9001,

GS/TUV, IEC 601-1,NEMKO, and SEMKO.

 Autoclavable collectionvessel supplied; automaticshutoff; overflow controlvalves; internal filter; noiselevel of 55 dB; bacterial andhydrophobic filters available.Meets requirements of BSI,DEMKO, EN ISO 9001,

GS/TUV, IEC 601-1,NEMKO, and SEMKO.

LAST UPDATED May 2007 May 2007 May 2007 May 2007Supplier FootnotesModel FootnotesData Footnotes

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Product Comparison Chart

MODEL NOUVAG SAMED SAMED WELLS JOHNSONUniversal Pump Vacuson40U

EIS1 Hysterosuction LIPO S2 Liposuction Hercules

WHERE MARKETED Worldwide Worldwide Worldwide WorldwideFDA CLEARANCE Yes No No YesCE MARK (MDD) Yes Yes Yes NoCONFIGURATION Portable and/or stand

mountedMobile, 4 antistatic casters Mobile, 4 antistatic casters Mobile

SUCTION SYSTEM TYPE Piston pump, oil-free 1-cylinder piston pump 2-cylinder piston pump 3 piston pumpsVACUUM RANGE, mm Hg 0-675 0-650 0-650 0-737Flow, L/min 40 50 75 255Gauge, units mm Hg, bar cm Hg cm Hg in Hg, kPaRegulating valve Yes Yes Yes Yes

TUBINGInternal diameter, mm(in)

8 x 14 (0.3 x 0.6) 8 (0.3) 8 (0.3) 9.53 (0.38)

Length, m (ft) 2 (6.6) 2 (6.6) 2 (6.6) 1.8 (6)CURETS, type Not specified Not specified Not specified Stainless steelRigid Yes Not specified Not specified Yes

Length, cm (in) 27.9-36 (11-15.4) Not specified Not specified 10.2 (4), 17.8 (7), 22.9 (9),30.5 (12); custom-made tipsavailable

Outer diameter, mm 14 Not specified Not specified 2, 3, 4, 6, 8, 10Shaft design Graduated Not specified Not specified Curved, straight

Flexible Yes Not specified Not specified NoLength, cm (in) 27.9-36 (11-15.4) Not specified Not specified NAOuter diameter, mm 12 Not specified Not specified NA

Others Yes None specified None specified Cobra, Mercedes, spatula,standard, triport

COLLECTION BOTTLE(S)Number 1 or 2 1 2 2Capacity, mL 2,000 or 5,000 2,000; 4,000 optional 2,000; 4,000 optional 2,000Trap bottle, mL No 50 50 250Overflow protection  Automatic cutoff, filter Yes Yes Automatic cutoff, in-line filterDisposable bottles Optional No; can be sterilized No; can be sterilized Yes

LINE POWER, VAC 150, 60 Hz; 230, 50 Hz 220/240, 50 Hz 220/240, 50 Hz 220/240, 50 HzH x W x D, cm (in) 29 x 28 x 36 (11.4 x 11 x14.2)

93 x 38 x 30 (36.5 x 15 x11.8)

93 x 50 x 30 (36.5 x 19.7 x11.8)

44.5 x 47 x 47.6 (17.5 x18.5 x 18.8)

WEIGHT, kg (lb) 9 (19.8) 21 (46.3) 28 (61.7) 33.1 (73)PURCHASEINFORMATIONList price ~$2,000, depends on

configuration €1,300 (US$1,564); €48(US$58) canister

 €1,650 (US$1,985); €1,800(US$2,166), unit with two 4L Makrolon jars

$3,395-3,995

Warranty 1 year 1 year for all components,except consumables/labor

1 year for all components,except consumables/labor

1 year

Fiscal year Not specified Not specified Not specified Not specifiedOTHER SPECIFICATIONS Meets requirements of CSA. None specified. None specified. Optional patient garments,

accessory case, andemergency backup system;can be used to performliposuction.

LAST UPDATED May 2007 May 2007 May 2007 July 2000Supplier FootnotesModel FootnotesData Footnotes

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Product Comparison Chart

MODEL WELLS JOHNSONWhisperator

WHERE MARKETED WorldwideFDA CLEARANCE YesCE MARK (MDD) NoCONFIGURATION MobileSUCTION SYSTEM TYPE 2 piston pumpsVACUUM RANGE, mm Hg 0-737Flow, L/min 0-114Gauge, units in Hg, kPaRegulating valve Yes

TUBINGInternal diameter, mm(in)

9.53 (0.38)

Length, m (ft) 2.4 (8), 2.7 (9), 3 (10)CURETS, type Stainless steelRigid YesLength, cm (in) 10.2 (4), 17.8 (7), 22.9 (9),

30.5 (12); custom-made tips

availableOuter diameter, mm 2, 3, 4, 6, 8, 10Shaft design Curved, straight

Flexible NoLength, cm (in) NAOuter diameter, mm NA

Others Cobra, Mercedes, spatula,standard, triport

COLLECTION BOTTLE(S)Number 2Capacity, mL 2,000Trap bottle, mL 250Overflow protection  Automatic cutoff, in-line filterDisposable bottles Yes

LINE POWER, VAC 110/220H x W x D, cm (in) 44.5 x 47 x 47.6 (17.5 x

18.5 x 18.8)WEIGHT, kg (lb) 31.3 (69)PURCHASEINFORMATIONList price $2,995-3,695Warranty 1 yearFiscal year Not specified

OTHER SPECIFICATIONS Optional patient garments,accessory case, andemergency backup system;can be used to performliposuction.

LAST UPDATED July 2000Supplier FootnotesModel FootnotesData Footnotes

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