Exem Foam Kit FAQ
 
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Frequently Asked Questions

1. What is it made of?
ExEm gel – hydroxyethylcellulose; glycerol

2. Is it safe? Evidence?
Yes, see Business Case, P 5-7

3. How long has it been on the market?
March 2010 UK as Foam Kit, but ExEm gel component as GISkit, 2007


4. What catheter should you use?
Preferably GIS M969 catheter, or min 7 french balloon catheter. ( the clinicians seem
to use 5 french so they may use this size, and may find it tricky as 5 french is smaller). However, it is also important to note that if they do like the GIS catheter they may just think it is too short – the current product is to be re-designed, estimated completion date not currently known. It is best to exclude the GIS catheter from the initial demo of the foam kit.

5. How do you use it?
Empty ExEm gel and water into empty 20ml syringe, attach coupling device, agitate
between last emptied syringe and 20ml syringe min 10 times to create foam
Attach catheter to 20ml syringe and inject as normal

6. How long does it last as a foam?
Approximately 10 minutes, but it can be remixed if kept capped

7. How much do you need for each tube?
Approximately 2-3 ml per tube

8. Is it licensed for UK?
Yes CE marked for Europe, and specifically for intra-uterine investigations

9. Is it a drug?
No it is a Class I Medical device

10. What contraindications?
Suspected pregnancy

11. Can it also be used for sonohysterography?
Yes,the gel can, but with caution :-

Statement by one of our current customers:-
As we needed to report on her uterus as well, we started with a saline sonogram
first, waited a few minutes for the cavity to empty then performed HyFoSy.

Statement made by manufacturers:-
Executing a GIS after a HyCoSy is a CONTRAINDICATION. (air bubbles)

Executing a HyFosy directly after a GIS is a CONTRAINDICATION (obstruction
fallopian tubes due to viscosity of gel)

Executing a HyFoSy after a GIS, wait for 2 hours before executing the HyFoSy.

The odds of the necessity of a dual examination may be low. The only
incentive we see is a financial one using one ExEm syringe for two
declarations by the consultant.

12. How much does it cost?
£30 without catheter, £45 with cathether

13. Are there any discounts?
Yes, excluding postage on first order, minimum order 25

14. How can I pay?

By official order or card payment by phone, on-line shop payment on
www.exemfoamkit.co.uk

15. How quickly can it be delivered?
On receipt of order, within 2 working days

16. Storage requirements? Temperature? Life?
Store in suitable room and at a temperature not exceeding +25°C
Minimum 2 years life detailed on packaging, unopened

17. GISM969 catheter – how high should it be inserted?
As far as is necessary, to get a seal.

18. How long do the microbubbles stay as a foam?
At least 5 minutes

19. How long do you have visualisation once the foam has been infused?
The foam is gently infused through the cervix, the uterus and the fallopian tubes, so
long as the foam is infused there will be vision (unless the tubes are blocked)

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