Questions & Answers
No - the Ipas aspirator is used worldwide for treatment of miscarriage and for taking samples of the uterine lining (known as an endometrial biopsy).
Yes - the World Health Organization (WHO) and the International Federation of Gynecologists and Obstetricians (FIGO) both recommend vacuum aspiration as a preferred treatment option for women with a miscarriage or seeking an abortion. The safety and efficacy of manual vacuum aspiration have been supported over time by numerous studies. (*1)
When deciding how to deal with an unplanned pregnancy, it is better to act sooner than later. Manual vacuum aspiration procedures are suggested for pregnancies up to 12 weeks after your last menstrual period.
If you would like to help calculating your weeks of pregnancy, there is a good resource here: https://safe2choose.org/pregnancy-calculator/
Yes - a pilot study showed that 98% of women had a successful procedure without the need for any further surgical or medical intervention. (*2)
The cost of a manual vacuum aspiration procedure depends on the clinic you go to. That being said, MVA has significant cost-savings for the health system because procedures do not require general anaesthesia (which can be expensive) and MVA is associated with shorter recovery times than other methods. (*3) “As MVA can be performed in the outpatient setting it also reduces the cost and use of theatre facilities. It has the advantage of early recovery and reduced hospital stay compared with Electronic Vacuum Aspiration.”(*1)
It depends - some women feel almost nothing after an MVA procedure, while other women report feeling quite uncomfortable. MVA is typically performed under local anaesthesia, meaning the provider will numb the pain receptors during the procedure.
Women typically report cramping after the procedure. Taking ibuprofen (400-800mg) before the procedure can help reduce feelings of discomfort. (*4)
“Women’s experience with pain during MVA varies widely, with some women feeling almost nothing at all and other women feeling quite uncomfortable. Typically, the MVA procedure takes several minutes, during which most women will feel a moderate amount of cramping. After the procedure has ended, cramping usually decreases rapidly.”
The procedure usually takes 10-15 minutes. (*6)
No, but a woman’s preference should always dictate how care is provided. That being said, MVA can be performed at a primary level on an outpatient basis using a local anaesthetic.
If you are more than 12 weeks pregnant, please contact your healthcare provider to suggest alternatives to manual vacuum aspiration.
If you have any of the following, you should talk with your healthcare provider for further advice:
fibroid uterus >12 weeks in size
haemorrhagic disorder and treatment with anticoagulants
allergy or contraindication to the use of misoprostol or to local anaesthetic agents
postnatal retained products
inability to tolerate pelvic examination
retained products more than 5 cm.
Questions & Answers
Only trained clinicians should use the Ipas Manual Vacuum Aspirator. Please contact us to find out more about training and credentialing opportunities.
The total procedure can be done in 10 steps. Please see this chart for pictographic steps: https://ipas.azureedge.net/files/PERFMVAE17-PerformingMVAPoster.pdf
DKT WomanCare sells single-use variants of our products to comply with national regulations. Please ask your distributor whether your product is single-use or not.
Color-coded adapters allow Flexible Karman Cannula and 3 mm Cannula to be used with the Ipas MVA Plus(R) or Double Valve Aspirators. Please refer to the product technical sheet for more information.
Please refer to our Technical Resources under “Clean and Disassemble Instruments” or see this sheet from Ipas: https://ipas.azureedge.net/files/PROPLUSE18-ProcessingIpasMVAPlusAspiratorsEasyGripCannulae.pdf
Check that instrument is properly assembled and charged
Inspect O-ring for proper positioning - if damaged or loose, replace O-ring.
Too much lubrication.
Ensure no foreign bodies are present.
Check cylinder is firmly seated on valve.
Charge and test again.
If vacuum is still not retained, use another aspirator.
Check if :
Aspirator is full.
Cannula is withdrawn past the cervical os opening.
Cannula is clogged.
Aspirator is incorrectly assembled.
After the 25th use
The cylinder is cracked or brittle.
Mineral deposits inhibit plunger movement.
The Valve is cracked, bent or broken.
Buttons are broken.
Plunger arms do not lock.
Aspirator no longer holds a vacuum.