IUD inserting apparatus

Abstract

Methods and apparatus are disclosed for permitting a user to load an IUD into an IUD inserter within the confines of a tray and thereafter to safely insert the IUD into a patient's uterus to the proper depth while minimizing the risk of causing trauma to the uterine wall. An IUD inserter comprises an elongated shaft adapted to retain the arms of an IUD adjacent the distal end of the shaft, a slidable arm retainer mounted on the shaft adaptable to abut the outer portion of the patient's cervix, and a stop member adjustably mounted on the shaft so that the arm retainer is forced by the outer portion of a patient's cervix to abut the stop member as the IUD is advanced through the cervical canal of a patient to a preselected depth at the uterine fundus. An associated package permits an IUD having expandable arms thereon to be loaded into an arm retainer within the confines of the package immediately prior to insertion of the IUD into a patient's uterus. When it is desirable to insert the IUS into a patient after loading same in the arm retainer of an inserter, the steps include placing the slidable retainer of an IUD inserter against the outer portion of a patient's cervix, aligning the inserter and the IUD device therein with the cervical opening, advancing the end of the inserter through the cervical canal and into the uterus to that the arm retainer abuts a stop member arranged on the elongate shaft of the inserter, and withdrawing the elongate shaft from the uterus while the IUS is left at the proper depth therein.

What is claimed is: 
     
       1. A method for loading expandable arms of an intrauterine device in an arm retainer of an intrauterine device inserter comprising the steps of, advancing an elongate shaft having a distal and a proximal end and having the intrauterine device positioned thereon with its arms initially in an expanded position so as to advance the expandable arms of the intrauterine device and the distal end of the elongate shaft inside an arm retainer so that the arms of the intrauterine device are forced from their expanded position to a substantially folded position, said advancing step being performed while said intrauterine device and said arm retainer remain in a package so that loading of the expandable arms of said arm retainer is facilitated.Iadd., and adjusting a stop member having a forward edge and a rear edge on the elongate shaft so that the forward edge of the stop member is aligned with measurement indicia on a tray which corresponds to the proper uterine depth of a patient..Iaddend.   
     
     
       2. The method of claim 1, wherein the step of advancing the elongate shaft comprises the step of arresting the advancing movement of the shaft and the intrauterine device by engaging at least one of the shaft and the intrauterine device with an abutment surface on the package. . .3. The method of claim 2, further comprising the step of adjusting a stop member having a forward edge and a rear edge on the elongate shaft so that the forward edge of the stop member is aligned with measurement indicia on a 
     
     
        tray which corresponds to the proper uterine depth of a patient..!.4. An inserter for an intrauterine device having expandable arms thereon comprising, elongate shaft having a proximal and a distal end, said shaft being adapted to retain an intrauterine device adjacent said distal end;   a leading member slidably mounted on said elongate shaft adjacent said distal end thereof, said leading member having a leading end and a trailing end said leading member being an arm retainer, said arm retainer including a hollow body having a passageway extending therethrough between said trailing end and said leading end, said passageway having a preselected interior dimension at said leading end of said arm retainer so that the expandable arms of the intrauterine device will be retained in a substantially folded position when said intrauterine device is positioned within said passageway of said arm retainer, .Iadd.said interior dimension of said passageway through said arm retainer being narrower at said leading end than it is at said trailing end, .Iaddend.said arm retainer comprising a collar formed about said leading end, said collar being arranged to abut the outer portion of a patient's cervix during insertion of said intrauterine device into the uterus of a patient; and   a stop member mounted on said elongate shaft for adjustment within a range of proximal-to-distal positions proximal to said leading member, said stop member having a rear end and a forward end and being disposed whereby the forward end of said stop member abuts the trailing end of said leading member when said distal end of said shaft is advanced through the cervical canal of a patient into the uterus to a preselected depth while said collar of said leading member abuts the outer portion of the cervix and prevents said leading member from entering the patient's cervical canal.   
     
     
        . .5.  The inserter of claim 4, wherein said leading member is an arm retainer, said arm retainer comprises a body, said body being hollow so as to define a passageway therethrough from said trailing end to said leading end, said passageway having a preselected interior dimension at said leading end of said arm retainer so that the expandable arms of the intrauterine device will be retained in a substantially folded position when said intrauterine device is positioned in said passageway of said arm retainer..!.. .6. The inserter of claim 4, wherein said interior dimension of said passageway through said arm retainer is narrower at said leading 
     
     
        end than it is at said trailing end..!.7. The inserter of claim 4, wherein said passageway has a generally rectangular cross-sectional shape having orthogonal major and minor dimensions, said preselected interior dimension 
     
     
        being the major dimension of said rectangular cross-section shape. 8. The inserter of claim 7, wherein said minor dimension of said generally rectangular cross-sectional shape is substantially constant from said 
     
     
        trailing end to said leading end. 9. The inserter of claim 7, wherein said passageway includes a groove section extending from said trailing end of said arm retainer to said leading end thereof, said minor dimension of said passageway being greater in aid groove section than in immediately adjacent regions of said passageway, said shaft being engageable in said 
     
     
        groove section. . .10.  The inserter of claim 9, wherein said arm retainer comprises a collar formed about said leading end, said collar being arranged to abut the outer portion of a patient's cervix during insertion 
     
     
        of said intrauterine device into the uterus of a patient..!.11. An inserter for an intrauterine device having expandable arms thereon comprising, and elongate shaft having a proximal and a distal end, said shaft being adapted to retain the intrauterine device adjacent said distal end; and a leading member slidably mounted on said elongate shaft adjacent said distal end thereof, said leading member having a leading end and a trailing end, said leading member being an arm retainer, said arm retainer comprises a body, said body being hollow so as to define a passageway therethrough from said trailing end to said leading end, said passageway having a preselected interior dimension which is greater at said trailing end than said leading end of said arm retainer, said interior dimension of said passageway converging from a relatively large dimension to a relatively small dimension between said trailing end and said leading end so that the expandable arms of the intrauterine device will be placed into a substantially folded position upon advancement through said passageway. 
     
     
         2. The inserter of claim 11 further comprising a stop member mounted on said elongate shaft for adjustment within a range of proximal-to-distal positions proximal to said leading member, said stop member having a rear and forward end and being disposed whereby the forward end of said stop member abuts the trailing end of said leading member when said distal end of said shaft is advanced through the cervical canal of a patient into the uterus to a preselected depth while said leading end of said leading 
     
     
        member abuts the outer portion of the cervix. 13. The inserter of claim 12, wherein said arm retainer comprises a collar formed about said leading end, said collar being arranged to abut the outer portion of a patient's cervix during insertion of said intrauterine device into the uterus of a 
     
     
        patient. 14. An inserter for a intrauterine device having expandable arms thereon comprising, an elongate shaft having a proximal end and a distal end, said shaft being adapted to retain an intrauterine device adjacent said distal end, a leading member slidably mounted on said elongated shaft adjacent said distal end thereof, said leading member having a leading end and a trailing end, said leading member being an arm retainer, said arm retainer comprises a body, said body being hollow so as to define a passageway thereto from said trailing end to said leading end, said passageway having a preselected sized and shaped opening .Iadd.including means .Iaddend.at the leading end of said arm retainer . .arranged to prevent.!. .Iadd.for preventing .Iaddend.misalignment such as twisting of said expandable arms of said IUD prior to insertion through the cervical 
     
     
        canal of a patient. 15. The inserter of clam 14 further comprising a stop member mounted on said elongate shaft for adjustment within a range of proximal-to-distal positions proximal to said leading member, said stop member having a rear end and a forward end and being disposed whereby the forward end of said stop member abuts the trailing end of said leading member when said distal end of said shaft is advanced through the cervical canal of a patient into the uterus to a preselected depth while said leading end of said leading member abuts the outer portion of the cervix. 
     
     
         6. The inserter of clam 15 wherein said passageway through said body of said arm retainer has a greater dimension at said trailing end than at 
     
     
        said leading end thereof. 17. The inserter of claim 16, wherein said arm retainer comprises a collar formed about said leading end, said collar being arranged to abut the outer portion of a patient's cervix during insertion of said intrauterine device into the uterus of a patient.