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        Bakane Incontinence Control Device (B.I.C.D.)
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1.  Gate   G  The B I C D  should not be left on for extended periods  It is important that all of these  instructions are received from the physician and the user must become fully conversant with  the use of this B I C D  and its release mechanisms     Properly used  the B I C D  will give trouble free use for control of incontinence or urgency  The  B I C D  is washable  but care should be taken to prevent fluids from entering the push button  mechanism     SIMPLE STEPS     1  Push in Button    B    to elevate P       2  Position  P  under the urethra    3  Engage Strap  S  in gate  G  taking care to keep the penile skin clear of the gate   4  Tighten the B I C D  to a comfortable position     TO RELEASE     1  Compress the B I C D  from the sides  then press the push Button    B    to depress P      2  If necessary  loosen the Tie Mechanism  M      AFTER URINATION     Compress from both sides   Press Button  B    Let go side compression  Tighten B I C D  as needed    e np    UroMend  LLC   1321 Hopkins Drive  Pulaski  Virginia 24301  www uromend com  917  499 0655       DYROMEND    Strap Gate  G      Tie Mechanism  M      Soft Lining  L   Strap  S      Elevation  E    Pressure Push Tab P        Button  B         UroMend  LLC   1321 Hopkins Drive  Pulaski  Virginia 24301  www uromend com  917  499 0655    
2.  the B I C D  around the penis to make sure that  the penile skin does not get trapped between the Strap S  and the Strap Gate     G     Placing a  piece of gauze around the penis can help prevent trapping of the skin  Once the Strap Gate is  engaged  the B I C D  can be tightened around the penis  It is not necessary to make the B I C D   very tight  just light pressure is sufficient to prevent the user from leaking urine  The B I C D   should be comfortable for the user to wear     The B I C D  should not be left in place for extended periods  The B I C D  should be periodically   loosened during use  During the period the B I C D  is in use  the wearer can urinate without   having to remove the B I C D  from around the penis  Slight pressure on the sides will create a   gap between the penis and the Pressure Push Tab and by itself may be sufficient to allow  UroMend  LLC     1321 Hopkins Drive  Pulaski  Virginia 24301  www uromend com  917  499 0655    Qu ROMEND    INCONTINENCE CONTROL    USE  CONTINUED      urination  Additional relief can be obtained by pressing the Button  B  in this position while  maintaining side pressure  If necessary  the Strap  S  can be loosened by elevating the Tie  Mechanism  M  Once urination is achieved  maintain pressure on the sides  then press Button   B  Then release the side pressure  The strap can now be re tightened if necessary     PRECAUTIONS     Care should be taken to prevent trapping of the skin between the Strap  S  and the Strap
3. QuUROMEND ROMEND    INCONTINENCE CONTROL    DEVICE     Bakane Incontinence Control Device  B I C D    INDICATIONS    Urinary Incontinence  Severe Urinary Urgency  CONTRAINDICATIONS     Severe penile deformity  Patient s on anticoagulants  Vascular insufficiency or problems with  blood circulation  Use of blood thinning medications are relative contraindications  Also   patients who have penile deformity  such as Peyronie s disease  the B I C D  should be used  with caution     SE     The one size usually fits all B I C D  is meant to be used for severe urinary urgency or urinary  incontinence  The B I C D  straps around the penis so that the Pressure Push Tab    T    compresses  the urethra  It is recommended that the user makes himself familiar with the B I C D   The  B I C D  consists of Strap    S     Button    B     Strap Gate    G     Elevation E Pressure Push Tab  T   and  Soft Lining  L  The Pressure Push Tab and Button mechanisms are covered by Soft Lining  L  and  cannot be seen  The Button    B    on the lower aspect of the B I C D  operates the Pressure Push  Tab  When the Button is pressed  the Pressure Push Tab elevates and you can see the  convexity of the inner soft lining and Elevation of point E When the button is pressed again   the point  E  comes down  the inner lining becomes flat  It is recommended that the Pressure  Push Tab is moved to the elevated position and then the B I C D  be placed around the penis   Extreme care should be exercised when placing
    
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