Dilation and curettage procedure equipment
A dilation and curettage (D&C) requires cervical dilation instruments, a curette or suction cannula for uterine tissue removal, and an aspiration instrument when suction is used. [1] A D&C also requires standard pelvic examination access equipment, including a speculum, and may require cervical stabilization with a tenaculum. [2]
Core uterine evacuation instruments
- Cervical dilators (to progressively dilate the cervix), including Pratt dilators, Hank dilators, and Hegar dilators. [1]
- Curettes, including sharp metal curettes and toothed curettes for more aggressive endometrial sampling. [1]
- Plastic curettes or cannulas for uterine evacuation during procedures performed in pregnant patients. [1]
Aspiration equipment for suction D&C
- Manual vacuum aspirators or electric vacuum aspirators for creation of negative pressure to empty the uterus. [1]
Cervical visualization and stabilization instruments
- Vaginal speculum for exposure of the cervix. [2]
- Tenaculum (type of forceps) to hold the cervix steady during the procedure. [2]
Uterine depth measurement instrument
- Uterine sound (thin, rod-like instrument) to determine uterine length by measuring through the cervical opening. [2]
Anesthesia and access equipment
- Intravenous (IV) line may be used when IV sedation or general anesthesia is planned. [2]
- Urinary catheter may be inserted. [2]
- Anesthesia monitoring equipment is required when general or regional anesthesia is used. [2]
Tissue collection and specimen handling supplies
- Sterile containers or laboratory-appropriate specimen collection equipment for sending collected uterine tissue for examination. [2]
Common procedural setup considerations
- The cervix is dilated with a series of thin rods before curettage or cannula-based evacuation. [2]
- Cervical cleansing with an antiseptic solution may be performed prior to instrumentation. [2]