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Vaginal Dilators Latex Free
Silicone (Flexible)
Catalog Information:
CPT Code: Procedure: 57400 or 58999
HCPCS: E1399
Supplies: 99070
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SETS OF 4 Graduated Sizes:
Vaginal - Hymenal (A)
Milex Code: 20
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SIZE
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INCHES
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MILLIMETERS
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Small
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5 1/8" x 15/16"
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130mm x 24mm
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Medium
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5 1/2" x 1 1/16"
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140mm x 28mm
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Large
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5 3/4" x 1 1/4"
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146mm x 32mm
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X-Large
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6 1/8" x 1 1/2"
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157mm x 38mm
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Vaginal - Rectal (B)
Milex Code: 25
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SIZE
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INCHES
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MILLIMETERS
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Small
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3" x 11/16"
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76mm x 17mm
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Medium
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3 1/8" x 15/16"
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80mm x 24mm
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Large
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3 9/16" x 1 1/8"
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90mm x 28mm
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X-Large
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3 15/16" x 1 5/16"
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100mm x 34mm
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Vaginal - Pediatric (C)
Milex Code: 23
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SIZE
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INCHES
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MILLIMETERS
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Small
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2 1/16" x 1/2" x 3/8"
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52mm x 13mm x 10mm
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Medium
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2 5/16" x 9/16" x 7/16"
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63mm x 14mm x 11mm
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Large
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2 11/16" x 5/8" x 1/2"
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68mm x 16mm x 13mm
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X-Large
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3" x 11/16" x 9/16"
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76mm x 18mm x 14mm
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Abbreviated Information:
Flexible Silicone Vaginal Dilators available in sets of 4 (Hymenal) and sets of 4 (rectal), sets of 4 (Pediatric Size) accompanied by step-by-step patient instructions.
Contraindication:
- Contraindictated in the presence of any vaginal, cervical, and/or pelvic infection(s).
- Pregnancy

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