Product Review

Product Update: InTone, E-Sacs, traxi, Saliva Fertility Monitor

A female urinary incontinence device for home use; tissue retrieval sacs for minimally invasive surgery; a panniculus retractor for use with obese patients; and a fertility monitoring device that determines whether a woman is ovulating by testing her saliva



The InTone® system from InControl Medical™ is a noninvasive home-based pelvic-floor rehabilitation program to treat female urinary incontinence. InControl offers two customizable probes. Apex, for women with mild to moderate stress urinary incontinence, delivers electro-stimulation to strengthen pelvic floor muscles and eliminate leakage associated with coughing, laughing, or exercise. ApexM, for women with urgency and mixed urinary incontinence, provides alternating-frequency stimulation to strengthen the pelvic floor muscles and calm detrusor muscle spasms.

The InTone system for moderate to severe incontinence combines muscle stimulation with pelvic-floor exercises. A hand-held control unit allows the patient to listen to prerecorded exercises at home. The control unit also offers visual biofeedback to ensure that the exercises are being completed properly. The patient can present the data from her workouts, stored by the handheld control unit, to her physician, who can then individualize the exercise plan. InTone is indicated for use in 12-minute sessions, six times a week, for 90 days to treat stress urinary incontinence, and for 180 days for urgency or mixed incontinence.


Espiner Medical offers E-Sacs, a variety of tissue retrieval sacs for minimally invasive surgery. E-Sacs are manufactured from Superamine66™ fabric, a lightweight, ripstop nylon coated with polyurethane designed to make them strong, rupture proof, leak resistant, easy to deploy, and x-ray opaque. Standard E-Sacs, made of one-piece construction with an integral tail that can be deployed using 5-mm instruments, do not require claw forceps to extract. Super E-Sacs are ideal for larger specimens and have colored tabs to facilitate placement. Master E-Sacs open automatically, have stronger arms to reinforce the mouth opening, a drawstring closure, and can accept tissue sizes up to a large spleen, ovary, or kidney. EcoSacs, for bottom-first abdominal entry, have a large open mouth to facilitate tissue capture with a drawstring closure.


Clinical Innovations has launched the traxi™ Panniculus Retractor that lifts and retracts the panniculus during abdominal procedures. When used during cesarean delivery, Clinical Innovations says traxi allows for a safer delivery for mothers with a high body mass index (BMI) by providing better surgical-site access. traxi is designed for use on patients with a BMI greater than 30 kg/m2; traxi Extender is available to help retract the panniculus on patients with a BMI of 50 kg/m2 or greater.

traxi can be applied and used as a sterile or nonsterile product in conjunction with both external and internal retractors. The manufacturer explains that traxi works by anchoring at the xiphoid and distributing the patient’s weight rather than applying it fully on the sternum, which can make it difficult for the patient to breathe. traxi should not be left on the patient for longer than 24 hours. traxi is labeled with HOLD and PULL HERE tabs, as well as A, B, and C tabs to guide the clinician through the retractor application process.


The KNOWHEN® Saliva Fertility Monitor is a handheld mini-microscope that monitors a woman’s ovulation using just a single drop of saliva. A woman’s daily test results can be tracked on an ovulation mobile app provided with the product, allowing her to better plan her sexual activity to achieve fertility goals.

First thing each morning, before eating, drinking, smoking, or brushing teeth, a woman applies a thick drop of saliva to the glass surface and waits for it to dry (5–15 minutes). Then she compares the image she sees through the lens to the chart supplied with the kit and inputs her results on the KNOWHEN app. If she is not ovulating, dots and circles may appear. When she sees a few fernlike crystals, it means she is starting to ovulate, or has just finished ovulating. Consistent fern-like crystals in the viewer indicate that she is ovulating. During ovulation, high estrogen levels raise the percentage of salt in a woman’s body. In saliva, these salts take the shape of ferns under the 60X magnification of the KNOWHEN microscope. The kit includes the app and educational material, including an instructional video.

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