Frequently Asked Questions


Question 1:

What is the difference between the blue and yellow versions of the Soviflex retractor?

Answer 1:

The blue version of the Soviflex retractor is the primary device you should be using on 1st and 2nd degree tears in patients within a healthy BMI range. The yellow version, which is made of a stiffer material, may be useful in rare situations in high BMI patients, but it generally is not. We are developing a new device targeted at high BMI patients. Please fill out our contact form if you would like to be notified when that new product is available.



Question 2:

When should I use the Soviflex retractor?

Answer 2:

Use Soviflex retractor for 1st and 2nd degree vaginal tears in healthy BMI range patients. For 3rd and 4th degree tears, first repair the rectal mucosal defect and anal sphincter, then insert Soviflex retractor to complete remaining perineal repair.



Question 3:

What do I do if the Soviflex retractor moves out of place during suturing?

Answer 3:

Be aware that if a patient “vasalvas,” coughs or moves a lot, the retractor may shift in position. The retractor may also be more likely to move when oriented to visualize sulcus tears. This is normal. If the retractor moves during the procedure, simply reposition the device and continue the suturing procedure.



Question 4:

Can the Soviflex retractor be used for sulcus tears?

Answer 4:

Yes! Simply position the opening of the retractor to the side with the sulcus tear for good visualization. In this side viewing position, the retractor may sometimes move toward the tear. If this happens, simply reposition the retractor to continue the suturing procedure.



Question 5:

Can the Soviflex retractor be used on patients who do not have an epidural?

Answer 5:

Yes. In fact, using the Soviflex retractor is often better tolerated in patients who have not had an epidural; the physician can place the retractor to hold open the labia for visualization rather than using their own hand to continuously pull open the labia, which is typically uncomfortable or even painful for the patient.



Question 6:

Is the Soviflex retractor strong enough to hold open the vaginal walls for visualization? It seems very soft.

Answer 6:

Yes, the Soviflex retractor offers the optimal balance of flexibility and resilience to provide excellent visualization for patients in a "healthy BMI range." For high BMI patients the blue version of the Soviflex retractor may not be able to provide adequate visualization or stay in place. We are developing a new device targeted at high BMI patients. Please fill out our contact form if you would like to be notified when that new product is available.



Question 7:

How do I order the Soviflex retractor?

Answer 7:

To place an order for the Soviflex retractor, please send an inquiry to sales@birchconcepts.com. We will typically respond within one business day.