FAQ

We will mention the main ones here:Clinical treatment of Pectus Excavatum.Improvement of chest flexibility as part of preoperative preparation.Sternal elevation during corrective surgical procedures.Correction and support during preoperative and postoperative periods.

According to the international scientific literature, the best results with the use of Vacuum-Pauher are generally observed in children and young adults, typically from 4 to 5 years of age onward.There is no established upper age limit for treatment. Adult and elderly patients may also use the device and can benefit from its use.

Disc model: Measure the distance (in mm) between the two nipples and subtract 20 mm.Hourglass model: To measure the initial depth, use rulers positioned below the nipple line and aligned with the point of greatest chest depression. With these measurements, it is possible to determine the appropriate device size.

The patient should preferably be in a standing position. During the first applications, use in a sitting or lying position should be avoided. Ask the patient to take a deep breath to expand the chest.With the Vacuum-Pauher valve closed, place and press the device firmly against the chest. Once it is secured, use the manual pump to gradually adjust the pressure, always following the table corresponding to the treatment phase.

Yes. On our website, we provide a treatment protocol developed based on studies published in the international scientific literature and on the clinical experience gained from treating patients with the Vacuum-Pauher device

The Vacuum-Pauher is available in two versions, one of which does not include a vacuum gauge. In these cases, we recommend following the usage time table and applying the highest pressure capable of keeping the device properly positioned, without causing pain or discomfort to the patient. Individual guidance should always be provided by the prescribing physician.For greater precision and control of the treatment, a pressure gauge is also available as an accessory. This device comes with tables and simple, easy-to-understand instructions organized by colors, helping users understand the recommended pressure levels and the gradual progression of treatment over time.

As described on our website, using the device three times per day is considered the ideal protocol to maximize treatment results. If it is not possible to follow this frequency, using it twice a day may still provide benefits and satisfactory outcomes. However, the time required to achieve the expected results may be longer.Using the device more than three sessions per day may contribute to reducing the total treatment time. Results are directly related to consistent use, adherence to the recommended protocol, and the patient’s persistence throughout the treatment period.

Yes. The treatment can be resumed, preferably at the same pressure level used before interruption. If any discomfort occurs, reduce pressure and/or frequency until the recommended treatment goal is achieved, as outlined in the protocol chart.

To remove the device, disconnect the tubing to release the vacuum and relieve the pressure. This allows the device to detach from the skin more easily, without the need for excessive pulling, minimizing the risk of discomfort or skin injuries.

Yes. This is a relatively common occurrence during negative pressure treatment. The force exerted by the vacuum on the skin, blood vessels, and the anterior chest wall can cause a small leakage of red blood cells into the surrounding tissues. These cells contain hemoglobin, a pigment responsible for oxygen transport in the blood.Over time, the released hemoglobin undergoes a natural degradation process, and its byproducts may temporarily accumulate in the tissues, causing a darker discoloration of the skin in the treated area. This change usually decreases gradually and tends to disappear over time, especially after the end of treatment.

Reduce the applied pressure, decrease the duration of use, and, if necessary, reduce the daily frequency of treatment sessions. In addition, consult the physician responsible for your treatment for an appropriate evaluation and any necessary adjustments to the treatment protocol.

Before using any medication, consult the physician responsible for your treatment. In some cases, they may recommend the use of creams, ointments, or lotions with anti-inflammatory and anti-itch properties to relieve symptoms. Avoid self-medication.

In some cases, there may be a sensation of pain or discomfort in the chest area. This usually occurs in situations such as excessive pressure being applied or when the device is used incorrectly. If this happens, discontinue use and seek guidance from the physician responsible for the treatment for proper evaluation and instructions.

On our website, we provide a recording template that guides not only the collection of initial measurements but also the follow-up assessment every 15 days. The information should be recorded and kept to track progress over time and presented to the prescribing physician.

The device should be cleaned using running water and mild neutral soap. Do not use alcohol, solvents, or strong detergents, as these products may damage or alter the structure of the Vacuum-Pauher device.Special care should be taken with the vacuum gauge: it does not require cleaning, but it is sensitive to impacts and drops, which may compromise its proper functioning. Always handle the device with care to avoid damage.

The end of the treatment is closely related to the patient’s satisfaction, combined with a final evaluation by the prescribing physician. Both together will decide when to discontinue the use of the device. This is an important decision, and we recommend that the device be gradually withdrawn after a period of adaptation and stabilization of the anterior chest wall.

The application technique is the same. However, children and adolescents tend to respond faster due to greater chest wall flexibility. In adults, treatment may require longer duration and higher consistency to achieve optimal results.

The male device has a circular, disc-shaped design. The female device, specially developed for women, has an hourglass shape, allowing for a more comfortable fit between the breasts

On our website, click on the “Speak with a specialist” option. Through this tool, a qualified professional indicated by Ortho Pauher will contact you via teleconference to provide appropriate and personalized guidance.