We will mention the main ones here:

• Clinical treatment of pectus excavatum.

• Make the chest flexible as preoperative preparation.

• Sternal elevation during corrective surgery.

• Correction of pre- and post-operative changes.

According to international literature, the best results are found in children and young adults, starting at 4 or 5 years of age. We do not set age limits for adult or older patients.

As mentioned on our website, simply measure the distance between your two nipples in (mm) and reduce the measurement by up to 10 (mm). Using this measurement, you'll find the corresponding device.

In addition to the instructions on our website, here is a summary: preferably with the patient standing, the first few times avoid sitting or lying down, take a deep breath and expand the chest, with the vacuum pump valve locked, compress the device against the chest, once fixed, use the manual pump to adjust the pressure and follow the table established for your phase of treatment.

Yes, we have a proposed scheme on the website, based on several studies already published in the world literature and on the experience gained with patients monitored with our Vacuum-Pauher equipment during treatment.

Two versions of the product are available, one without the vacuum gauge, which indicates the time table combined with the highest pressure that maintains the device in place without causing discomfort. The prescribing physician is responsible for guiding each patient. We also offer a pressure gauge as an accessory, which comes with tables and instructions for use in a simple, educational, color-coded format, explaining the beginning and progress of treatment progressively.

As described on our website, using it at least three times a day is considered ideal. If that is not possible, using it twice a day can still be effective, though it may take longer to achieve the expected results. Using the equipment more than three times a day may help reduce the total treatment time, depending on your adherence and consistency

Yes, you should resume use, preferably following the same regimen you were on before stopping. If you experience any discomfort, reduce the pressure and/or frequency of use until you reach your treatment goal according to the explanatory table on our website.

This step is very important: release the hoses to relieve the pressure. This allows the device to detach from the skin without additional traction. Simply release the vacuum and the device will be easier to remove without causing skin damage.

Yes, this is a common occurrence. The vacuum pressure exerts on the skin, blood vessels, and anterior chest wall causes a microscopic leak of blood elements, such as red blood cells, out of the vessels. These red blood cells contain a component called hemoglobin, which, in simple terms, degrades and accumulates, causing this discoloration, which is gradually eliminated when treatment ends.

First, reduce the pressure, shorten the treatment time, and decrease the daily frequency. Most importantly, seek guidance from the doctor responsible for your treatment

First of all, as advised in the previous question, consult your doctor. Medications available in cream, ointment, or lotion form, which have anti-inflammatory and antipruritic properties, can relieve symptoms of various skin problems.

On rare occasions, this usually occurs when excessive pressure is exerted on the equipment, sudden movements, prolonged use, or improper use, or when not in accordance with the recommended specifications and detailed descriptions on our website. If these occur, we reiterate, consult your doctor.

On our website, we have a prescription that guides not only the initial measurements but also a suggested follow-up every 15 days. All measurements and guidelines should be recorded and followed to demonstrate each patient's progress. This should be saved and shown to the prescribing physician.

This check is important; it should be performed with running water and mild soap. Avoid using alcohol or strong detergents, as these can damage and alter the structure of the Vacum-Pauher. Special care should be taken with the vacuum gauge; it does not require cleaning, but it is sensitive to shocks and/or drops, which can occur if the equipment is not properly maintained.

The end of treatment is closely linked to patient satisfaction associated with a final assessment by the prescribing physician. The two will jointly make the decision of when to stop using it... an important decision, and we advise that the equipment should be removed gradually after a period of accommodation and stability of the anterior chest wall.

There is no difference in the treatment technique, how to start or maintain it. However, because children and adolescents have a more flexible chest wall, the treatment time and intensity are more favorable for this younger group. Nevertheless, even in adults or more advanced ages, treatment success can be achieved with persistence and continued use of the equipment for a longer preiod and with greater pressure

The male device has always been designed with a disc shape, which can even be used on females in cases where the breasts are not yet fully developed or pre-adolescents. The female model has an hourglass shape for better adaptation between the breasts, and we even have two sizes, depending on the patient's shape and/or age.

On our website, we have a button to talk to a specialist, where a qualified professional recommended by Orthopauher will contact you via teleconference and provide the best possible guidance.