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Performing the Intraoperative Cell Salvage Procedure . Three suction options: on-board SmartSuction® technology, regulated Printer kit. 114282-00.The next step is to dilate the opening of the cervix. • Once the cervix is open, a small plastic tube is inserted into the uterus and connected to a suction. The Life-Saving Skills Manual for Midwives,* and its training program process, builds on years of experience of midwives practicing in rural and urban areas manual vacuum aspiration (MVA). electric vacuum aspiration (EVA). Dilatation and evacuation (D&E) D&E is the surgical method for abortion >12-14 ______ Before the abortion, I will accurately fill out medical history forms and have (If the doctor decides to use a manual vacuum aspirator, I will. As soon as the uterine-evacuation procedure is complete, immediately discard cannula and soak the aspirator and adapters to ease cleaning. • Disassemble the