For our hospitals "adapted syringe" we use 2 - 20 cc syringes and some O2 tubing.  We connect the 2 syringes together and withdraw the plunger and discard completely from one of them.  That way there is no cutting etc.  The O2 tubing is about 10-12 inches long whatever is most comfortable for the people/patient working with it.  You place the hind end of one syringe over the nipple/aereolar area of the breast and use the other syinge to pull back for the suction and "voila"....Of course its more costly too but its very easy to assemble and there is no cutting or hard labor involved.
Probably both work just as well but just to share an alternative set up.
Theresa
 Jim & Winnie Mading <[log in to unmask]> wrote:In my experience, the more a mom "needs" them, the harder they are
to keep "on target". If the shell slips and instead of the hole
over the nipple, the hard plastic is there, they certainly aren't
going to be of any help and may even make the situation worse. I
personally prefer the adapted syringe (cut the "business end" off a
20 cc syringe, put the plunger in from the opposite end, place over
the nipple, withdraw the plunger a bit and voila-you have a handy
dandy nipple everter!) or the comercailly available Evert-It. Of
course, babies latch to the breast, not the nipple, so many will do
fine even if the nipple doesn't stand out-especially if baby never
feels anything different it its mouth so it doesn't know it should
feel any different. There are some, however, who seem to need the
stimulation of the nipple against the back of the palate to get them
suckling and for these a mechanical means of getting that nipple to
evert can be helpful.

Winnie

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