Now, almost six years later, the character forms part of a schools education pack aimed at teaching youngsters about situations they might encounter in hospitals, at the doctors and even in life.
It is also educates pupils about the National Health Service and encourages them to lead a healthy lifestyle.
Mrs Sadler was told at her 20 week scan, in April 2007, that the baby she was carrying had a condition that resulted in lung cysts being formed and that her child would need major surgery at 18 months old.
But, as she began to prepare Josephine for the operation at the Royal Alexandra Hospital in Brighton, Helen found there were no books to explain to her daughter what was happening.
"When we went in for the pre-operative appointment it was all pretty traumatic and quite terrifying," she said.
"The hospital had some really good photographs that talked you through the journey but we were not allowed to take them away.
"It was all very quick and you could not take anything on board and children are terrified just as much as parents are."
So, she decided to draw a character of a soft toy Monkey and created a story of him going into hospital for an operation.
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