During the procedure, most of your womb uterus lining will be destroyed or removed. Abnormal uterine bleeding aub can dramatically affect a womans comfort, confidence and quality of life. Im more than happy to answer any questions anybody has about my experience. Home conditions and treatments treatments thermachoice endometrial ablation. This therapy shouldnt be used if patient ever want children actually, pregnancies after ablation could be dangerous for both fetus and mother. Iii uterine balloon therapy ubt system is a thermal balloon ablation device intended to ablate the endometrial lining of the uterus in premenopausal women with menorrhagia excessive uterine bleeding due to benign causes for whom childbearing. The system allows saline heated to 90c 194f to be circulated in the uterus. Im 40 and just had the inoffice, thermachoice balloon ablation this morning. Its an older technology, although i think theyre on their third generation system now, so they are continuously making improvements for better results. Outpatient endometrial ablation minitouch a procedure with minimal resource requirements. I am a practicing obgyn and can tell you that just because the procedure last a little longer than novasure, its really all about the results afterwards. Genesys hta system 115v control unit, including users manual and power cord. Novasure is a device for endometrial ablation, which is a procedure that removes the endometrium, that the us food and drug administration, or fda, approved for use on 28 september 2001.
Gynecare versapoint tm bipolar electrosurgery system. Analysis of the safety and reliability of a hydrothermal ablation system. These events are now reported to the public in the manufacturer and user facility device experience maude database. Endometrial ablation womb ablation is a surgical treatment for women who have heavy periods menorrhagia. Gynecare thermachoice iii uterine balloon therapy system ethicon, inc. Engineering principles have been used to design a device, which has been researchprovencapable of coagulating tissue through the combination of a thermal and chemical insult. The food and drug administration approved the use of the essure system with thermachoice ablation in july 2004. Endometrial ablation can put an end to heavy bleeding that gets in the way of your everyday life maybe you need to change your tampon or pad every hour, or you bleed for more than a week. Iii uterine balloon therapy ubt system is a thermal balloon ablation device intended to ablate the endometrial lining of the uterus in premenopausal women with menorrhagia excessive uterine bleeding due to benign causes for whom childbearing is complete. This procedure is outpatient and is done in an office like setting without any cutting into the body and is done with local anesthesia. Gynecare thermachoice uterine balloon endometrial ablation treatment for heavy periods what is the treatment used for. Thermachoice endometrial ablation is a procedure that destroys the lining of the uterus called the endometrium, which is the portion that bleeds each month. I am 38, have 3 children and i had the thermachoice procedure on 122109.
When it comes to staying warm, there are two factors to consider. Ethicon has initiated a recall of its gynecare thermachoice iii thermal balloon ablation silicone catheter. Endometrial ablation can be described as one of the great gynecological success stories. The hydro thermablator system hta system is a device that allows your gynecologist to perform endometrial ablation on an.
Endometrial ablation can also be used to treat residual menstrual bleeding in transgender men. While there is an opportunity pregnancy could occur, contraception or sterilization should be used after. Strike a balance between the two and youre in for a comfortable day in the outofdoors. Answer your doctor should explain your risks to you. Ethicon gynecare thermachoice ii uterine balloon therapy eas200001. There is minor discomfort from the initial puncture and during the course of getting the vein anesthetized. The thermachoice device was attached to the machine in the appropriate manner, primed with 10cc room temperature d5w and then handed to dr to begin the procedure. Thermachoice endometrial ablation uterine balloon therapy. Scope adapters should be reprocessed in accordance with the validated cleaning and sterilization procedure provided in the genesys hta system users manual. Minerva surgical, endometrial ablation system operators manual 6.
The novasure endometrial ablation procedure is a simple way to reduce or stop menstrual bleeding for women with aub. The hysterectomy rate was slightly higher for the thermachoice iii group, without a significant difference between the groups 19% compared to %, p. Manufacturer specifications thermachoice ii, gynecare. People have varying amounts of bruising and discomfort after the. Genesys hta system seeing is believing boston scientific. Only patient education product and procedure guides product brochures reimbursement guide. There should be no pain at all when the laser is running. My obgyn wrote some rxs and had me take mg of naproxen yesterday morning, and again this morning. Global endometrial ablation devices are continually evolving to meet physician and patient needs. Thermachoice iii is the best device for endometrial ablations. The voluntary recall involves only the catheter component of the gynecare thermachoice system u.
Obgyn for essure, endometrial ablation hydrothermal ablation. Listed below are signature medical group physicians who specialize in this treatment. Outstanding results from the marketleading global endometrial ablation system. Thermachoice endometrial ablation quick outpatient.
Jnj subsidiary ethicon said it is recalling its gynecare thermachoice iii thermal balloon ablation silicone catheters over issues with the labeled 2year shelf life the. I will then use a device hydro thermablator, thermachoice or novasure system. The genesys hta system is designed for easy setup and intuitive operation to. Thermal balloon endometrial ablation system this operator. Nearly two decades of realworld experience novasure endometrial ablation 3 million patients treated and counting. Thermachoice endometrial ablation can be carried out at the doctors clinic and does not require a hospital visit. Essure compatible with two endometrial ablation techniques. Your uterus will be filled with room temperature saline. Outcome after treatment with thermachoice iii versus novasure. Probe, power supply and user guide 417, stack trolley with thermachoice insufflator and oev202 crt monitor. Used ethicon gynecare thermachoice ii uterine balloon therapy. None of the equipment posted for sale on is owned by medwow, should you have any questions regarding a specific item, please direct them to the appropriate seller by making use of the available communication channels on the items page. Gynecare thermachoice uterine balloon endometrial ablation.
The minerva endometrial ablation system was fda approved in july 2015, making it the first new commercially available gea product in the u. Use of the novasure impedance controlled endometrial ablation system hereafter. Thermochemical ablation is an experimental minimally invasive procedure, which exploits certain features of current thermal and chemical tumor ablation therapies. Abnormal uterine bleeding aub can dramatically affect a womans comfort, confidence, and quality of life. Ultraviolet laser, 4 mj at 2 nm with a pulse width of ablation techniques are more widely practiced than resectoscopic ablation, since they require less specialized training and often have a shorter operative time. The hydro thermablator system hta system is a device that allows your gynecologist to perform endometrial ablation on an outpatient basis. Patients benefit from a rapid recovery period, and most women will experience little or no menstrual bleeding as. The procedure is intended to destroy all or most of the tissue that is. The goal for this slide is to communicate the advances of gea technology and how advanced the genesys hta system and meets unmet needs. Endometrial ablation may be recommended if you have very heavy periods that affect. Sometimes people have bleeding, an infection, or pain where your doctor put in the. Gynecare thermachoice is an effective, nonhormonal treatment for heavy periods.
By continuing to browse the site you are agreeing to our use of cookies. Repeat resectoscopic ablation resection should be attempted only by experienced hysteroscopists since the complications may be severe. Novasure is a device for endometrial ablation, which is a procedure that. Minitouch endometrial ablation procedure as an outpatient service at a general practitioner clinic. Gynecare thermachoice uses a method called global endometrial ablation gea to remove the endometrium, the lining of the uterus. Question about thermachoice endometrial ablation discussion. How and why to use it for antiaging, lymphatic drainage, and depuffing duration.
Pdf endometrial ablation for heavy menstrual bleeding. Goldrath et al 3 first introduced endometrial ablation in 1981 with the use of the neodymiumyag laser. Manufacturer specifications thermachoice ii, gynecare please note. Hydrothermablation south shore, ma thermachoice procedure, ma. Ethicon gynecare thermachoice uterine balloon therapy system. This balloon is inserted through the vagina and cervix, therefore preventing an incision. This manual provides directions for using the gynecare thermachoice uterine balloon therapy ubt system. Can you tell me which endometrial ablation procedure is best, meaning most effective and safe. Doctors give unbiased, helpful information on indications, contraindications, benefits, and complications. The journal of reproductive medicine, mayjune 2014, vol 59, numbers 56 6 data on file refer to genesys hta system installation and operators manual provided with product for complete instructions for use. Do not attempt to resterilize or reuse any component of the procedure set. Thermal balloon endometrial ablation system this operators. My doc performs the gynecare thermachoice uterine balloon therapy system, but it seems through my research that novasure may be best.
It is not appropriate for a patient who is pregnant or wants to become pregnant in the future. Thermachoice endometrial ablation signature medical group. This may stop your periods completely, or they may become lighter. This simple system helps you choose the right base layer product for you. The novasure procedure is safe and comfortable in either the operating room or the office setting. The thermachoice device consists of a balloon system with a heating element. Endometrial ablation is not appropriate for women with endometrial hyperplasia or cancer, or those who wish to preserve their fertility. Endometrial ablation medical clinical policy bulletins aetna.
I agree that novasure seems to be a more common procedure these days, but i believe that thermachoice is still a safe, proven, and reliable method for doing an ea. Clinical policy endometrial ablation page 2 of 6 reproductive years. The genesys hta system treatment uses a sheath that is employed by your physician to perform an endometrial ablation. My cramps were also less to sometimes nonexistent after the ablation.
Thermachoice endometrial ablation quick outpatient treatment for heavy bleeding endometrial ablation is a quick inoffice treatment for heavy bleeding through the removal or destruction of the endometrium lining of the uterus. Thermablate thermal balloon endometrial ablation system office based global endometrial ablation. Endometrial ablation fluid management systems in office solutions radio frequency solutions tissue removal devices. The procedure and immediate symptoms were a breeze, took me a few months to adjust to new menstrual symptoms. Unique radiofrequency impedancebased technology delivers customized, proven patient results. No period, no spotting, no nothing for 6 weeks after living with 2 week long periods my whole life, i wish they had this 20 years ago. Ethicon recalls gynecare thermachoice iii catheter. It has changed the management of heavy menstrual bleeding dramatically. Patients requiring further treatment after thermal balloon ablation should be treated medically, by resectoscopic endometrial ablation, or by hysterectomy.
She is doing it outpatient, so i will be asleep, yeah. Abnormal uterine bleeding aub is defined as an irregularity in the timing, amount, or duration of menstrual bleeding. Heavy periods can cause problems such as fatigue, anaemia, social embarrassment and restricted activity. Presented in poster format at the 12th annual congress of the european society for gynaecological. Outpatient thermachoice endometrial balloon ablation. Thermachoice endometrial ablation in the outpatient setting, without local anesthesia or intravenous sedation. Thermachoice is a type of endometrial ablation that uses heat to treat the endometrium. Jnj subsidiary ethicon said it is recalling its gynecare thermachoice iii thermal balloon ablation silicone catheters over issues with the labeled 2year shelf life.
Ethicon gynecare thermachoice community, manuals and. Her option, cryoablation therapy system user manual. Estimates suggest that 10% to 30% of reproductiveaged women suffer from aub, depending on whether it is defined objectively by measuring the amount of blood loss or subjectively by using patientreported information. Endometrial ablation discussion endometrial ablation discussion question about thermachoice how bad is it in office setting.
I bill for an asc that does this procedure all the time. Thermachoice endometrial ablation therapy advanced obgyn. The patients satisfaction is equal for patients treated with thermachoice iii endometrial ablation and novasure endometrial ablation. I had minimal cramping only on the same day as procedure, and the discharge only lasted two days. Destroying the endometrium reduces the amount of menstrual bleeding each month or, in some cases, completely eliminates the bleeding. The start button was pressed and the ablation began. This act improved reporting and also required user facilities to report adverse events. Jan 23, 2010 the thermachoice isnt necessarily any more difficult for a properly trained physician. Gynecare thermachoice gynecare thermachoice uterine balloon therapy system is a soft, flexible balloon that a doctor inserts in the uterus womb to treat the endometrium, the lining of the uterus. Endometrial ablation techniques have evolved as an alternative to hysterectomy. Under local anaesthesia, the doctor inserts an inflatable, silicon balloon into the uterus. The agency has not approved the use of essure with novasure, and a spokesperson for conceptus inc.
Endometrial ablation is a procedure to treat abnormal uterine bleeding. I even had periods the first few months of my pregnancies. Novasure endometrial ablation the embryo project encyclopedia. It involves a minimally invasive, 8minute procedure that can be performed in your doctors office or in a. Novasure impedance controlled endometrial ablation system fda. A small soft, flexible balloon attached to a thin catheter tube is first passed through the vagina and cervix, and then placed gently into the uterus. Inoffice support information instructions for use for u. Thermachoice endometrial ablation in the outpatient. The thermachoice uterine balloon therapy ubt system is a software. Novasure thermachoice ablation wecare medical associates. After a slight dilation of the cervix, a slim procedure sheath will be placed in your cervix.
How it works a small soft, flexible balloon attached to a thin catheter tube is first passed through the. Thermachoice medical billing and coding forum aapc. My dr has me scheduled for the novasure on feb 16th. What are the risks of having a catheter ablation procedure. Had a novasure balloon endometrial ablation done nov 2010 almost 2 yrs ago. What we have started doing is we carved out code 58563 with our individual payers to insure that the high cost of the supply was covered. The journal of reproductive medicine, mayjune 2014, vol 59, numbers 56. But she said i could have either one because my uterus was a. Novasure instructions for use and controller operators. Thermablate thermal balloon endometrial ablation system. Rf controller creates and maintains a vacuum in the uterine cavity throughout the endometrial ablation procedure.
The genesys hta procerva procedure set is provided sterile and is intended for single use only. When done in the office setting, the patient is given medications prior to the procedure to reduce anxiety and discomfort. Thermachoice endometrial ablation can be performed either in the office setting or as an outpatient procedure. The gynecare versapoint tm bipolar electrosurgery system is used to diagnose and treat various benign uterine pathologies, including submucosal fibroids and polyps, as well as treat abnormal uterine bleeding by endometrial ablation indications for use the gynecare versapoint. He decided to proceed with removal of the fibroid, and performed a myomectomy, and did not proceed with the ablation. Destroying the endometrium reduces the amount of menstrual bleeding each month or, in. Some of the features of the lsx2 laser ablation system include. Used ethicon gynecare thermachoice ii uterine balloon. Our physician attempted to perform a thermachoice ablation on a patient in office, but when he began, the pt. The gynecare thermachoice treatment is one of the treatments for heavy periods.
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