HysteroscopyDiagnostic & Operative

Sensitive. Specific. Accurate.

A highly valuable tool in evaluation and treatment of abnormal uterine bleeding, Office Hysteroscopy offers numerous advantages for physicians.1

sensitivity

WHY CONSIDER OFFICE HYSTEROSCOPY?

PHYSICIANS HAVE FOUND: • Overall, was found to be significantly better in diagnosing any endometrial

abnormality compared to transvaginal ultrasound (TVUS) and saline infusion sonohysterography (SIS)2

• Ability to simultaneously image the endometrial cavity and perform procedures ranging from endometrial biopsy to polypectomy and more3

• Gold standard in assessment of abnormal uterine bleeding (AUB) in postmenopausal women4

• Dramatically reduces false-negative results of blind biopsy4

HYSSIS

TVUS

sensitivity

A broad spectrum of diagnostic and operative procedures can be performed successfully, comfortably, and inexpensively in the context of an office procedure room, using either no sedation or anesthesia to a range of local anesthetic techniques that depend on the procedure to be performed and the experience and training of the clinician.6 (M. Munro)

The addition of Office Hysteroscopy should be considered as a compliment to your current in-office diagnostic tools.

Sensitivity Specificity

Evaluation of Premenopausal Women with AUB3

Any Endometrial Abnormality2

SIS

93.6%90.5%

TVUS

89.4%

HYS97.26%

92.9%97.26%

92%

SIS

91.78%

60%

TVUS

89.04%

56%

HYS

71.4%

Evaluation of postmenopausal women with AUB4 using Hysteroscopy

Endometrial Polyps

Submucous Myoma

sensitivity

Sensitivity 100%

Specificity 98%

Accuracy 99%

Sensitivity 100%

Specificity 97%

Accuracy 91%

Newer hysteroscopes with small diameters allow physicians to perform in-office hysteroscopy economically and safely5

(A. Garcia)

The only procedure that enables diagnostic and operative treatment simultaneously allowing for shared decision making5

(A. Garcia)

sensitivity

sensitivity

Cost effective & convenient for physicians and patients

REFERENCES: 1. Wong M, Miller V, Isaacson K. Why you should be performing office hysteroscopy…now. Contemporary OBGYN. 2017. 2. Grimbizis GF, Tsolakidis D, Mikos T, et al. A prospective comparison of transvaginal ultrasound, saline infusion sonohysterography, and diagnostic. hysteroscopy in the evaluation of endometrial pathology. Fertility and Sterility. 2010;94(7):2720-2725. doi:10.1016/j.fertnstert.2010.03.047. 3. Soguktas S, Cogendez E, Kayatas SE, Asoglu MR, Selcuk S, Ertekin A. Comparison of saline infusion sonohysterography and hysteroscopy in diagnosis of premenopausal women with abnormal uterine bleeding. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2012;161(1):66-70. doi:10.1016/j.ejogrb.2011.11.022. 4. Angioni S, Loddo A, Milano F, Piras B, Minerba L, Melis GB. Detection of Benign Intracavitary Lesions in Postmenopausal Women with Abnormal Uterine Bleeding: A Prospective Comparative Study on Outpatient Hysteroscopy and Blind Biopsy. Journal of Minimally Invasive Gynecology. 2008;15(1):87-91.doi:10.1016/j.jmig.2007.10.014. 5. Garcia, MD A. STOP performing dilation and curettage for the evaluation of abnormal uterine bleeding. OBG Management. 2013;25(6). 6. Keyhan S,Munro M. Office Diagnostic and Operative Hysteroscopy Using Local Anesthesia Only: An Analysis of Patient Reported Pain and Other Procedural Outcomes. Journal of Minimally Invasive Gynecology. 2013;20(6). doi:10.1016/j.jmig.2013.08.356. 7. Moawad NS, Santamaria E, Johnson M, Shuster J. Cost Effectiveness of office hysteroscopy for abnormal uterine bleeding. JSLS 2014 Jul; 18(3). 8. Abbasi I, Olver, J, Jones T, et al. Office Diagnostic and Operative Hysteroscopy Service–Patient Satisfaction Survey. ejogrb. 2016.

The information contained in this document is provided to help you understand the reimbursement process. It is not intended to (i) increase or maximize reimbursement by any payor or (ii) represent any comparison between health outcomes of ASC/hospital hysteroscopy procedures and in-office hysteroscopy (non-facility) procedures. We strongly recommend that providers consult their payer organization with regard to local reimbursement policies.

The information contained in this document is for general information purposes only and is not based on studies using the Luminelle DTx System.

HysteroscopyDiagnostic & Operative

• In a study conducted in 100 women, 93% stated they would repeat the same procedure if clinically needed and 97% of the women would recommend Office Hysteroscopy to a friend.8

• Patients may not be subjected to potential dangers of general anesthesia1

• Number of office visits required to diagnose and treat intrauterine pathology and days off from work is reduced1

• Patient has the option of watching their procedure in real-time which may increase a feeling of comfort1

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An underutilized tool, office hysteroscopy should be considered for your office in order to maximize workflow, heighten patient satisfaction and support reimbursement strategies:

Likewise, Office Hysteroscopy has additional benefits for a better patient experience and environment:

• Reduces number of OR procedures as well as time out of office for travel, paperwork and perioperative time which is not reimbursed1

• Reimbursement for these procedures is higher than for a simple endometrial biopsy and more information can be obtained through direct visualization1

• Office Hysteroscopy offers significant economic savings to patients in comparison to hospital (facility) procedures7

OR Performance. Office Value.™The compact, integrated Luminelle system is all you need to perform most diagnostic and therapeutic procedures in your office.

Key features include:• Easy to setup, easy to use, easy to maintain• High resolution, elongated range of view (5-50mm) • Slim-line, semi-flexible Hysteroscope (OD: 1.95mm)

• 360° rotating, single-use operative sheath (OD: 5.7mm)

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