Comparative Sedation Study of the MyoSure Hysteroscopic Tissue Removal System
Uterine Fibroids, Polyps
About this trial
This is an interventional treatment trial for Uterine Fibroids focused on measuring morcellator, hysteroscope, myomectomy, polypectomy, uterine fibroids, uterine polyps, local anesthetic, cervical block, pain management
Eligibility Criteria
Inclusion Criteria:
- Healthy female between the ages of 18 and 65
- Subject must be able to understand, read and sign the study specific informed consent forms after the nature of the study has been fully explained to her
- Subject is a pre-menopausal or peri-menopausal female, either nulliparous or parous
- Subject is indicated for myomectomy or polypectomy for benign pathology, based on hysteroscopic, ultrasound, or saline infused sonogram assessment within 60 days
Subject exhibits intrauterine polyps and/or submucous myomas which meet one of the following criteria. In cases of subjects with multiple intrauterine pathology, classification is based as follows:
- All polyps
- A single Type 0 or Type 1 myoma ≤ 3 cm
- Polyps plus a single Type 0 or Type 1 myoma ≤ 3 cm
- Negative pregnancy test within 48 hours prior to planned index procedure and willing to use reliable birth control for the next 30 days. Reliable birth control is defined as a chemical or barrier method, including an oral contraceptive, injectable contraceptive, or the combination of a spermicide and condoms
Exclusion Criteria:
- Known or suspected cancer, including breast, endometrial, and ovarian
- Subject has Type 2 myoma
- Contraindication and/or allergy to local anesthetic, or oral medications specified in the treatment protocol
- Subject has a history of chronic narcotic use
- Previous uterine artery embolization or other uterine artery occlusion procedure (Doppler or laparoscopic)
- Subject with blood borne pathogens-HIV, hepatitis B, CJD, etc.
- Subject plans to become pregnant within the study period
- Subject has an IUD at the time of the procedure. A subject may be enrolled in the study if the IUD is removed prior to the treatment procedure
- Subject is taking an anticoagulant or antiplatelet medication other than low dose aspirin
- Active pelvic inflammatory disease or pelvic/vaginal infection
- Subject has a known or suspected coagulopathy or bleeding disorder
- Subject has a history of unmanaged endocrine disease
- Subject has current or past, acute or chronic psychiatric disorder which, in the opinion of the Investigator, may preclude proper evaluation and follow-up
- Subject has history of auto-immune, inflammatory, or connective tissue disease
- Subject has a history of disease which increases the risk for fluid overload (i.e. significant cardiac, hepatic, or renal dysfunction)
- Uncontrolled hypertension lasting two years or more
- Use of any experimental drug or device within 30 days prior to the screening visit
- The subject has a terminal illness that may prevent the completion of any follow-up assessments
- Any employee or relative of an employee of the Sponsor company or any Investigator site employee or relative of employees working on the study
- Subject has other co-morbid condition(s) that, in the opinion of the Investigator, could limit the subject's ability to participate in the study or impact the scientific integrity of the study
Sites / Locations
- Phoenix Gynecology Consultants
- Florida Woman Care
- Wayne State University
- Minnesota Gynecology and Surgery
- Carolina Women's Research and Wellness Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Cervical Block, 6 injection sites
Cervical Block, 2 injection sites
Ibuprofen q. 8 hours
Ibuprofen PRN
Subject will receive a cervical block of 1% lidocaine and 0.25% bupivacaine, with injections in the following locations: 2cc at 12:00, 10cc at 3:00, 10 cc at 9:00, 5 cc at 4:00, 5 cc at 8:00, and 5 cc at 6:00.
Subject will receive a cervical block of 1% lidocaine and 0.25% bupivacaine, with injections in the following locations: 10 cc at 4:00, and 10 cc at 8:00.
Subjects will receive a post procedure pain management regimen of ibuprofen 800 mg every 8 hours, for the first 24 hours and then PRN.
Subjects will receive a post procedure pain management regimen of ibuprofen 800 mg PRN.