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Essure offers easier sterilization.(MASTER CLASS)
Despite many advances in minimally invasive tubal ligation surgery, it remains a more complicated procedure than vasectomy to achieve sterilization, the most common contraceptive option in the United States today.
The introduction of a transcervical method of sterilization through the use of the Essure procedure is changing that. We can now offer patients a quick, exceedingly safe, incisionless tubal occlusion procedure that has been found 99.8% effective at 3 years, and, in one report, 99.74% effective at 5 years of follow-up.
I am incorporating Essure into my practice, and have found it so useful that I have chosen to share it in this month's Master Class.
In general terms, Essure is a microinsert placed into the fallopian tube via a hysteroscopically guided catheter.
The microinsert consists of a flexible stainless-steel inner coil, a dynamic outer coil made of nickel titanium alloy (nitinol), and an innermost layer of polyethylene terephthalate (PET) fibers. These fibers gradually elicit a benign localized tissue ingrowth that occludes the tubal lumen.
A follow-up hysterosal-pingogram (HSG) 3 months post procedure confirms proper device placement and tubal occlusion.
The concept that led to the development of Essure tubal occlusion evolved from neurosurgery, in which coils have been used to block vessels. However, specialized coils had to be designed that would expand to the diameter and length of the fallopian tube.
- FDA panel approves Cabot Medical's tubal occlusion system.
- Press release article from: PR Newswire March 29, 1988 700+ words
...APPROVES CABOT MEDICAL'S TUBAL OCCLUSION SYSTEM LANGHORNE, Pa., March...for the Falope-Ring Band tubal occlusion system. According to Warren G. Wood, president, Cabot's tubal occlusion device is the only approved...
- Cook Medical Unveils FluoroSetTM To Aid Diagnosis of Tubal Occlusion.
- Newspaper article from: Medical Devices & Surgical Technology Week November 15, 2009 700+ words
...fallopian tubes, the most common being tubal occlusion or blockage1. This condition is commonly...providing an optimal solution for the tubal occlusion diagnosis. The full set of advanced...with wire guide manipulations. "Tubal occlusion, or blockage, can have a severe...
- United States : Cook Medical Unveils FluoroSetTM To Aid Diagnosis of Tubal...
- News wire article from: TendersInfo October 27, 2009 700+ words
...fallopian tubes, the most common being tubal occlusion or blockage1. This condition is commonly...providing an optimal solution for the tubal occlusion diagnosis. The full set of advanced...with wire guide manipulations. "Tubal occlusion, or blockage, can have a severe...
- Panel okays tubal occlusion implant. (Hysteroscopic Sterilization).
- Magazine article from: OB GYN News Mechcatie, Elizabeth August 15, 2002 700+ words
...a fibrotic response that eventually results in complete tubal occlusion. To date, no pregnancies have been reported in 602 women...18 were evaluated with HSG, 83% of whom had proximal tubal occlusion, which was why the procedure failed, said Dr. Charles...
- Cabot Medical begins clinical trials on advanced tubal occlusion system.
- Press release article from: PR Newswire November 16, 1987 700+ words
CABOT MEDICAL BEGINS CLINICAL TRIALS ON ADVANCED TUBAL OCCLUSION SYSTEM LANGHORNE, Pa., Nov. 16 /PRNewswire...announced it has begun clinical trials on an advanced tubal occlusion system. "This new system will enhance Cabot's...
- Cook Medical Debuts FluoroSet to Aid Diagnosis of Tubal Occlusion.
- Magazine article from: Entertainment Close-up October 29, 2009 700+ words
...by disease in the fallopian tubes, the most common being tubal occlusion or blockage and this condition is commonly diagnosed using...fallopian tubes, providing an optimal solution for the tubal occlusion diagnosis. According to a release, the full set of medical...
- Laparoscopic tubal occlusion system.(Focus On Minimally Invasive Surgical...
- Newspaper article from: Surgical Products September 1, 2004 700+ words
The Falope-Ring[R] Band System is a highly efficacious laparoscopic method for tubal occlusion. The Falope-Ring Band is an inert radiopaque silicone band that is applied to a looped section of the Fallopian tube with the...
- Conceptus' STARRT Falloposcopy System Receives U.S. FDA Marketing Clearance for...
- Press release article from: Business Wire February 3, 1997 700+ words
...the United States Food and Drug Administration (FDA) to market its STARRT Falloposcopy System for diagnosis of proximal tubal occlusion (PTO), a blockage of the fallopian tube which is a known cause of infertility. The Selective Tubal Assessment to Refine...
