Addressing the COVID-19 Pandemic and the Impact on Hysteroscopic Procedures with the Aveta System

Keeping aligned with the recommendations for hysteroscopic procedures during and after the COVID-19 pandemic, stated by the Global Congress of Hysteroscopy Scientific Committee, is a priority to Meditrina Inc. Being able to treat all patients experiencing symptoms of abnormal uterine bleeding due to benign intrauterine pathologies is important during these challenging times.

The Aveta™ System, is a new mechanical hysteroscopy system intended for the removal and/or retrieval of intrauterine tissue such as, endometrial polyps, intrauterine fibroids, and/or RPOC, and provides “sterilization free” diagnostic and operative hysteroscopy because all devices are sterile and single use, minimizing set-up time, personnel requirements, and risks associated with cross contamination.

Our unique system can be used in any procedure room whether it’s in the hospital (no in-patient bed, operating suite, video tower, boom, etc. is necessary), ASC, or in-office, our system is easily adaptable to any room. We provide HD Video, superior fluid waste management, and tissue resection all controlled by one compact control box which is mounted onto a single rolling, adjustable saline pole with locking wheels.

We have two sizes of sterile single use Hysteroscopes and Resecting Devices available, dependent on patient comfort and tissue type. Our Hysteroscopes provide the largest working channel with the smallest insertion diameter, 4.6mm OD (3mm ID) and 5.7mm OD (4mm ID), respectively.

Aveta can also be used as a stand-alone fluid management system when used with any standard diagnostic or operative hysteroscope. Additionally, our proprietary sterile single use Hysteroscope can be used with a hanging bag for fluid management. The Aveta System is truly versatile and adaptable to any procedure room, and the surgeon control allows minimal staff when limited resources and PPE are not available.

One of the most overlooked steps during the process of decontaminating and reprocessing of reusable hysteroscopes is pre-cleaning. The steps for cleaning, high-level disinfection (HLD), rinsing, drying and storage for reusable hysteroscopes starts in the procedure room immediately post-op, not in the sterile processing department (SPD), due to having to remove patient biomaterials before biofilm hardening occurs. Proper training is involved to follow the manufacturer’s instructions for use and often takes multiple pages and hours just for the soaking portion of the process. When your staff is limited and/or new, there are a shortage of scopes, and patient turnaround is the highest importance, these steps for scope reprocessing can be burdensome, but are still necessary and required per the manufacturer’s IFU. Even missing one step can render the entire process ineffective and increase the risk of infection transmission. The Aveta System offers you and your patient the comfort of knowing that after each use devices can be easily discarded, eliminating the risk of device-related cross contamination.


In-Office Hysteroscopy Recommendations

Pre-procedure:

• The Aveta System is mechanical which means it does not produce surgical smoke during the case

• Our system contains HD Hysteroscopy video and monitor, fluid waste management and tissue resection on one rolling saline pole

• Our system has integrated inflow and suction outflow for tissue and fluid waste management, no external devices needed to perform hysteroscopy procedures

• Only one/two resources needed in the procedure room since Physician has full control of procedure, can be done with one person, if necessary, during COVID-19 pandemic (less PPE needed)

Intra-procedure:

• Can be done under local/regional anesthesia or conscious sedation due to smaller insertion diameter hysteroscopes available (patient dependent)

• The Aveta System has 5x* faster resection than currently marketed tissue removal devices making it a highly effective option

Post-procedure:

• Rapid procedure turnover because we provide multiple sizes of sterile single use devices that can be easily discarded immediately post-op which means less time needed for room decontamination. Patient can remain in same room with comfort and ease.

• No pre-cleaning, high level disinfection, rinsing, drying, storage required because we provide sterile single use hysteroscopes and resecting devices


Operating Room Hysteroscopy Recommendations

Pre-procedure:

• Aveta System is adaptable to any procedure room in the Hospital or ASC – no boom, surgical monitor, video towers, reusable scopes, light post adaptors or light sources needed to carry out procedures.

• Our system contains HD video, surgical monitor, fluid waste management and tissue resection on one rolling adjustable saline pole

• Only one/two resources needed in the operating room since Physician has full control of procedure, can be done with one person, if necessary, during COVID-19 pandemic (less PPE needed). Can be done on outpatient basis.

Intra-procedure:

• Can be done under local/regional anesthesia or conscious sedation due to smaller insertion diameter hysteroscopes available (patient dependent)

• The Aveta System has 5x* faster resection than currently marketed tissue removal devices making it a highly effective option

• The Aveta System is mechanical which means it does not produce surgical smoke during the case

• Our system has integrated inflow and suction outflow for tissue and fluid waste management, no external devices needed to perform hysteroscopy procedures

Post-procedure:

• Rapid operating room turnover because we provide multiple sizes of sterile single use devices that can be easily discarded immediately post-op which means less time needed for room decontamination.

• No pre-cleaning, high level disinfection, rinsing, drying, storage required because we provide sterile single use hysteroscopes and resecting devices


During the COVID-19 pandemic, patients are being limited to those whom delaying the procedure could result in adverse clinical outcomes. Why limit to only these patients when there are still patients who are seeking relief from their symptoms immediately? You can treat all patients during this challenging time (and after) because the Aveta System can adapt to any procedure room, not taking up inpatient beds, and can be done on an outpatient, same-day discharge. Most diagnostic and operative hysteroscopy procedures can be done under local/regional anesthesia or conscious sedation using our small insertion diameter Aveta Resecting Hysteroscopes.

Set up a virtual demonstration or email us at info@meditrina-inc.com for more information. We look forward to helping you during this time to treat all your patients, in all settings.


*Comparison of Tissue Resection Rates of The Myosure, Truclear, And Aveta Hysteroscopic Tissue Removal Systems. A Three-Arm, Bench Study. A.I. Brill

©2020 Meditrina, Inc. or its affiliates. Aveta™ is a registered trademark of Meditrina, Inc. All rights reserved.

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Solutions and Alternatives to Hospital-Based Care for GYN Surgical Patients with the Aveta™ Sytem