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INFORMATION
FOR VAMCs

If you provide care at a VAMC, please contact us for the latest information about what is happening with Cysview in VAMCs nationwide.

The following VAMCs currently offer Blue Light Cystoscopy with Cysview:

Alabama
  • Birmingham VA Medical Center, Birmingham, AL
Arkansas
  • John L. McClellan Memorial Veterans Hospital, Little Rock, AR
California
  • Sacramento VAMC, Mather, CA
  • San Francisco VA Medical Center, San Francisco, CA
  • VA Central California Health Care System, Fresno, CA
  • VA Greater Healthcare, Los Angeles, CA
  • VA Long Beach Healthcare System, Long Beach, CA
  • VA Medical Center Palo Alto, Palo Alto, CA
  • VA San Diego Healthcare System, San Diego, CA
  • Jerry L. Pettis Memorial Veterans' Hospital, Loma Linda, CA
Delaware
  • Wilmington VAMC, Wilmington, DE
District of Columbia
  • Washington DC VAMC, Washington, DC
Florida
  • Bruce W. Carter Department of VAMC, Miami, FL
  • West Palm Beach VAMC, West Palm Beach, FL
Iowa
  • VA Iowa City Health Care, Iowa City, IA
Illinois
  • Jesse Brown Department of Veterans Affairs Medical Center, Chicago, IL
Indiana
  • Richard L. Roudebush VAMC, Indianapolis, IN
Louisiana
  • Overton Brooks VA Medical Center, Shreveport, LA
  • New Orleans VA Medical Center, New Orleans, LA
Maryland
  • Baltimore VA Medical Center, Baltimore, MD
Minnesota
  • Minneapolis VA Medical Center, Minneapolis, MN
Missouri
  • John J. Cochran Veterans Hospital, St. Louis, MO
  • Kansas City VA Medical Center, Kansas City, MO
Nebraska
  • Omaha VA Medical Center, Omaha, NE
Nevada
  • VA Southern Nevada Healthcare System, North Las Vegas, NV
New York
  • Margaret Cochran Corbin VA Campus, New York, NY
  • Northport VA Medical Center, East Northport, NY
  • Syracuse VA Medical Center, Syracuse, NY
North Carolina
  • Fayetteville VA Medical Center, Fayetteville, NC
Ohio
  • Cincinnati VA Medical Center, Cincinnati, OH
Oklahoma
  • VA Oklahoma City Health Care System, Oklahoma City, OK
Rhode Island
  • Providence VA Medical Center, Providence, RI
South Carolina
  • Ralph H. Johnson Department of VAMC, Charleston, SC
South Dakota
  • Royal C. Johnson Veterans’ Memorial Hospital, Sioux Falls, SD
Tennessee
  • Tennessee Valley Healthcare System (VA) – Nashville Campus, Nashville, TN
Texas
  • Dallas VA Medical Center, Dallas, TX
  • Michael E. DeBakey VA Medical Center, Houston, TX
Vermont
  • White River Junction VA Medical Center, White River 
Junction, VT
Wisconsin
  • Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI
Important safety information about Cysview® (hexaminolevulinate HCI)
Cysview is not a replacement for random bladder biopsies or other procedures used in the detection of bladder cancer.
Anaphylactoid shock, hypersensitivity reactions, bladder pain, cystitis, and abnormal urinalysis have been reported after administration of Cysview.
The most common adverse reactions seen in clinical trials were bladder spasm, dysuria, hematuria, and bladder pain.
Product indication for Cysview® (hexaminolevulinate HCl)

Cysview is an optical imaging agent indicated for use in the cystoscopic detection of carcinoma of the bladder, including carcinoma in situ (CIS), among patients suspected or known to have lesion(s) on the basis of a prior cystoscopy, or in patients undergoing surveillance cystoscopy for carcinoma of the bladder.

Cysview is used with the KARL STORZ D-Light C Photodynamic Diagnostic (PDD) system to perform Blue Light Cystoscopy (BLC®) as an adjunct to White Light Cystoscopy.

Important Risk & Safety Information

Limitations of use
Cysview is not a replacement for random bladder biopsies or other procedures used in the detection of bladder cancer.

Warnings and precautions
Anaphylactoid shock, hypersensitivity reactions, bladder pain, cystitis, and abnormal urinalysis have been reported after administration of Cysview. The most common adverse reactions seen in clinical trials were bladder spasm, dysuria, hematuria, and bladder pain.

Contraindications
Cysview should not be used in patients with porphyria, gross hematuria, or with known hypersensitivity to hexaminolevulinate or any derivative of aminolevulinic acid. Cysview may fail to detect some malignant lesions. False-positive fluorescence may occur due to inflammation, cystoscopic trauma, scar tissue, previous bladder biopsy, and recent BCG therapy or intravesical chemotherapy. No specific drug interaction studies have been performed.

Use in specific populations
Safety and effectiveness have not been established in pediatric patients. There are no available data on Cysview use in pregnant women. Adequate reproductive and developmental toxicity studies in animals have not been performed. Systemic absorption following administration of Cysview is expected to be minimal. There are no data on the presence of hexaminolevulinate in human or animal milk, the effects on a breastfed infant, or the effects on milk production. The development and health benefits of breastfeeding should be considered along with the mother's clinical need for Cysview and any potential adverse effects on the breastfed infant from Cysview or from the underlying maternal condition.

Use of the KARL STORZ D-Light C Photodynamic Diagnostic (PDD) system
Cysview is approved for use with the KARL STORZ D-Light C Photodynamic Diagnostic (PDD) system. For system set up and general information for the safe use of the PDD system, please refer to the KARL STORZ instruction manuals for each of the components.

Prior to Cysview administration, read the Full Prescribing Information and follow the preparation and reconstitution instructions.