11/9/2021 0 Comments Arthrocare Coblator
Small to moderate low back disc herniations and disc degeneration may be treated with the Arthrocare Nucleoplasty technique. Coblation refers to the low frequency radio waves (100kHz) used to carve channels into the disc by causing larger molecules to disintegrate into gases. This coblation process is used to decompress the disc under a herniation, allowing the. (a) ArthroCare Coblator-IQ RF generator with control system, foot pedal and sample device (b) GYNECARE VERSAPOINT II Bipolar Electrosurgery System. To evaluate the effectiveness of Coblation in temporomandibular joint (TMJ) arthroscopic surgeries and to preliminarily evaluate the clinical effects.Access to the service manual is also a plus, ArthroCare®coblation for arthroscopic surgery® invented, and no one is a tendon, quantum coblation and our innovative ArthuroWand device.Masseter muscle atrophy occurred in 4 patients, and 30 TMJs required second arthroscopic surgeries or open surgeries.The technique of Coblation has proved to be an effective and minimally invasive option for the treatment of TMJ internal derangement, with advantages such as offering a high degree of precision and control, causing little or no thermal damage to surrounding tissue, leaving smooth anatomic surfaces, and achieving hemostasis of smaller blood vessels.Copyright 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. Arthroscopic Coblation, combined with disc suturing, was performed in 419 TMJs from July 2001 to March 2007 by use of the ArthroCare System 2000 radiofrequency machine (ArthroCare, Sunnyvale, CA). All patients had stage II to V internal derangement, according to the classification of Wilkes.Although this condition is frequently referred to as 'heel spurs', plantar fasciitis (acute inflammatory stage) and plantar fasciosis (chronic degeneration) are currently accepted as the more accurate terms. Why Should I Register and Submit Results?Severe recalcitrant heel pain, resulting from repetitive trauma to the plantar fascia, is a relatively commonly observed phenomenon. Submit Studies to ClinicalTrials.gov PRS The surface of the cartilage and disc were smooth without cautery damage and hemorrhage. During the clinical follow-up period, 76.37% of TMJs (320/419) had excellent results and 16.47% (69/419) had good results.
Arthrocare Coblator Generator With ControlPatient outcomes and response to conservative measures are usually positive, with non-responsive cases, approximately 10% of all presenting cases, receiving surgical care. Orthotics, heel cups, night splints and plantar strapping are other conservative options frequently recommended by treating physicians. Conservative treatment options for plantar fasciosis include rest, stretching, strengthening, and massage, progressing to non-steroidal anti-inflammatories, steroid injections or iontophoresis with continued recalcitrance. Risk factors such as low or high arches or over-pronation of the foot, systemic disease, or obesity may exacerbate pain.More than two million Americans receive treatment each year for plantar fasciitis and fasciosis. The source of pain symptoms, which are usually perceived as a gradual onset of burning, is located at the origin of the plantar fascia at the calcaneous (heel bone). Because of the potential postoperative sequelae with plantar fascia release, it is valuable to examine less invasive surgical techniques for treating recalcitrant plantar fasciosis.The concept of using a plasma RF-based microsurgical approach as a viable modality for treating tendinosis, and now, recalcitrant plantar fasciosis, was originally drawn from the research work conducted in patients treated for congestive heart failure using laser or RF-based transmyocardial revascularization (TMR). However, this surgery has a risk of complications and is thought to alter the biomechanics of the foot, which may be linked to post-operative lateral column pain and long-term disability. Plantar fascia release, either partial or complete, is commonly the surgical procedure of choice for treating plantar fasciosis. Stuffing box shaft sealPatients had a rapid and uncomplicated recovery and reported minimal to no pain 7-10 days following the procedure their pain relief persisted or improved through 24 months. The investigators reported that this technique was technically simple to perform and was much less invasive than conventional surgery. The sum of several studies provides good evidence to suggest that plasma RF-based microsurgery can promote an angiogenic healing response using an appropriate application.Preliminary clinical experience following plasma RF-based micro-tenotomy has demonstrated excellent success in treating chronic, refractive tendinosis. To substantiate adopting a TMR-like approach for treating tendinosis, the capability of plasma RF-based microsurgery for initiating an angiogenic healing response was examined in vivo using histology and biochemical analysis. Localized angiogenesis had not been observed previously using mechanical devices for TMR, which were also less successful clinically. Symptoms consistent with plantar fasciitis/fasciosis for at least 6 months as assessed by patient history Ultrasound or magnetic resonance imaging (MRI) confirming plantar fasciitis/fasciosis VAS (Visual Analog Scale) pain score of > 5 points on a scale of 0 to 10, during the first few minutes of walking in the morning Tenderness with palpation and local pressure over the medial calcaneal tuberosity on passive dorsiflexion of the foot The purpose of this study is to evaluate the effectiveness of Coblation-based fasciotomy for relieving pain associated with recalcitrant plantar fasciosis and, secondarily, to determine whether there may be additional potential benefits stemming from its use, such as reduced incidence of postoperative complications and improved function, compared to conventional surgery.Diagnosis of plantar fasciitis/fasciosis by all of the following: These promising clinical findings, as well as the evidence from the basic research studies, led us to consider evaluating this plasma RF-based approach for treating symptomatic, chronic, recalcitrant heel pain resembling plantar fasciosis. History or documentation showing peripheral vascular disease or autoimmune disease Physical findings and documentation of coagulopathy, infection, tumor or other systemic disease(s) History or documentation showing type I and type II diabetes mellitus Subject is willing and able to complete required follow-up Must sign the Institutional Review Board (IRB) approved informed consent form Must be at least 18 years old and no more than 72 years old ![]() ![]()
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