PERCULINE nucleo is the universal instrument set for percutaneous nucleoplasty utilizing 4 MHz radiofrequency energy application in therapeutic pain interventions in the lumbar spine.
The primary therapeutic goal of nucleoplasty is decompression of nerve structures through volume reduction of the vertebral disk by means of radiofrequency ablation and mechanical removal of nuclear material with rongeurs.
The reusable instrument set is used to create a percutaneous access port to the vertebral disk, for preparation and removal of tissue using manual instruments, and for coagulation, tissue reduction, and ablation by means of radiofrequency energy.
While rongeurs are used to remove the material directly from the vertebral disk, the application of radiofrequency energy with bipolar TipControl instruments acts to both ablate the tissue of the vertebral disk (volume reduction) and to disrupt the small nerve fibers at the fibrous ring of the vertebral disk. The spinal nerves are therefore indirectly decompressed and the disruption of the nerve fibers prevents conduction of pain signals to the brain.
Disc volume reduction
- by manual mechanical resection
- by RF application
Denervation of the annulus structures
Endoscopic visualization for verification and documentation
Continuous irrigation flow for precise coagulation and cooling of the surrounding tissue
Re-usable instrument set
The centerpiece of effective tissue-preserving coagulation is the Radioblator RF4 radiofrequency generator with a working frequency of 4 MHz. In combination with the actively articulating TipControl RF Electrode the controlled positioning of the radiofrequency application in the tissue is guaranteed.
The RIWOspine education program offers excellent possibilities to learn more about the full-endoscopic technique for spine surgery or interventional percutaneous spine pain therapy.
It is a comprehensive training concept consisting of different modules to implement these innovative techniques successfully in your hospital