Percutaneous peridurolysis or adhesiolisis de compressive (PDD) dispositives by sacral hiatus CODE NAME DESCRIPTION LJ-S-0-40-ST-X LJ-S-0-60-ST-X LISI JECT Peridurolysis catheter L: 40cm or 60cm. Ø1,60 mm. without percutaneous introducer needle LJ-P-0-65-ST-X LJ-P-0-80-ST-X LISI JECT PLUS Peridurolysis catheter L: 65cm or 80cm. Ø1,35 mm. equipped with a balloon for disobstruction of the epidural channel and inflating syringes (for use with videoguide Mizar) LJ-E-1-40-ST-E LJ-E-1-60-ST-E LISI JECT ENS Peridurolysis catheter electrified for ENS L: 40 cm or 60cm. Ø1,40 mm. with infusion syringe and adhesive plaque (without percutaneous introducer needle) LJ-R-1-40-ST-C LJ-R-1-40-ST-B LJ-R-1-40-ST-N LJ-R-1-60-ST-C LJ-R-1-60-ST-B LJ-R-1-60-ST-N LISI JECT RF+ Peridurolysis catheter electrified with an electrode for RF L: 40cm or 60cm. Ø1,40 mm. with infusion syringe and connection for generators: Cosmann (C), Baylis (B), Neurotherm (N) (without percutaneous introducer needle) LJ-R-2-40-ST-C LJ-R-2-40-ST-B LJ-R-2-40-ST-N LJ-R-2-60-ST-C LJ-R-2-60-ST-B LJ-R-2-60-ST-N LISI JECT RF++ Peridurolysis catheter electrified with two electrodes for RF L: 40 cm or 60cm. Ø1,40 mm. with infusion syringe and connection for generators: Cosmann (C), Baylis (B), Neurotherm (N) (without percutaneous introducer needle) LJ-F-1-40-ST-C LJ-F-1-40-ST-B LJ-F-1-40-ST-N LJ-F-1-60-ST-C LJ-F-1-60-ST-B LJ-F-1-60-ST-N LISI JECT RF+ FLEX Peridurolysis catheter electrified with braided flexible electrode for RF L: 40 cm or 60cm. Ø1,40 mm. with infusion syringe and connection for generators: Cosmann (C), Baylis (B), Neurotherm (N) (without percutaneous introducer needle) LJ-F-2-40-ST-C LJ-F-2-40-ST-B LJ-F-2-40-ST-N LJ-F-2-60-ST-C LJ-F-2-60-ST-B LJ-F-2-60-ST-N LISI JECT RF++ FLEX Peridurolysis catheter electrified with two braided flexibles electrodes for RF L: 40 cm or 60cm. Ø1,40 mm. with infusion syringe and connection for generators: Cosmann (C), Baylis (B) , Neurotherm (N) (without percutaneous introducer needle) The right Evolution Pack: 5 items box Nitinol mandrels with curved memory for Lisi Ject catheters CODE NAME DESCRIPTION LJ-W-0-40-AN-X LJ-W-0-60-AN-X Nitinol angled mandrel Nitinol mandrel for catheter Lisi Ject. Lenght 40 cm or 60cm., Ø 0,40. Angled tip 30° LJ-W-0-40-SN-X LJ-W-0-60-SN-X Nitinol Mandrel Snake Nitinol mandrel for catheter Lisi Ject. Lenght 40 cm or 60 cm., Ø 0,40. Snake Tip LJ-W-0-65-AN-X LJ-W-0-80-AN-X Nitinol angled mandrel Nitinol mandrel for catheter Lisi Ject. Lenght 65cm or 80cm., Ø 0,35. Angled tip 30° LJ-W-0-40-AN-ER LJ-W-0-60-AN-ER Nitinol angled mandrel Nitinol mandrel for catheter Lisi Ject ENS; RF+; RF++; RF+ FLEX ; RF++ FLEX. Lenght 40cm or 60 cm., Ø 0,40. Angled tip 30° LJ-W-0-40-SN-ER LJ-W-0-60-SN-ER Nitinol Mandrel Snake Nitinol mandrel for catheter Lisi Ject ENS; RF+; RF++; RF+ FLEX ; RF++ FLEX. Lenght 40cm or 60 cm., Ø 0,40. Snake tip PACKAGING: 5 unities Kit INTRODUCER NEEDLES FOR LISI JECT CATHETERS CODE NAME DESCRIPTION LJ-INTRO-S Introducer for LISI JECT Standard percutaneous introducer needle for Lisi Ject. L: 9 cm. Ø 1,6 mm. with a armed cannula, flexible radiopaque mandrel and Y connector LJ-INTRO-T-1 Introducer for LISI JECT Straight introducer needle for Lisi Ject. L: 9cm. Ø 2,02 mm. equipped with metal cannula plastic coated. LJ-INTRO-T-2 Introducer for LISI JECT Straight introducer needle for Lisi Ject. L: 9cm. Ø 2,02 mm. equipped with metal cannula partially plastic coated (last 3 cm.) LJ-INTRO-T-3 Introducer for LISI JECT Curved introducer needle for Lisi Ject. L: 9cm. Ø 2,02 mm. equipped with metal cannula partially plastic coated (last 3 cm.) 0476 Prisma s.r.l. Z.I. Predda Niedda Nord Str.28 • 07100 Sassari (SS) Tel. 079 26 73 216 • Fax 079 26 12 15 [email protected] - www. prismaspine.com Totalprint.it PACKAGING: 5 Items kit The catheters (patented) Lisi Ject for peridurolysis or decompressive percutaneous adhesiolysis (PDD) via sacral hiatus, thanks to its characteristics of ease use, efficiency and operative potential, are considered by leading experts in interventional antalgic techniques the proper evolution of catheters on the market today. For the insertion of catheters we have designed and produced four types of LJ-INTRO (patented), introducer needles able to meet all operators’ necessities. LJ-INTRO-S is an introducer needle armed with a flexible cannula, a mandrel needle for first puncture; and a second one flexible and radiopaque with a rounded tip for the attainment of the ideal site for the introduction of the catheter. The braid of 32 steel wires, prevents that the cannula could kink or crush. This introducer is particularly suitable for the insertion in a partially or totally clogged sacral hiatus. LJ-INTRO-T-1; T-2; T-3 are introducer needles with similar characteristics to the Thuoy needle. The first two are straight, the last one is curved. These needles have a metal structure, but they are totally or partially covered by a plastic sheath to prevent that the catheters could be damaged or even sheared in the advancement and removal phase. The catheters Lisi Ject are supplied with a steel stiffener mandrel. This mandrel, gives structure to the catheter and facilitates the control during insertion and also allows the injection of viscous fluids and medications without its removal. The Lisi Ject family can be equipped with two types of preformed mandrels in Nitinol (patented) that facilitate the procedural maneuvers. The first spindle, called Snake (for its serpentine shape) can be used in the retraction phase of the catheter to remove the adhesions and open the action field. The second, angled at 30 ° in the distal end, serves to accurately achieve the foramen to treat. These spindles are mounted on catheters after removing the steel mandrel stiffener. Also the spindles in Nitinol allow to infuse fluids or medications without their removal. The catheters Lisi Ject are also available in a electrified version: Lisi Ject for stimulation, Lisi Ject RF + monopolar with thermocouple for pulsed radiofrequency; Lisi Ject RF + + bipolar with thermocouple for pulsed radiofrequency; Lisi Ject RF + Flex monopolar with flexible braided electrode and thermocouple for pulsed radiofrequency in sites tortuous; Lisi Ject bipolar RF + + Flex with flexible braided electrode and thermocouple for pulsed radiofrequency in tortuous sites. Those catheters for the treatment of neuro modulation transmit radio frequency currents in the root region, ganglion, cranial and peripheral nerves. The “stunning” effect applied to the nerve resets the painful information and the pain relief goes to medium to long term (over six months), in addition, the method is absolutely repeatable. The treatment is performed in patients who have received repeated drug therapies, infusion with modest benefit. Also in this case, the indication treatment goes from neuralgic disorders to neuropathic pain also irradiated to the limbs. lisi Ject Catheter Catheter for peridurolysis Length 40 or 60 cm., Ø 1.15 mm. equipped with removable mandrel stiffener steel, with block valve and four radial slots for the outflow of liquids infusions. Lisi Ject Plus Catheter for peridurolysis length: 65 or 80 cm., Ø 1.35 mm. equipped with ballon for disobstruction of the epidural canal and syringes for venting and inflation (to be used with the videoguide Mizar). The catheter is fitted with a removable steel mandrel stiffener with valve block. The infusion way ends with four slots positioned at the distal end before the balloon. lisi Ject ENS Catheter for peridurolysis electrified for ENS. Length: 40 or 60 cm., Ø 1.40 mm. equipped with infusion syringe and adhesive plate. The catheter is fitted with a removable steel mandrel stiffener with valve block. Infusion way ending with four slots positioned before the electrode stimulator. The catheter is equipped with an extension of 250 cm. with related connectors, for attachment to the generator ENS. lisi Ject RF+ Catheter for peridurolysis electrified for RF (monopolar). Length: 40 or 60 cm., Ø 1.40 mm. equipped with infusion syringe. The catheter is fitted with a removable steel mandrel stiffener with valve block. Infusion way ending with four slots positioned before the electrode stimulator. The catheter is equipped with a 5mm. Electrode with termocouple positioned in the distal end and with an extension of 250 cm. with connector for radiofrequency generator (please specify the generator brand in the order). lisi Ject RF++ Catheter for peridurolysis electrified for RF (bipolar); Length 40 or 60 cm., Ø 1.40 mm. equipped with infusion syringe. The catheter is fitted with a removable steel mandrel stiffener with valve block. Infusion way ending with four slots positioned between the two electrode stimulator. The catheter is equipped with two 5mm. electrodes with termocouple, spaced between them 7mm., positioned in the distal end and with an extension of 250 cm. with connector for radiofrequency generator (Please specify the generator brand in the order). lisi Ject RF+ FLEX Catheter for peridurolysis electrified for RF (monopolar); Length 40 or 60 cm., Ø 1.40 mm. equipped with infusion syringe. The catheter is fitted with a removable steel mandrel stiffener with valve block. Infusion way ending with four slots positioned before the electrode stimulator. Infusion way ending with four slots positioned in the middle of the braid of the electrode stimulator. The catheter is equipped with a 10mm.braided flexible electrode, positioned in the distal end and with an extension of 250 cm. with connector for radiofrequency generator (Specify the generator brand in the order). lisi Ject RF+ +FLEX Catheter for peridurolysis electrified for RF (bipolar) length 40 or 60 cm., Ø 1.40 mm. equipped with infusion syringe. The catheter is fitted with a removable steel mandrel stiffener with valve block. Infusion way ending with four slots positioned before the electrode stimulator. Infusion way ending with four slots positioned in the middle of the braid of the electrode stimulator. The catheter is equipped with two braided flexible electrodes 10mm., with termocouple, spaced between them 10mm, positioned in the distal end and with an extension of 250 cm. with connector for radiofrequency generator (Specify the generator brand in the order). nitinol preformed mandrels The Nitinol structure allows to memorize the curves and have a torsion control 1:1. Snake Mandrel: with distal end shaped like a serpentine with decreasing coils; it serves to animate the movement of the catheter to remove the adhesions and to advance in the epidural channel, in impervious or partially obstructed spaces. Angled Mandrel: with a distal end angled 30°, allows the catheter orientation and perfectly positioning inside the foramens. The mandrels are inserted into the catheter after removing the mandrel stiffener steel (already fitted) and allow to perform infusions of drug without being removed. introducer needles For the insertion of Lisi Ject catheter are available four types of introducer needles: Standard: needle with braided cannula already armed with 32 steel wires, to entry in the hiatus. This introducer is equipped with a second radiopaque and flexible mandrel with blunted tip for the positioning of the cannula after the initial puncture. The arm of the cannula allows its flexion without kinking and avoid the partial occlusion from bone compression. Model T-1; T-2; T3: are needles that derivate from Thouy needle and can be used for dorsal or cervical puncture. Their structure is in steel but apart the point of the mandrel, that must be removed, the rest of the mandrel is covered by a plastic sheath. This protection avoid that the needle could lacerate the catheter for peridurolysis in phase of insertion and removal. The T-1 model is straight and totally covered; the T-2 is straight and the cannula is partially covered (distal end); the T-3 model is curved and the cannula is partially covered (distal end).
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