COOLIEF* Pain Management System A REVOLUTION IN RADIOFREQUENCY COOLIEF* COOLED RADIOFREQUENCY PAIN MANAGEMENT SYSTEM WHEN THE MOST ADVANCED RF SYSTEM IN THE WORLD OFFERS MORE PAIN TREATMENT OPTIONS THAN EVER, IMAGINE WHERE LIFE COULD TAKE YOUR PATIENTS. Patients who experience chronic back pain typically recover within a few months. But for pain originating in the facet joints or in the disc tissue1 that hasn’t been relieved by conservative treatments, radiofrequency neurotomy is an effective means of reducing pain for up to 24 months.2 The COOLIEF* Cooled Radiofrequency Pain Management System features the most advanced and comprehensive RF Generator available, providing more application modalities than any other RF system. Designed with rich functionality, yet simple to operate, it’s the only RF system offering physicians the ability to perform either Conventional or COOLIEF* Cooled RF. COOLIEF* COOLED RF PAIN MANAGEMENT SYSTEM The COOLIEF* Cooled RF System enables placement of large volume, spherical lesions in nervous and disc tissue without increased risk of adjacent tissue damage. IONIC HEATING OF TISSUE USING COOLED RF • Without cooling, the size of the lesion is limited by the heat generated in tissue adjacent to the electrode • Cooled RF energy heats the tissue while circulating water moderates the temperature in close proximity to the electrode COOLIEF* Cooled RF circulates water through the device while heating nervous tissue to create a treatment area that is larger than conventional RF treatments. This combination targets the pain-causing nerves without excessive heating, leading to pain relief. This unique, patented, water-cooled technology unleashes the potential for a host of current and future RF treatment options for chronic spinal, knee and hip pain, to help give patients the quality of life they deserve. COOLED RF VS. STANDARD RF Temperature 80°C Non-Cooled Cooled RF technology generates large volume spherical lesions to encompass the variable nerve path. Cooled 45°C r Probe Distance Standard RF Cooled RF 12mm Target nerve Standard RF lesions are typically 3 to 4 mm in size, but cooled RF allows lesions of up to 8 to 12 mm while decreasing the risk of tissue charring.3 THE POWER OF TARGETED TREATMENT EVEN IN DIFFICULT TO TREAT SPINE ANATOMY COOLIEF* COOLED RF FOR CHRONIC CERVICAL PAIN Anatomically tailored cooled RF system offering relief in the cervical region by delivering large volume lesions where anatomy and nerve path are variable. COOLIEF* COOLED RF FOR CHRONIC LUMBAR BACK PAIN Large volume, anatomy-specific lesion using a perpendicular approach encompasses the medial branch nerve in one pass, eliminating the need for multiple passes. COOLIEF* SINERGY* COOLED RF FOR CHRONIC SACROILIAC JOINT PAIN Large volume lesions ablate the variable target neural structures between the posterior sacral foramina and the painful SI joint. COOLIEF* COOLED RF FOR CHRONIC THORACIC FACET PAIN Large volume lesion size and position compensate for the variable course of the medial branch nerve, especially in the mid-thoracic levels. COOLIEF* TRANSDISCAL* COOLED RF FOR DISCOGENIC BACK PAIN For intervertebral disc biacuplasty, bipolar probe placement straight into the disc creates large, reproducible lesion within a significant volume of the disc. COOLIEF* COOLED RF FOR CHRONIC HIP JOINT PAIN Now available to target and treat sensory branches of the obturator and femoral nerves innervating the hip joint. COOLIEF* COOLED RF FOR CHRONIC KNEE PAIN A minimally invasive option for genicular nerve ablation. COOLIEF* COOLED RF PUMP UNIT AND TUBE KIT • Peristaltic pump connects to Pain Management RF Generator, which controls water flow to probe • Disposable tube kit circulates sterile water to cool probe electrode COOLING TECHNOLOGY MODERATES TEMPERATURE IN PROXIMITY TO ELECTRODE Circulating water Electrode Temperature sensor RF PAIN MANAGEMENT GENERATOR • The only generator that supports both standard RF and the cooled RF platform • Features upgradeable platform for future technologies STANDARD RF AND COOLIEF* COOLED RF MULTI-COOLED RF MODULE • Enables placement of up to 4 lesions at once • Reduces procedure time to improve OR utilisation • Provides independent impedance monitoring of all 4 probes during placement • Intelligent pump logic automatically maps any cooled RF probe COOLIEF* COOLED RF PROBE • Connects to generator for RF energy delivery • Circulating sterile water allows for higher power delivery and larger volume of treated tissue, while minimising risk of tissue adherence • Temperature sensor ensures appropriate thermal gradient in target tissue • Radiopaque marker defines location under fluoroscopy for enhanced visualisation RADIOFREQUENCY PAIN MANAGEMENT SYSTEM Minimally invasive, clinically effective. The most advanced RF system in the world delivers more pain treatment options than ever, to help you give patients the quality of life they deserve. COOLIEF* COOLED RADIOFREQUENCY PAIN MANAGEMENT SYSTEM A revolution in radiofrequency, cooled RF technology creates large volume, spherical lesions in nervous and disc tissue, for the power of targeted treatment – even in difficult to treat spine anatomy. STANDARD RF PAIN MANAGEMENT SYSTEM Product Code Description Packaging PMG-BASIC RF Generator, Basic Model 1/each PMX-BAY-MRF Multi-RF Module 1/each COOLIEF* COOLED RF PAIN MANAGEMENT SYSTEM Product Code Description PMG-ADVANCED COOLIEF* Cooled RF Generator, Advanced Model Packaging 1/each TDA-PPU-1 COOLIEF* Cooled RF Pain Management Pump Unit 1/each CRX-BAY-CRP COOLIEF* Cooled RF System Connector Cable 1/each TDX-PMG-PPU COOLIEF* Cooled RF System Pump Connector Cable 1/each CRX-BAY-MCRF COOLIEF* Multi-Cooled RF Module 1/each PMA-GP-BAY 1/each Grounding Pads References 1 Cohen, S., Randomized Placebo-controlled Study Evaluating Lateral Branch Radiofrequency Denervation for Sacroiliac Joint Pain, Anesthesiology, August 2008, V. 109, No. 2, pages 279-287. 2 Stelzer W., Aiglesberger M., Stelzer D., Stelzer V., Use of Cooled Radiofrequency Lateral Branch Neurotomy for the Treatment of Sacroiliac Joint-Mediated Low Back Pain: A Large Case Series, Pain Medicine, January 2013, Volume 14, Issue 1, pages 29-25. 3 Gutpa, A. Evidence-based review of RF ablation techniques for chronic sacroiliac joint pain. Pain Medicine News, June 2010. For more information, please contact your Halyard Customer Care Team: From UK & IE: tel: 0800 917 65 85 – fax: 0800 169 02 35 customerservice.uk.ie@hyh.com KNOWLEDGE NETWORK* Clinical Education Knowledgeable Customer Support Expert Sales Force Tools & Best Practices Clinical Research Commitment to Excellence www.halyardhealth.co.uk From other countries: tel: +32 2 700 68 51 – fax: +32 2 711 26 91 customerservice.export@hyh.com Registered Trademark or Trademark of Halyard Health, Inc. or its affiliates. © 2015 HYH. All rights reserved. CP92 C15513-EMEA *