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Epimed - Epidural Lysis of Adhesions (Original)

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kevin joiner

on 29 January 2016

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Transcript of Epimed - Epidural Lysis of Adhesions (Original)

About Us
Pain Management
• Racz® Catheters
• Epidural Introducers
• Specialty Needles
• R-F™ Products

Services
• Custom & OEM Manufacturing
• Practice Management
• Reimbursement Guidance
• Procedural education
• Hands-on Workshops
• Live customer service based in USA

• Tun-L-XL™/24
• Tun-L-XL™
• Tun-L-Kath®
• VERSA-KATH®
• FETH-R-KATH™
• R.E.C™
• Brevi-XL™
• Brevi-XL™/2
• Brevi-Kath™
• Brevi-STF™
• Standard Needles
• Trays & Kits
• Accessories
• Radiation Safety

Epimed's line of Racz catheters are designed to deliver site-specific injections without the danger of sharp needles.
Epidural Lysis of Adhesions
Experience

• Medical Background

• 8 years with Epimed

• Clinical Sales Specialist, Product Manager, & European Sales Manager

Regional Anesthesia
• Epidural
• Spinal
• Peripheral
• Simulation

How We Solve Your Problems

Minimizing Risk. Every Procedure. Every Time.
Difficulty achieving ventrolateral drug delivery using an interlaminar approach with a needle, while transforaminal injections with sharps can increase risks
Caudal Lysis Video
visit us on the web at
www.epimed.com
or give us a call at
518.725.0209
you can also email us at
customerservice@epimed.com
Racz Catheters

RX-2™ Coudé® (with Blunt Stylet)
• RX Coudé® and Straight
• Flexible Introducer Cannula
• R.K.™ Epidural Needles
Designed to reduce the potential risk of complications including catheter shearing and inadvertent dural puncture while enhancing directability.
Epidural Introducer Needles
Epimed’s created a resource where luminary pain physicians can share expertise and ideas to help educate their peers.
Sign up for now!
visit us on the web at
www.paincast.com
-Presents-
What is Epidural Lysis of Adhesions?
Fundamental Aspects of Lysis

Lysis of Epidural Adhesions is a technique involving site-specific catheter placement and fluid injection intended to “open up” the perineural space with various therapeutic medications.

Injected medications are designed to free nerve root from restrictions and reduce inflammation associated with swollen, painful nerve roots exiting the spinal canal in the epidural space.

To date, there have been an excess of 1.5 million Lysis procedures performed in the US and in over 32 countries internationally.

This procedure can be performed in the cervical, thoracic, lumbar and caudal regions via caudal, interlaminer, and transforaminal approaches.

Fundamental Aspects of Lysis: Site-Specific Placement, Fluid Volume Effect, Physiotherapy, Patient Inclusion & Exclusion Criteria, Clinical Efficacy

Site-Specific Placement
Fluid Volume Effect
Physiotherapy
Neural Flossing Exercises
Clinical Efficacy
Total Publications: 61
Case Studies: 8
Technique: 11
Clinical Outcomes: 39
Non-clinical: 3

Percutaneous Epidural Lysis of Adhesions in Chronic Lumbar Radicular Pain: A Randomized, Double-Blind, Placebo-Controlled Tria
l, Ludger Gerdesmeyer, MD, PhD, et al,
Pain Physician; 2013; 16:185-196

Conclusion:
Based on the findings of our study as well as other studies, we believe the minimally invasive percutaneous adhesiolysis procedure should be the first choice treatment option for patients with chronic lumbosacral radicular pain who present with clinical history and findings similar to those of the patients enrolled in our study
.
Patient Inclusion Criteria
Spinal stenosis
Facet pain
Osteophyte and radiculopathy
Failed back surgery syndrome
Multilevel degenerative arthritis
Disc herniation and radiculopathy
Lateral recess stenosis and radiculopathy
Spondylosis and radiculopathy (MRI, CTI)
Disc disruption or discogenic back pain
Back pain with/without radiculopathy
Pain unresponsive to spinal cord stimulation and spinal opioids
Post-laminectomy syndrome of the neck and back after surgery
Radiographic evidence of pathology such as spondylosis
Radiculopathy due to epidural fibrosis (on enhanced MRI)
Metastatic carcinoma of the spine leading to compression fracture
Thoracic disc related chest wall & abdominal pain (after mapping)
18 years of age or older (no specific contraindications by age)
Chronic low back pain of 3-6 months duration and failed conservative treatment options
Radiating lower extremity pain with provocative straight leg raising test

Epimed is a development, design, manufacturing, and distribution company creating innovative medical products for over 30 years.

Epimed’s focus is to provide effective specialty devices at a high quality in the areas of pain management and regional anesthesia.

In 1985, Epimed International was developed in Lubbock, TX by Gabor J. Racz. It was created in an effort to promote the Racz® Catheter System. This system is used to perform the procedure called Epidural Lysis of Adhesions, also know as the Racz® Procedure. Consolidation of manufacturing, sales and distribution for the Racz® Catheter system and other specialty products occurred in the early 1990’s.

We support continuing education of physicians, develop and sponsor clinical studies. We also participate in local, national and international meetings and workshops.

Patient Exclusion Criteria
Spinal instability or spinal cord syrinx
Pregnant or lactating women
Arteriovenous malformation
Arachnoiditis or chronic infection
Patient refusal
Sepsis
Local infection, unresolved spinal infection
Drug addiction and/or uncontrolled major depression of psychiatric disorders
History of adverse reaction to local anesthetic, steroids, contrast or other injected medications
Uncontrolled or acute medical illnesses including coagulopathy, renal insufficiency, chronic liver dysfuction, progressive neurological deficit, urinary and sphincter dysfuction, infection, increased intercranial pressure, spinal fluid leak, pseudo tumor cerebri intercranial tumors,unstable angina, and severe chronic obstructive pulmonary disease
The use of anti-platelet medicants or anti coagulants e.g.: aspirin, plavix, NSAID’s, gingko, ginseng, Vitamin E, garlic, coumadin, etc. (laborator measurements for bleeding and clotting to be in the normal range following discontinuation for appropriate duration)
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