Ellman4合1经皮脊柱微创技术

,减压髓核摘除纤维环成型内窥镜手术,Ellman4合1经皮脊柱微创技术,专利的Surgi-MaxTM,Disc-FX, Trigger-Flex,专利的Disc-FX,专利的Disc-FX器械,ellman射频技术,Coblation /IDET,1. High Frequency Radiowave energy has a strong affinity for water.,2. Targeted tissue/ cell readily absorbs energy due to high water content.,3. Intracellular pressure increases as water molecules expand.,4. Volatilization results in cell conversion to vapor. Process emits low-temperature steam which aids in coagulation.,5. Cell-specific interaction enables meticulous dissection with tissue preservation.,ellman射频技术原理,第一步：经皮穿刺,第二步：椎间盘显影,第三步：用器械摘除髓核,Thestep of the percutaneous manuel discectomy enable the surgeon to remove freenucleus material intradiscally by special punches,Experienced users can also remove free slipped disc material transforaminally extradiscal from the epidural space like the endoscopic procedures and can do a control with an endoscope,第四步：用射频髓核消融,射频髓核消融,BIPOLAR TURBO - NUCLEOPLASTY,BIPOLAR HEMO - ANNULOPLASTY,Short burst of energy; higher crest factor Controlled shrinkage / coagulation Contraction of annular fissures / tears,Enlongated energy stream; low crest factor Enhanced, cutting tissue effect Localized tissue ablation; Nucleoplasty,射频修补纤维环,内窥镜下所见,手术后效果,手术后效果,培训中心,Workshop,更多应用,Ellman在脊柱手术的其它应用,Cell Splitting.Twin Splitting,- “The Ellman did the meticulous dissection, love that machine!” - “The Ellman was used throughout the case - it became quite important when we realized we were dealing with fused brain that need to be s