Intracept - Procedure
The Intracept Procedure for the Relief of Chronic Vertebrogenic Low Back Pain. The Intracept Procedure is a minimally invasive procedure that targets the basivertebral nerve for the relief of chronic vertebrogenic low back pain.
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Key Benefits of Intracept
- Provides a treatment option for patients who have not responded to conservative therapy
- Minimally invasive, outpatient procedure
- Implant-free and preserves the structure of the spine
- Provides durable relief of chronic vertebrogenic low back pain
Intracept Procedure Steps
1 Access the pedicle
Under fluoroscopic guidance, the Intracept Introducer Cannula is advanced through the pedicle
2 Create the channel
The Intracept Curved Cannula is utilized to create a channel to the trunk of the basivertebral nerve
3 Place the RF Probe
The Intracept Radiofrequency Probe is inserted into the curved path and placed at the basivertebral nerve
4 Ablate the BVN
The Relievant Radiofrequency Generator is utilized to ablate the basivertebral nerve
Patient Selection
- Chronic Low Back Pain of at least 6 months
- Not responded to at least 6 months of conservative care
- Type 1 or Type 2 Modic changes on an MRI
Indications, Contraindications and Risks
The Intracept Intraosseous Nerve Ablation System is intended to be used in conjunction with radiofrequency (RF) generators for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, and is also accompanied by features consistent with Type 1 or Type 2 Modic changes on an MRI such as inflammation, edema, vertebral endplate changes, disruption and fissuring of the endplate, vascularized fibrous tissues within the adjacent marrow, hypointensive signals (Type 1 Modic change), and changes to the vertebral body marrow including replacement of normal bone marrow by fat, and hyperintensive signals (Type 2 Modic change).
Use of the Intracept Intraosseous Nerve Ablation System is contraindicated in:
- Patients with severe cardiac or pulmonary compromise
- Patients where the targeted ablation zone is < 10 mm away from a sensitive structure not intended to be ablated, including the vertebral foramen (spinal canal)
- Patients with active systemic infection or local infection in the area to be treated
- Patients who are pregnant
- Skeletally immature patients (generally < 18 years of age)
- Patients with implantable pulse generators (e.g., pacemakers, defibrillators) or other electronic implants
- Situations where unintended tissue damage may result, based on the clinical assessment by the physician
- Application with electrosurgical instruments NOT tested and specified for use with the Relievant RFG
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