Multidiode Laser Demonstration/Conference

[Aether2000]

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Short notice: South Carolina...
Contact numbers are included...

AZ MED TEC
9233 E. Neville Ave. Unit 1128
Mesa, AZ 85209
PH: 480-241-3795
F: 480-445-9903
Importer for
MULTIDIODE PL3D
WORKSHOP AGENDA
November 18th, 2006
Location: Steadman Hawkins and the OR at Mary Black Hospital in SC
9:00AM Introduction of INTERmedic Arfran, S.A.

Presentation of the MULTIDIODE PL3D

Presenter: Xavier Arcusa, INTERmedic

Bettina Oyhenart, INTERmedic

10:30AM Coffee break

10:45AM Cadaver lab: Discectomy procedure on lumbar and cervical disc

Presenter: Dr. José Antonio Hernández Cabrera (Spain)

1:00PM Lunch break

2:00PM Discectomy on a live patient at the Steadman Hawkins Medical

Center, by Dr. Philip Esce of Spartanburg Neurosurgical Institute.

4:00PM Answer questions from participants

 

[Disciple]

Any real difference between this procedure and LASE?

 

[Aether2000]

This procedure is not endoscopically guided. It is more akin to the Choy procedure, however he uses a NdYAG laser.

 

[lobelsteve]

Can I get a CPT code?
Who buys the laser? My ASC or the local hospital?

 

[Aether2000]

CPT 62287. Reimbursement depends on the location so I would check on this. I plan on using in an office setting.

 

[lobelsteve]

Thanks.

So it's basically $540 net 30 days + $78 fluoro fee (76005), or 76003-xx

I'll look at the literature and then see what the startup costs are before deciding on making the trek up North (only a few hrs drive).

Thanks Algos. Ity would be nice to get into a disk and actually make it better once in a while.

 

[GadgetGuru]

Did you get this agenda from Klaus Sivec? I think this is the same guy who runs AZ Med Tec.....

Thanks

 

[Aether2000]

Yepper

 

[GadgetGuru]

NOTICE: AGENDA CHANGE / NEW CONTACT TELEPHONE NUMBERS

Spartanburg, South Carolina...


NuSpine
Innovation in Medical Devices
Authorized Distributor of the INTERmedic Multidiode Laser for all of North Carolina and Western South Carolina
Contact: 704-340-7593
Email: [email protected]

PRESENTS: Seminar / Interactive Lab for the Treatment of Herniated Disc of the Spine


Must be registered by November 16, 2006 to attend this conference / workshop.

WORKSHOP AGENDA

November 18th, 2006

Location: Steadman Hawkins Clinic of the Carolinas / Mary Black Hospital

9:00-9:10 Welcome - Dan Grayson, Director of NuSpine, Vice President Sales North America, minSURG Corporation

Introduction of Host Surgeon – Libby Motto, NuSpine

Host Surgeon: Phillip Esce, M.D., Spartanburg Neurosurgical Institute, Spartanburg, SC

9:10-9:20 Introduction of Inter-Medic Guests – Klaus Sivec, Vice President, AZ MedTec

Xavier Arcusa, President of InterMedic
Bettina Oyhenart, Marketing Director of InterMedic
Hernandez Cabrera, M.D.

9:20-10:30 Laser Presentation - Hernandez Cabrera, M.D. and Xavier Arcusa

10:30-10:45 Break

10:45-11:45 Laser Demonstration on Sawbones Spine Model

11:45-12:45 Lunch

12:45-1:00 Move to Mary Black Hospital/ Dress for Surgery

1:15-2:30 Herniated Disc Laser Surgery – Live Patient - Phillip Esce, M.D.

3:00-3:30 Post-Op Discussion - Question/Answer Session - Phillip Esce, M.D. and Hernandez Cabrera, M.D.



NuSpine is also the exclusive distributor in North and South Carolina for TruFUSE Facet Fusion Allograft. www.trufuse.com

 

[Aether2000]

The program went off without a hitch and the patient did well with the surgery. Cost of each laser fiber is $540 making it do-able in a hospital or ASC but not an office setting. Interestingly, the laser reaches a temperature of 800 degrees C and turns metal white hot, but it is a very focal laser with the energy dropping off very rapidly with 10% of energy present at 3mm and 0% at 5mm from the tip of the laser. Unlike the selective endoscopic discectomy or other arthroscopic discectomies, the procedure is performed in the absence of a saline irrigation.
Should be interesting for pain medicine if the pricing is right and if we can develop RCTs...
Thanks to Dan at NuSpine for organizing the meeting and thanks to Klaus for obtaining the FDA clearance, no small hurdle. It was great to finally meet lobelsteve and it was almost like having a reunion between long lost friends. He is a great guy and a very astute clinician.

 

[lobelsteve]

The program went off without a hitch and the patient did well with the surgery. Cost of each laser fiber is $540 making it do-able in a hospital or ASC but not an office setting. Interestingly, the laser reaches a temperature of 800 degrees C and turns metal white hot, but it is a very focal laser with the energy dropping off very rapidly with 10% of energy present at 3mm and 0% at 5mm from the tip of the laser. Unlike the selective endoscopic discectomy or other arthroscopic discectomies, the procedure is performed in the absence of a saline irrigation.
Should be interesting for pain medicine if the pricing is right and if we can develop RCTs...
Thanks to Dan at NuSpine for organizing the meeting and thanks to Klaus for obtaining the FDA clearance, no small hurdle. It was great to finally meet lobelsteve and it was almost like having a reunion between long lost friends. He is a great guy and a very astute clinician.

Don't turn this into a lovefest...😍

Algosdoc is a true scientist. while he was building a laser as a hobby growing up, I was busy playing ball and chasing skirts. As a remarkable clinician, he is almost a cross between a surgeon and the rest of us. Algos- tools are for cars, not the spine.... we'll talk about how I can get some of that 😉 advanced training. Hey PAZ- no we cannot instrument the spine. Well maybe just a little bit. The laser demo was really eye opening. In untrained hands a single misfire will vaporize almost an entire root. The potential tissue damage would be immense. On the bright side, the patient didn't feel a thing during the procedure. The results from preliminary data put this laser ahead of other perc disc procedures. The science behind the laser is more sound than anything else I've seen or read about. Now about that Pain Medicine Residency.......

 

[jose hernandez]

This procedure is not endoscopically guided. It is more akin to the Choy procedure, however he uses a NdYAG laser.[/QUOTE
Yes, in some measure this procedure is quite simiar but PL3d offers important improvements to the previous. HFirt the wavelength used has 5 times better absorptiob by water and this neans less enery is needed which translates to fewer risks. The secon relevant improvement is that this technique has a built in smoke evacuation system which eliminates smoke generated during the process this translates also in fewer side efects and complications.

 

[Aether2000]

This laser creates a very pinpoint focus of energy that as we saw when the 15 watt laser was fired inside the needle, the metal became white hot. Now that is an impressive demonstration! Apparently 3mm away, only 10% of the max energy is realized, and 5mm away there is total energy dissipation. We need a RCT badly since there are none for laser discectomy even though there have been over 100,000 performed worldwide.
Steve is a real joy, and I look forward to seeing him as a national teacher soon...

 

[GadgetGuru]

Would you know the proper coding for reimbursement ----- both for the doc and facility? I heard that it is 62287 for the doc and S2348 for the facility, however I've also read that the procedure is considered 'experimental' and would not be reimbursed. Please offer your opinion.