In close collaboration with a specialist in spine Dr. med. univ. Bertagnoli created a new tool to treat a herniated disc and stenosed holes. The tool integrates into one guide tube with deflecting end with an outer diameter of only 4,0 mm diameter fibroscopes 2.7 mm working channel to remove the tissue with a laser sensor. Operating sleeve lets suck vaporized tissue.
Existing tools used for transcutaneous operations on the intervertebral disc, in most cases is a blunt instrument, are mostly direct construction and allows intralaminar decompression in the p-a-direction only indirectly. They do not give direct access to the herniated disc. Endoscopically controlled surgery for a herniated disc may be typically through be-portal access.
Foraminoscopy decompression through direct and rigid instruments is very limited and does not create any intraforaminal access or access to L5/S1. When these methods control the movement of tools available. Bendings existing tools do not provide adequate resistance to soft tissues.
Reel with the lighting system at the distal end.
Advantages of spinoscope over previous methods:
- Controlled movement of the guide tool millimeter steps. The tool is attached to the mobile console on the operating table, it provides spinoscope movement, its constituent optical components and optical fiber in all directions and their fixation in any position separately.
- Flexible end, having a high mechanical resistance of the soft tissues and provides a bending angle of 90 °. This makes it possible for intradiscal, so to use foraminoscopy spinoscope and creates greater access not only to the middle Anulus Fibrosus, but also to L5/S1.
- Intra-and extradiscal access under endoscopic control using a single tool.
- mono-portal access with less - compared to be-portal access - risk to the patient.
Spinoscope an endoscopic system designed for intra-and extradiscal treatment of hernia and degeneration of the intervertebral disc, as well as spinal stenosis, foraminal lumbar, thoracic and cervical spine with a laser.
Spinoscope mounted on a holder that allows the surgeon to accurately sum up the extremely flexible laser probe diameter of 0.6 mm to pathological on the drive.
Endoscopic optical system allows you to move the laser probe and the optical fiber inside the disc under direct visual control with millimeter accuracy of forward and backward. The deflection angle end of the probe / fiber can be installed in the range from 0 ° to 90 °.
Several patients had been subjected to successful treatment with spinoscope in several parts of the spine:
- A. Endoscopic decompression of lumbar intervertebral disc laser light guide was introduced under visual control into the intervertebral disc. Laser led to a sufficient delamination and wrinkling of the material of the intervertebral disc (laser disc thermoplastic), so that decompression was successful.
- B. Endoscopic discectomy of the cervical and thoracic spine intervertebral disc material was removed through the working channel by mechanical Grasping forceps. For additional modulation of tissue with a laser through the same operating cannula was introduced and fixed by fixing spinoscope.
- C. Endoscopic foraminoscopy thoracic and lumbar spine intervertebral disc material was removed through the working channel by mechanical Grasping forceps. Through the same working channel was introduced and fixed by fixing spinoscope. Bending the end was summed up by the arc of the hole and the bone material was separated using a laser. Was successfully performed decompression with opening stenosing holes (foraminoplastic).
Summary: Spinoscope is a useful, cutting-edge tool for various purposes within the framework of minimally invasive surgery of the intervertebral disc and spinal column, not only as a standalone technology, but also in combination with mechanical tools.
If you have any questions, you can specify them with our neurosurgeon or a neurologist on the phone: (499) 130–08–09
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