EMIG GmbH - Official distributor of medical equipment in the following regions of Europe and beyond:
- Meyer & Haake – Ukraine, Austria, Germany (Bavaria); RiwoSpine – Ukraine, Moldova, Estonia;
- Inomed – Ukraine, Moldova, Estonia; Fluoptics – Ukraine.
Pain Treatment
Patients measure the success of medical treatment for pain mainly by one criterion: “Has my pain been relieved – or perhaps even completely disappeared?” Patients want treatment with as little stress as possible.
inomed's range of products includes very low temperature technologies using cryo techniques (cryolesion C3 CryoSystem) and high temperature RF techniques (thermolesion LG Lesion Generators) to treat pain: inomed products work towards one purpose – minimum stress and maximum treatment success.
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C3 CryoSystem
Cryotherapy, an effective minimally invasive method for pain relief.
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LG Lesion Generators
The LG lesion generator series includes portable inomed radiofrequency (RF) lesion generators with attractive design, graphical touch-screen interface, remote control
C3 CryoSystem for cryotherapy
Freeze pain with the C3 CryoSystem
Using cryotherapy (cryolesion) techniques, the inomed C3 CryoSystem allows the pain therapist to "put the pain on ice". Effective treatment of pain has been the goal for clinicians and pain treatment experts throughout human history. Both acute and chronic pains represent a huge challenge for patients, as well as their clinicians, and diminishes the patient’s quality of life. The pain-relieving effect of cold has been known since ancient times. By building on the past and using the latest advances in cryotechnology and pain relief, patients and clinicians are now choosing the state-of-the-art inomed C3 CryoSystem for cryotherapy and pain treatment.
Treatment-resistant, chronic pain in the spinal column region is one of the main indications of cryotherapy and thus the main area of application for the inomed C3 CryoSystem. When medicated pain or injection treatments for chronic back pain do not bring relief, neurodestructive procedures such as cryotherapy and thermolesion >> can be the solution. Using the inomed C3 CryoSystem and disrupting the conduction pathways of pain with cryotherapy, effective pain relief can be delivered to the patient. The precision cryoprobes from inomed allow for a targeted application of the cooling effect on the affected peripheral nerve.
Cryotherapy method
The basic principle of cryotherapy requires that the affected nerve is located and identified using imaging and visual techniques, followed by precise targeting using the built-in electrical stimulator in the inomed C3 CryoSystem. Once the nerve has been located and targeted, the CryoSystem probe starts the process and freezes the nerve. During the freezing process, an ice ball of about 3-5 mm in diameter is formed on the nerve. This process takes around 2 minutes and reduces the temperature of the nerve to approximately -60 °C. The inomed C3 CryoSystem provides the user with a choice of gases to enable the freezing process. These include carbon dioxid (CO2) and nitrous oxide (N2O) gas supplies and adaptors are available to allow connection to the respective gas cylinders. Freezing causes axonotmesis of nerves (disruption of the axon), but the connective tissue remains intact and allows the nerve to regenerate. In view of the precise targeting of the sensory nerve, there is no direct risk from cryotherapy to the nerves responsible for motor activity and sensitivity.
Features of the C3 CryoSystem for cryotherapy:
- Intuitive and easy to use
- User-friendly menu navigation
- The entire cryotherapy treatment and documentation process can be carried out with the footswitch (optional)
- Integrated electrical stimulator (motor and sensory stimulation)
- Excellent low-temperature (cryo) results
- Automatic control and regulation of all relevant parameters, such as gas flow and pressure
- Automatic purging procedure
- Patient management system
- Treatment report with comments
- Documentation of all functions used, including stimulation and cryo processes
- Barcode reader for patient identification
- Device communication via USB
- Data import and export
- Connection to a printer
Applications for cryotherapy
The main indication for cryotherapy is treatment-resistant, chronic pain in the spinal column region, most commonly lumbar facet syndrome. Additionally, they include:
- Facet syndrome
- Pseudoradicular postnucleotomy syndrome (radiating pain after disc surgery)
- Discogenic pain without disc herniation (nucleus pulposus prolapse)
- Coccygodynia (pain in the coccyx)
- Post-thoracotomy pain
- Primary and secondary intercostal neuralgia
- Neuroma-related pain syndromes
This technique offers significant pain relief lasting several months, while additional treatment procedures, such as physiotherapy, can ensure further and continued pain relief. The cryotherapy procedure can be repeated at any time.
LG Lesion Generators
Modern lesion generators for pain treatment and functional neurosurgery
The LG lesion generator series includes portable inomed radiofrequency (RF) lesion generators with attractive design, graphical touch-screen interface, remote control and many other features.
LG1 Lesion Generator
The new LG1: Intuitive lesion generator for thermocoagulation in the field of pain treatment and neurosurgery
LG2 Lesion Generator
State-of-the-art generator for pain treatment and functional neurosurgery
RF lesion generators with comprehensive features for precise thermocoagulations
The LG lesion generator series consists of state-of-the-art, portable RF lesion generators for all common lesion techniques (continuous RF and pulsed RF with multiple control modes) in pain treatment and functional neurosurgery. All critical application parameters are permanently monitored by the device, ensuring maximum safety and ease of use during thermocoagulation.
The temperature control of the RF lesion generators allows the performance of controllable thermocoagulations. The volume of the lesion is defined by the diameter of the cannula, the size of the active tip and by the target temperature, making it reproducible. A temperature sensor built into the tip of the TC electrode continuously measures the temperature occurring in the tissue. The RF lesion generators can perform continuous RF outputs in a temperature- or power-controlled mode or via a preset temperature profile. They can also be used in pulsed RF mode with temperature, pulse duration or voltage selection.
Integrated electrical stimulation and impedance measurement
In addition to thermocoagulation, the localisation and differentiation of sensory and motor nerves is possible. Electrical stimulation is used for even more precise electrode positioning. With the RF lesion generators, thermocoagulation, electrical stimulation and impedance measurement can be performed quickly, precisely and safely.
Thermocoagulation procedures for reduction of chronic pain
Interventional pain treatment uses minimally invasive interventions aimed at permanently reducing chronic pain by selectively interrupting or altering the conduction of pain in the affected nerve pathways. This is done either using targeted medication injections or by interrupting pain conduction using minimally invasive neurodestructive procedures - thermocoagulation or cryolesion.
Chronic pain, e.g. in facet joint syndrome, can be treated extremely precise, effective and safe by thermocoagulation if the indication is set properly.
Features
- Continuous RF in three different modes: temperature, preset temperature-profile or power-controlled mode
- Pulsed RF in three different modes: temperature, pulse duration or voltage
- Direct nerve stimulation for the localisation of motor and sensory nerves
- Continuous temperature and impedance monitoring
- Neutral Electrode Contact Quality Monitoring (NEM)
- Saving of up to 30 preset programs
- Touchscreen monitor to manage the intuitive workflow
- Audio impedance
- Digital display of all relevant application parameters
- Remote control to operate the device from sterile field
- Compact and light-weight system design
- Compatible with all inomed TC electrodes for pain and brain applications
Main application areas
- Facet joint denervation in the field of the lumbar, thoracic and cervical spine
- Sacroiliac joint
- Trigeminal neuralgia (thermocoagulation of the ganglion gasseri)
- Further pain applications
