| Customization: | Available |
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| Type: | Pldd |
| Application: | Business |
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What is PLDD (Laser Disc Decompression)?
In the procedure of percutaneous laser disc decompression, laser energy is transmitted through a thin optical fiber into the disc.
The aim of PLDD is to vaporize a small portion of the inner core. The ablation of a relatively small volume of the inner core results in an important reduction of intra-discal pressure, thus inducing reduction of disc herniation.
Tissue interaction with HOLA II DUAL 980+1470nm
Dual Diode Laser Technology in Orthopedics and Pain Management -HOLA II in PLDD .TREIANGELASER HOLA II features an innovative design for safe, effective and flexible use in all surgical disciplines. The system provides a wide range of minimally invasive and micro-invasive solutions to broaden your therapeutic options. HOLA II offers innovative features such as a specific and effective absorption of its wavelenght (980nm and 1470nm.)
The PLDD procedure offer a minimally invasive altemative for relieving back pain. The procedure kit enables microsurgery precision, tactile feedback from the fiber, quick recovery for the patient, and use of only local anesthesia. The laser special features include portbility, ease-of-use, no maintenance or running costs, high reliability and stability.
The HOLA II Laser System
The diode laser platform HOLA II DUAL is based on the excellent absorption characteristics of the wavelengths 980 nm and 1470 nm. The combination of the two wavelengths enables a tissue interaction in both hemoglobin (980 nm) and water (1470 nm). Together with the moderate tissue penetration, a minimally invasive, safe and precise treatment in extremely delicate anatomic structures is guaranteed.
HOLA II 980+1470nm laser system can be used to treat dIntra-discal application on cervical spine
thoracic spine, lumbar spine
Medial branch neurotomy for facet joints
Lateral branch neurotomy for sacroiliac joints
Advantages Of PLDD Laser Treatment
It's minimally invasive, hospitalization is unnecessary, patients get off the table with just a small adhesive bandage and return home for 24 hours of bed rest. Then patients begin progressive ambulation, walking up to a mile. Most return to work in four to five days.
Highly effective if correctly prescribed
Processed under local, not general anesthesia
Safe and fast surgical technique, No cutting, No scarring, Since only a tiny amount of disc is vaporized, there is no subsequent spinal instability. Different from open lumbar disc surgery, there is no damage to the back muscle, no bone removal or large skin incision.
It's applicable to patients who are at higher risk to open discectomy such as those with diabetes, heart disease, decreased liver and kidney functions etc.
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Laser type
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Diode Laser 980nm+1470nm (Gallium-Aluminum-Arsenide (GaAlAs)
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Output power
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1-30w for 980nm; 1-17w for 1470nm
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Pulse Width
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0.01-1s
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Delay
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0.01-1s
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Indication light
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650nm,intensity control
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Fiber interface
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SMA905 international standard interface,special quartz fiber laser conduction
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Net weigh
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5kg
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Machine size
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41*31*27cm
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Gross weight
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15kg
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Packing dimension
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55*37*49cm
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QUESTION 1: WHAT IS PLDD?
ANSWER:
The pldd (percutaneous laser disc decompression) is a not-surgical technique but truly minimal invasive interventional procedure for the treatment of a 70% of the disc hernia and 90% of the disc protrusions (these are small disc hernia that sometimes are very painful and do not respond to the most conservative therapies as pain killers, cortisonic and physical therapies and so on).
QUESTION 2: HOW DOES THE PLDD WORK?
ANSWER:
It uses local anesthesia, a tiny needle and a laser optical fiber. It is practicated into the operating room with the patient in the lateral position or prone (for lumbar disk) or supin (for cervical). Firstly the local anesthesia in an exact point of the back (if lumbar) or of the neck (if cervical) is done, then a tiny needle is inserted through the skin and muscles and this, under radiological control, reaches the center of the disc (called nucleus pulposus). At this point the laser optical fiber is inserted inside the tiny needle and i start to delivery the laser energy (heat) that vaporizes a very small amount of the nucleus pulposus. This determines a decrease of 50-60% of the intra discal pressure and therefore also the pressure that disc hernia or protrusion exercises on the nerve root (cause of pain).
QUESTION 3: HOW MUCH TIME TAKES THE PLDD? IS A SINGLE SESSION ?
ANSWER:
Every pldd (i can also treat 2 disks at the same time) takes from 30 to 45 minutes and there is only one session .
QUESTION4 : PATIENT FEEL PAIN DURING PLDD?
ANSWER:
If made in experienced hands the pain during the pldd is minimum and only for few seconds: it comes at the time when the needle cross the anulus fibrous of the disc (the most external part of the disc). The patient, who is always awake and collaborating, must be adviced at that time to avoid rapid and unexpected movement of the body which he / she could make in reaction at the same short pain. Many patients do not feel pain during all the procedure.
QUESTION 5: DOES PLDD HAVE IMMEDIATE RESULTS?
ANSWER:
In 30% of cases the patient feels immediate improvement of pain that then improves further and gradually in the following 4 to 6 weeks. In 70% of cases often there are "up and down pain" with "old" and "new" pain in the following 4 - 6 weeks and a serious and reliable judgment on the success of pldd is given only after 6 weeks. When the success is positive, the improvements can continue up to 11 months after the procedure.
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