Ellman4合1经皮脊柱微创技术-培训课件.pptVIP

Workshop 更多应用 Ellman在脊柱手术的其它应用 Cell Splitting….Twin Splitting… - “The Ellman did the meticulous dissection, love that machine!” - “The Ellman was used throughout the case - it became quite important when we realized we were dealing with fused brain that need to be separated - it worked great in teasing out the two lobes” J. T. Goodrich, M.D. August 05, 2004Conjoined Filipino Twins are Finally Separated in 17 Hour Operation at The Children’s Hospital at Montefiore TURBO output is a pure sine wave, and hence as per the theorists, has a low crest factor. As per the theorists, a low crest factor can be effective in cutting tissue, but have little or no coagulation ?effect. Our Monopolar CUT waveform is also a pure sinewave, and used for CUTTING tissue. ? ??? The HEMO? (Bipolar and Monopolar) has a higher crest factor, and hence as per theorists has a better coagulation effect than the Bipolar TURBO. However, the TURBO has a much higher power than HEMO, if needed. ? ???? Clinically, in terms of use in blood for coagulation, I am not sure how the?HIGH power but low crest factor of TURBO compares to the LOW power but HIGH crest factor of the Bipolar HEMO mode. At the same power, theoretically, HEMO should be better than TURBO Clinical application and electrode selection is further presented in this slide. As a preface to discussing Ellman’s technology, I thought it would be appropriate to mention the use of our technology for separation of the Aguirre twins by Dr. Goodrich and Staffenberg 减压 髓核摘除 纤维环成型 内窥镜手术 Ellman4合1经皮脊柱微创技术 专利的Surgi-MaxTM,Disc-FX, Trigger-Flex 专利的Disc-FX 专利的Disc-FX器械 ellman射频技术 Coblation /IDET 1. High Frequency Radiowave energy has a strong affinity for water. 2. Targeted tissue/ cell readily absorbs energy due to high water content. 3. Intracellular pressure increases as