LT-215 Lumbar Lysis with Racz Catheters Rev 0

One Day Lumbar Lysis of Adhesions with Racz® CathetersWhat is Lysis of Epidural Adhesions? Also Known As Lysis of Epidural AdhesionsLysis of Epidural Adhesions (Racz® Procedure) is a technique involving site-specific catheter placement Percutaneous Neuroplastyand injections intended to “open up” the perineural space. The injectates are designed to free the nerve Racz® Procedureroot from restrictions and reduce painful nerve roots inflammation. AdhesiolysisA steerable soft-tip Racz® Catheter is guided to the targeted nerve root where medication isadministered. These Racz® Catheters are introduced via a specially designed, shear-resistant, epiduralneedle called the RX-2™ Coudé® or RX Coudé®.Lysis of Adhesions Procedure with Racz® Catheter2,3 Typically Indicated For Patients With11 RX Coudé® Needle Entry and Placement 2 LOR - Dye to Confirm Epidural Placement Failed back surgery syndrome 90° Spinal stenosis Epidural adhesions Chronic back pain from excessive scarring in the anterior lateral epidural space Radicular pain unresponsive to epidural steroid injectionsRX Coudé® 5 Visualization of Opened Up Neuroforamen open epidural space3 Epidurogram 4 Catheter Placement, Runoff Visualization, Medication Delivery failed spinal cord stimulator due to scarred nerve roots When the catheter is bending laterally, the tip is usually in the filling defect ventral/lateral epidural space. 6 Removal of Needle and Observation Period for the Absence of Motor Block, Followed by Infusion of Hypertonic Saline catheter tip Stingray® ConnectorFeatured ProductsRacz® Catheter Racz® Catheter RX-2™ Coudé® 7 Begin Neural Flossing Exercises - Consult with Stingray® and Epimed Rep for Guide E-Cap Stylet 16g • 3.5” (9 cm) • Catalog #:107-1416 ReferencesXL Configuration to Select Firm or Soft RX-2™ Tuohy Catheter Tip Coudé® Tip 1. Epidural Lysis of Adhesions and Percutaneous Neuroplasty Racz Procedure. Racz G, Heavner J, Smith J, Noe C, Al-Kaisy A, MatsumotoSpring-Guided Catheter with Enhanced Tip T, Lee S, Nagy L. Intech - Pain and Treatment; Chapter 10: 289-333 Tensile and Break Strength Round Open Tip Allows for Multiple 2. The Racz Procedure: Lysis of Epidural Adhesions (PercutaneousConstructed of Ultra Durable Surgical Catheter Passes and Reduced Shearing Neuroplasy). Racz G, Day M, Heavner J, Smith J. Comprehensive Grade Stainless Steel Treatment of Chronic Pain by Medical, Interventional, and Integrative Blunt Obturating Stylet Deflects Dural Approaches (Deer Ed.) 2013; Chapter 50: 521-534Kink and Collapse Resistant Membrane And Neural Structures During Needle Rotation2 3. Epidural Lysis of Adhesions and Percutaneous Neuroplasty RaczStyletted, Radiopaque, and Non-Reactive Procedure. Racz G, Heavner J, Noe C, Al-Kaisy A, Matsumoto T, Lee S, Hub Markings Indicate Direction of Curve Nagy L. Springer - Techniques of Neurolysis; Chapter 8: 119-143Flexible, Smooth, Atraumatic Tip Radiopaque with Calibrated Depth MarksCalibrated Depth Marks and Racz®­Bend Marks for Optimal DirectabilityPatented Worldwide. 2771057, 2853756, 9333323, 5819537 , 9539415, 5801000, 1463582, 1573263, 279765813958 Diplomat Dr. • Dallas, TX 75234 • 800-866-3342 or 518-725-0209 • Fax: 518-725-0207 • [email protected] • www.epimed.com

Minimizing Risk. Every Procedure. Every Time.™ Racz® Catheters Epidural Introducer Needles BREVI-XL™ RX-2™ Coudé® RX Coudé® Catalog #: 155-2340 15g 9cm (3.5\") Catalog #: 107-1415 15g 9cm (3.5\") Catalog #: 105-1415 16g 9cm (3.5\") Catalog #: 107-1416 15g 11cm (4.5\") Catalog #: 105-1515 BREVI-XL™/2 18g 9cm (3.5\") Catalog #: 107-1418 15g 15cm (6.0\") Catalog #: 105-1615 16g 9cm (3.5\") Catalog #: 105-1416 Catalog #: 155-2342 RX Straight 16g 11cm (4.5\") Catalog #: 105-1516 18g 9cm (3.5\") Catalog #: 105-1418 BREVI-STF™ 15g 9cm (3.5\") Catalog #: 106-1415 18g 11cm (4.5\") Catalog #: 105-1518 15g 11cm (4.5\") Catalog #: 106-1515 18g 15cm (6.0\") Catalog #: 105-1618 Catalog #: 155-2343 15g 15cm (6.0\") Catalog #: 106-1615 16g 9cm (3.5\") Catalog #: 106-1416 BREVI-KATH® 16g 11cm (4.5\") Catalog #: 106-1516 18g 9cm (3.5\") Catalog #: 106-1418 Catalog #: 155-2393 18g 11cm (4.5\") Catalog #: 106-1518 18g 15cm (6.0\") Catalog #: 106-1618 VERSA-KATH® For More Information, Contact:30cm (12\") Catalog #: 156-211261cm (24\") Catalog #: 156-2124 TUN-L-XL™/24 Catalog #: 155-2542 TUN-L-XL™ Catalog #: 155-2540 TUN-L-KATH® Catalog #: 155-1520 REC™ Catalog #: 155-1353 FETH-R-KATH™ Catalog #: 155-1924 Minimizing Risk. Every Procedure. Every Time.™www.epimed.comLT-215 Rev. 0