ASIPP Educational Services Excellence in the education of Interventional Pain Physicians

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1 ASIPP Educational Services Excellence in the education of Interventional Pain Physicians EXHIBITOR PROSPECTUS INTERVENTIONAL TECHNIQUES LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION REGENERATIVE MEDICINE IN MUSCULOSKELTAL & LUMBAR SPINE DISORDERS NEUROMODULATION JUNE 29 - JUNE 30, 2018 ORLANDO, FL VENUE LOWES SAPPHIRE FALLS RESORT 6601 ADVENTURE WAY ORLANDO, FL American Society of Interventional Pain Physicians The Voice of Interventional Pain Management CADAVER WORKSHOP SITE UNIVERSITY OF CENTRAL FLORIDA Health Sciences Campus at Lake Nona 6850 Lake Nona Blvd. Orlando, FL 32827

2 CONFERENCE CO-CHAIRS Laxmaiah Manchikanti, MD Chairman of the Board and Chief Executive Officer, ASIPP Sukdeb Datta, MD Vice President - Strategic Alliances, ASIPP Sheri Albers, DO Director-At-Large, ASIPP Sheldon Jordan, MD Neurological Associates of West Los Angeles Hans Hansen, MD President, ASIPP Sudhir A. Diwan, MD President-Elect, ASIPP Frank J.E. Falco, MD Founder, CEO and a Principal, Mid Atlantic Spine and Pain Jason Capra, MD, PhD Pain Specialist On behalf of the Board of the American Society of Interventional Pain Physicians (ASIPP ), it is our privilege and pleasure to invite you to participate in our June/July meetings. The courses will run June 29 - July 1, 2018 with review course at Loews Sapphire Falls Resort and with cadaver workshop at University of Central Florida - Health Sciences Campus at Lake Nova. ACCREDITATION STATEMENT This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The Institute for Medical Studies and the American Society of Interventional Pain Physicians (ASIPP ). The Institute for Medical Studies is accredited by the ACCME to provide continuing medical education for physicians. JUNE DIDACTIC COURSES REGENERATIVE MEDICINE IN MUSCULOSKELETAL AND LUMBAR SPINE DISORDERS 6:30am 7:55am 7:55am 10:00am 7:55am 8:00am 8:00am 8:20am 8:20am 8:45am 8:45am 9:10am 9:10am 9:30am 9:30am 10:30am 10:30am 12:00pm 12:00pm 12:55pm 12:55pm 3:00pm 12:55pm 1:00pm 2:00pm 3:00pm 3:30pm- 3:35pm 3:35pm 4:05pm 4:05pm 4:35pm 4:35pm 5:00pm 5:30pm 7:00pm REGISTRATION AND BREAKFAST Session Chair - Sheldon Jordan, MD Introduction by Session Chair - Sheldon Jordan, MD Introduction to Regenerative Medicine and Review Course - Laxmaiah Manchikanti, MD Scientific Basis of Role Regenerative Medicine and Musculoskeletal Disorders - Miguel Pappolla, MD Basics and Technical Aspects of Fluoroscopy and Ultrasound - Kenneth Candido, MD Legal and Ethical Aspects and FDA Position on Regenerative Medicine in Musculoskeletal and Lumbar Spine Disorders - Sheldon Jordan, MD Ultrasound Hands on Workshop - Sheldon Jordan, MD; Sheri Albers, DO; Steve Aydin, DO; Kenneth Candido, MD; Kent Remley, MD; Miguel Pappolla, MD; Dmitri Souza, MD; Andrea Trescot, MD LUNCH Session Chair - Sheldon Jordan, MD Introduction by Session Chair - Sheldon Jordan, MD Bone Marrow Concentrate: Evolution, Application and Acquisition in Musculoskeletal and Lumbar Spine Disorders - Steve Aydin, DO PRP: Evolution, Physiology, Application and Acquisition in Musculoskeletal and Lumbar Spine Disorders - Miguel Pappolla, MD Ultrasound Hands on Workshop - Sheldon Jordan, MD; Sheri Albers, DO; Steve Aydin, DO; Kenneth Candido, MD; Kent Remley, MD; Miguel Pappolla, MD; Dmitri Souza, MD; Andrea Trescot, MD Session Chair - Sudhir Diwan, MD Introduction by Session Chair - Sudhir Diwan, MD Application of Regenerative Medicine in Lower Extremity Disorders: Evidence and Technical Considerations (Fluoroscopy and/or Ultrasound) - Sheri Albers, DO Application of Regenerative Medicine in Upper Extremity Disorders: Evidence and Technical Considerations (Fluoroscopy and/or Ultrasound) of Intraarticular Injections - Steve Aydin, DO Application of Regenerative Medicine in Spinal Disorders - Sudhir Diwan, MD MEET & GREET WITH EXHIBITORS 2 American Society of Interventional Pain Physicians

3 COMPREHENSIVE REVIEW COURSE FOR INTERVENTIONAL TECHNIQUES 6:30am 7:55am 7:55am 10:00am 7:55am 8:00am 8:00am 8:15am 8:15am 8:45am 8:45am 9:30am 9:30am 10:20am 10:20am 11:55am 10:20am 10:25am 10:25am 10:55am 10:55am 11:25am 11:25am 11:55am 12: 00pm 12:55pm LUNCH 12:55pm 3:00pm 12:55pm 1:00pm 2:00pm 2:30pm 2:30pm 3:00pm 3:30pm- 4:00pm 4:00pm 4:30pm 4:30pm 5:00pm 5:00pm 5:30pm REGISTRATION AND BREAKFAST Session Chair - Hans Hansen, MD Introduction by Session Chair - Hans Hansen, MD Introduction to Workshop and ASIPP - Ramsin Benyamin, MD Cervical and Thoracic Interlaminar Epidural Injections - Ramsin Benyamin, MD Lumbar Epidural Injections: Caudal, Interlaminar, Transforaminal - Laxmaiah Manchikanti, MD Session Chair Hans Hansen, MD Introduction by Session Chair - Hans Hansen, MD Sacroiliac Joint Injections and Radiofrequency Thermoneurolysis - Hans Hansen, MD Lumbar Facet Joint Interventions (Intraarticular Injections, Nerve Blocks and Radiofrequency Thermoneurolysis) - Jay Grider, DO Cervical Facet Joint Interventions (Intraarticular Injections, Nerve Blocks and Radiofrequency Thermoneurolysis) - Hans Hansen, MD Session Chair - Jay Grider, DO Introduction by Session Chair - Jay Grider, DO Spinal Cord Stimulation: Conventional and Newer Developments - Ramsin Benyamin, MD Spinal Cord Stimulation: Trial and Implantation - Harold Cordner, MD DRG Stimulation Trial and Implant - George Arcos, DO Intrathecal Fusion Systems -Trial and Patient Selection - Jay Grider, DO Session Chair - Kenneth Candido, MD Peripheral Nerve Stimulation Trial and Implantation - Sunil Panchal, MD Implantation of Inthrathecal Infusion System - Jay Grider, DO Thoracic Facet Joint Interventions (Intraarticular Injections, Nerve Blocks and Radiofrequency Thermoneurolysis): Technical Considerations and Evidence - Kenneth Candido, MD Lumbar Discography - Hans Hansen, MD 5:30pm 7:00pm EXHIBITOR MEET & GREET REVIEW COURSE FOR LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION 7:00am 8:00am 8:00am 9:30am 8:00am 8:30am 8:30am 9:00am 9:00am 9:30am 9:30am 10:30am 10:30am 12:00pm 10:30am 11:00am 11:00am 11:30am 11:30am 12:00pm 12:00pm 12:55pm 1:00pm 3:00pm 2:00pm - 2:30pm 2:30pm 3:00pm 3:30pm 4:00pm 4:00pm 4:30pm 4:30pm 5:00pm 5:30pm 7:00pm BREAKFAST AND REGISTRATION Morning Session Chairperson - Frank Falco, MD Introduction - Frank Falco, MD Lumbar Disc Pathology: Overview, Diagnosis, and Classification - Kent B. Remley, MD Spinal Stenosis: Overview, Diagnosis, and Classification - Sheri L. Albers, DO BREAK Session Chairperson - Sukdeb Datta, MD Technical Considerations: Needle Placement and Manipulation - Kent Remley, MD Technical Considerations: Endoscope Placement and Manipulation - Frank Falco, MD Technical Considerations: Transforaminal Endoscopic Surgery: Inside Out - Jason Capra, MD LUNCH Afternoon Session Chairperson - Jason Capra, MD Technical Considerations: Transforaminal Endoscopic Surgery: Outside In - Sukdeb Datta, MD Indications & Efficacy: Transforaminal Endoscopic Surgery - Frank Falco, MD Technical Considerations: Disc Protrusions vs. Extrusion - Sukdeb Datta, MD Technical Considerations: Disc Decompression L4/5 and L5/S1 - Frank Falco, MD BREAK Session Chairperson - Jason Capra, MD Technical Considerations: Lumbar Endoscopic Facet Joint Rhizotomy - Jason Capra, MD Technical Considerations: Disc & Spinal Decompression for Spondylolisthesis - Kent Remley, MD Technical Considerations: Other Applications - Obesity & Elderly - Jason Capra, MD MEET & GREET WITH EXHIBITORS American Society of Interventional Pain Physicians 3

4 JUNE 30 CADAVER WORKSHOP COURSE PROCEDURES No exhibitors are allowed at the cadaver workshop unless otherwise approved by ASIPP staff REGENERATIVE MEDICINE MUSCULOSKELETAL AND LUMBAR SPINE DISORDERS BASIC 1. BMC acquisition and preparation 2. Shoulder joint and related injections 3. Elbow and wrist joint and related injections 4. Hip joint and related injections 5. Knee joint and related injections 6. Ankle and foot and related injections 1. BMC acquisition and preparation 2. Upper extremity injections 3. Lower extremity injections 4. Lumbar facet joint injections 5. Sacroiliac joint and related injections 6. Lumbar discography LUMBAR ENDOSCOPIC DECOMPRESSION PROCEDURES 1. Discography 2. Needle Placement 3. L4/5 Endoscopic 4. L5/S1 Endoscopic 5. Annual Tear Endoscopic INTERVENTIONAL PAIN MANAGEMENT TECHNIQUES BASIC 1. Caudal epidural injections 2. Lumbar interlaminar epidural injections 3. Lumbar transforaminal epidural injections 4. Lumbar facet joint intraarticular injections 5. Lumbar facet joint nerve blocks 6. Lumbar facet joint radiofrequency neurotomy 7. Percutaneous adhesiolysis 1. Lumbar discography 2. Thoracic facet joint intraarticular injections 3. Thoracic facet joint nerve blocks and radiofrequency neurotomy 4. Cervical facet joint intraarticular injections 5. Cervical facet joint nerve blocks and radiofrequency neurotomy 6. Cervical interlaminar epidural injections 7. Thoracic interlaminar epidural injections NEUROMODULATION TECHNIQUES 1. Spinal cord stimulator trial Conventional leads 2. Spinal cord stimulator trial Newer leads 3. Spinal cord stimulator implant 4. Spinal cord stimulator and DRG implant 5. Intrathecal Infusion System 6. Peripheral Nerve Stimulation 4 American Society of Interventional Pain Physicians

5 American Society of Interventional Pain Physicians EXHIBITOR APPLICATION ASIPP JUNE 2018 COURSES LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION Review Course and Hands-on Cadaver Workshop REGENERATIVE MEDICINE IN MUSCULOSKELETAL & LUMBAR SPINE DISORDERS Review Course and Hands-on Cadaver Workshop INTERVENTIONAL TECHNIQUES Review Course and Hands-on Cadaver Workshop LOEWS SAPPHIRE FALLS RESORT EXHIBITOR DATES June 29, 2018 Loews Sapphire Falls Resort There will be breakfast, lunch and 2 breaks on Friday with a Meet&Greet on Friday evening. Payment must accompany all applications. Completed forms with credit card payment can be faxed to (270) or ed to Kristina Ramey at kramey@asipp.org If paying by check, mail form to: 81 Lakeview Drive, Paducah, KY Application Date Company Information (as it will appear on signage) Company Product/Service Description Company Name Please select a company description from below: o Equipment Company Contact o Technology o Diagnostics/Imaging Address o Pharmaceuticals o Practice Management City, State, ZIP o Publisher Phone Fax o Medical Services o Other Names of Attending Representatives (Title): (Two reps included in fee - $100 for each additional representative) Additional Names: Check the applicable booth information: o Table Top Exhibit X $1, o June 29, 2018 Loews Sapphire Falls Resort (Table and two chairs provided with fee) - requests for additional booth items i.e. electricity, etc., should be addressed through the hotel *** NO DISPLAY TABLES ALLOWED IN LAB Product List o Method of Payment o Check (made payable to ASIPP) o Credit Card: MC Visa AmExpress o Pre-paid with Corporate Membership Card Number Expiration Date Security Code Signature Name on Card (print) Agreement Signature and submission of this application is considered a binding agreement by the applying company and its representatives to abide by the conditions outlined in this prospectus including all rules and regulations. The signer of this application shall be the sole contact between ASIPP and applicant company. Company Contact Signature Print Name For office use only: Application Received: Amt. of Payment: ASIPP Approval

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