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 COMPREHENSIVE REVIEW COURSE AND CADAVER WORKSHOP LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION COMPREHENSIVE REVIEW COURSE AND CADAVER WORKSHOP REGENERATIVE MEDICINE IN MUSCULOSKELTAL & LUMBAR SPINE DISORDERS COMPREHENSIVE REVIEW COURSE AND CADAVER WORKSHOP MAY 4-6, 2018 PHONEIX, AZ VENUE AND CADAVER WORKSHOP SITE KIMPTON HOTEL PALOMAR 2 E JEFFERSON ST., PHONEIX, AZ (602) American Society of Interventional Pain Physicians The Voice of Interventional Pain Management

2 MAY, 2018 EXHIBITOR PROSPECTUS CONFERENCE CO-CHAIRS Laxmaiah Manchikanti, MD Chairman of the Board and Chief Executive Officer, ASIPP Frank J.E. Falco, MD Founder, CEO and a Principal, Mid Atlantic Spine and Pain Jason Capra, MD, PhD Pain Specialist Sukdeb Datta, MD Vice President - Strategic Alliances, ASIPP Sudhir A. Diwan, MD President-Elect, ASIPP Kent Remley, MD Georgia Pain and Spine Care Hans Hansen, MD President, ASIPP Kenneth Candido, MD Academic Director, ASIPP Annu Navani, MD Director-At-Large, ASIPP Sheri Albers, DO Director-At-Large, ASIPP Sheldon Jordan, MD Neurological Associates of West Los Angeles George Chang Chien, DO Young Physician Directors ASIPP 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 May meetings. The courses will run May 4-6 in Phoenix, Arizona at the Kimpton Hotel Palomar 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. MAY DIDACTIC COURSES FRIDAY MAY 4, 2018 COMPREHENSIVE REVIEW COURSE FOR INTERVENTIONAL TECHNIQUES 6:30 am 7:55 am REGISTRATION AND BREAKFAST WITH EXHIBITORS 7:55 am 10:00 am Session Chair Hans Hansen, MD 7:55 am 8:00 am Introduction by Session Chair - Hans Hansen, MD 8:00 am 8:15 am Introduction to Workshop and ASIPP - Hans Hansen, MD 8:15 am 9:00 am Lumbar Epidural Injections: Caudal, Interlaminar, Transforaminal - Ramsin Benyamin, MD 9:00 am 9:30 am Cervical and Thoracic Interlaminar Epidural Injections - Standiford Helm II, MD 9:30 am 10:20 am BREAK WITH EXHIBITORS 10:20 am 11:55 am Session Chair - Sudhir A. Diwan, MD 10:20 am 10:25 am Introduction by Session Chair - Sudhir A. Diwan, MD 10:25 am 10:55 am Sacroiliac Joint Injections and Radiofrequency Thermoneurolysis - Ramsin Benyamin, MD 10:55 am 11:25 am Lumbar Facet Joint Interventions (Intraarticular Injections, Nerve Blocks and Radiofrequency Thermoneurolysis) - Hans Hansen, MD 11:25 am 11:55 am Cervical Facet Joint Interventions (Intraarticular Injections, Nerve Blocks and Radiofrequency Thermoneurolysis) - Ramsin Benyamin, MD 12: 00 pm 12:55 pm LUNCH WITH EXHIBITORS 12:55 pm 3:00 pm Session Chair Standiford Helm II, MD 12:55 pm 1:00 pm Introduction by Session Chair - Standiford Helm II, MD 1:00 pm 1:30 pm Hip & Knee Injections and Radiofrequency Thermoneurolysis - John DiMuro, DO, PhD 1:30 pm 2:00 pm Thoracic Facet Joint Interventions (Intraarticular Injections, Nerve Blocks and Radiofrequency Thermoneurolysis): Technical Considerations and Evidence - Kenneth Candido, MD 2:00 pm 2:30 pm Percutaneous Adhesiolysis - Standiford Helm II, MD 2:30 pm 3:00 pm Spinal Cord Stimulation Trial and Implantation - TBD 3:00 pm 3:45 pm BREAK WITH EXHIBITORS 3:45 pm 5:30 pm Session Chair Kenneth Candido, MD 3:45 pm- 3:50 pm Introduction by Session Chair - Kenneth Candido, MD 3:50 pm 4:15 pm Discography (Lumbar, Thoracic, Cervical) - TBD 4:15 pm 5:00 pm Spinal Cord Stimulation: Trial and Implantation - TBA 5:00 pm 5:30 pm Sympathetic Blockade (Celiac Plexus, Splanchnic Nerves, Lumbar Sympathetic, and Hypogastric Plexus Blocks Kenneth Candido, MD 5:30 pm 7:00 pm Exhibitor Meet & Greet 2 American Society of Interventional Pain Physicians

3 EXHIBITOR PROSPECTUS MAY, 2018 FRIDAY, MAY 4, 2018 REGENERATIVE MEDICINE IN MUSCULOSKELETAL AND LUMBAR SPINE DISORDERS 6:30 am 7:55 am REGISTRATION AND BREAKFAST WITH EXHIBITORS 7:55 am 10:00 am Session Chair - Annu Navani, MD 7:55 am 8:20 am Introduction to Regenerative Medicine and Review Course - Annu Navani, MD 8:20 am 8:45 am Scientific Basis of Role Regenerative Medicine and Musculoskeletal Disorders - David Harrell, PhD 8:45 am 9:10 am Basics and Technical Aspects of Ultrasound - Kenneth Candido, MD 9:10 am 9:30 am Legal and Ethical Aspects and FDA Position on Regenerative Medicine in Musculoskeletal and Lumbar Spine Disorders - David Harrell, PhD 9:30 am 10:30 am BREAK WITH EXHIBITORS 10: 30 am 12:00 pm Ultrasound Hands on Workshop Sheldon Jordan, MD; Art Watanabe, MD; Sheri Albers, DO; George Chang Chien, DO; Andres Betts, MD, Kenneth Candido, MD and Steve Aydin, DO 12:00 pm 12:55 pm LUNCH WITH EXHIBITORS 12:55 pm 3:00 pm Session Chair - Sheldon Jordan, MD 12:55 pm 1:00 pm Introduction by Session Chair - Sheldon Jordan, MD 1:00 pm 1:30 pm Bone Marrow Concentrate: Evolution, Application and Acquisition in Musculoskeletal and Lumbar Spine Disorders - Sheldon Jordan, MD 1:30 pm 2:00 pm PRP: Evolution, Physiology, Application and Acquisition in Musculoskeletal and Lumbar Spine Disorders - Annu Navani, MD 2:00 pm 3:00 pm Ultrasound Hands on Workshop Sheldon Jordan, MD; Art Watanabe, MD; Sheri Albers, DO; George Chang Chien, DO; Andres Betts, MD, Kenneth Candido, MD 3:00 pm 3:30 pm BREAK WITH EXHIBITORS 3:30 pm 5:30 pm Session Chair George Chang Chien, DO 3:30 pm- 3:35 pm Introduction by Session Chair - George Chang Chien, DO 3:35 pm 3:55 pm Application of Regenerative Medicine in Lower Extremity Disorders: Evidence and Technical Considerations (Fluoroscopy and/or Ultrasound) - Sheri L. Albers, DO 3:55 pm 4:15 pm Application of Regenerative Medicine in Upper Extremity Disorders: Evidence and Technical Considerations (Fluoroscopy and/or Ultrasound) of Intraarticular Injections - Sheldon Jordan, MD 4: 15 pm 4:35 pm Application of Regenerative Medicine in Tendon and Ligament Pathologies - George Chang Chien, DO 4:35 pm 4:55 pm Application of Regenerative Medicine in Spinal Disorders - Steve Aydin, DO 4:55 pm 5:15 pm Public Relations and Marketing of Practice of Regenerative Medicine: Understanding the Differences from Traditional Insurance Model - Christy Davies 5:30 pm 7:00 pm Exhibitor Meet & Greet FRIDAY, MAY 4, 2018 REVIEW COURSE FOR LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION 7:00 am 8:00 am BREAKFAST AND REGISTRATION WITH EXHIBITORS 8:00 am 12:00 pm Morning Session Chairperson - Frank Falco, MD 8:00 am 8:30 am Introduction - Laxmaiah Manchikanti, MD 8:30 am 9:00 am Lumbar Disc Pathology: Overview, Diagnosis, and Classification - Sheri L. Albers, DO 9:00 am 9:30 am Spinal Stenosis: Overview, Diagnosis, and Classification - Kent B. Remley, MD 9:30 am 10:30 am BREAK WITH EXHIBITORS 10:30 am 12:00 pm Session Chairperson: Jason Capra, MD, PhD 10:30 am 11:00 am Technical Considerations: Needle Placement and Manipulation - Frank Falco, MD 11:00 am 11:30 am Technical Considerations: Endoscope Placement and Manipulation - Sukdeb Datta, MD 11:30 am 12:00 am Technical Considerations: Transforaminal Endoscopic Surgery: Inside Out - Jason Capra, MD, PhD 12:00 pm 12:55 pm LUNCH WITH EXHIBITORS 12:55 pm 6:00 pm Afternoon Session Chairperson - Sukdeb Datta, MD 12:55 pm 1:00 pm Introduction - Sukdeb Datta, MD 1:00 pm 1:30 pm Technical Considerations: Transforaminal Endoscopic Surgery: Outside In - Kent B. Remley, MD 1:30 pm 2:00 pm Indications & Efficacy: Transforaminal Endoscopic Surgery - Frank Falco, MD 2:00 pm 2:30 pm Technical Considerations: Disc Protrusions vs. Extrusion - Jason Capra, MD, PhD 2:30 pm 3:00 pm Technical Considerations: Disc Decompression L4/5 and L5/S1 - Tony Mork, MD 3:00 pm 3:30 pm BREAK WITH EXHIBITORS 3:30 pm 4:00 pm Technical Considerations: Spinal Decompression for Spinal Stenosis - Sukdeb Datta, MD 4:00 pm 4:30 pm Technical Considerations: Disc & Spinal Decompression for Spondylolisthesis - Tony Mork, MD 4:30 pm 5:00 pm Technical Considerations: Other Applications Obesity, Elderly, Tumors - Jason Capra, MD, PhD 5:00 pm 5:30 pm Creating the Pain Interventionalist and Spine Surgeon Alliance for Better Patient Outcomes - Tony Mork, MD 5:30 pm 7:00 pm Exhibitor Meet & Greet American Society of Interventional Pain Physicians 3

4 MAY, 2018 EXHIBITOR PROSPECTUS MAY CADAVER WORKSHOP COURSE PROCEDURES No exhibitors are allowed at the cadaver workshop unless otherwise approved by ASIPP staff MAY 5-6, 2018 CADAVAR WORKSHOP FOR LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION CADAVER LAB COURSE LEVELS INTERMEDIATE ADVANCED 1. Discography 2. Needle placement for endoscopy 3. Scope manipulation and equipment use 4. Endoscopic decompression L4/5: prone 5. Endoscopic decompression L5/S1: prone and lateral 6. Endoscopic decompression annular tear: prone 7. Free form practice 1. Scope placement and familiarization with tools 2. Endoscopic decompression L4/5 and L5/S1: prone, lateral, interlaminar 3. Endoscopic decompression spinal stenosis 4. Free form practice MAY 5-6, 2018 CADAVAR WORKSHOP FOR NTERVENTIONAL TECHNIQUES CADAVER LAB COURSE LEVELS BASIC INTERMEDIATE ADVANCED 1. Caudal epidural 2. Lumbar interlaminar epidural 3. Lumbar transforaminal epidural 4. Lumbar facet joint intraarticular 5. Lumbar facet joint nerve blocks 6. Lumbar facet joint radiofrequency neurotomy 7. Percutaneous adhesiolysis 8. Knee and hip (supine) 1. Lumbar discography 2. Thoracic facet joint intraarticular 3. Thoracic facet joint nerve blocks and radiofrequency neurotomy 4. Cervical facet joint intraarticular 5. Cervical facet joint nerve blocks and radiofrequency neurotomy 6. Cervical interlaminar epidural 7. Thoracic interlaminar epidural 8. Lumbar sympathetic blocks 1. Lumbar discography 2. Cervical facet joint interventions (intraarticular, nerve blocks, radiofrequency neurotomy) 3. Thoracic facet joint interventions (intraarticular, nerve blocks, radiofrequency neurotomy) 4. Celiac plexus and splanchnic nerve blocks, lumbar sympathetic, and hypogastric plexus blocks 5. Spinal cord stimulator trial Conventional leads 6. Spinal cord stimulator trial Newer leads 7. Spinal cord stimulator implant 8. Knee and hip and radiofrequency neurotomy MAY 5-6, 2018 CADAVAR WORKSHOP FOR REGENERATIVE MEDICINE IN MUSCULOSKELETAL AND LUMBAR SPINE DISORDERS CADAVER LAB COURSE LEVELS BASIC INTERMEDIATE 1. PRP Preparation 2. BMC acquisition and preparation 3. BMC acquisition and preparation 4. Shoulder joint and related 5. Elbow and wrist joint and related 6. Hip joint and related 7. Knee joint and related 8. Ankle and foot and related 9. Free Form 1. BMC acquisition and preparation 2. BMC acquisition and preparation 3. Upper extremity 4. Lower extremity 5. Lumbar facet joint 6. Sacroiliac joint and related 7. Lumbar discography (2 hour station) 8. Free Form 4 American Society of Interventional Pain Physicians

5 American Society of Interventional Pain Physicians EXHIBITOR APPLICATION ASIPP MAY 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 KIMPTON HOTEL PALOMAR, 2 E Jefferson St., Phoneix, AZ EXHIBITOR DATES May 4-5, Kimpton Hotel Palomar There will be breakfast, lunch and 2 breaks on Friday and breakfast and lunch on Saturday. 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 Please select a company description from below: Company Name o Equipment Company Contact o Technology o Diagnostics/Imaging Address o Pharmaceuticals o Practice Management City, State, ZIP o Publisher o Medical Services Phone Fax 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 May 4-5, 2018 Kimpton Hotel Palomar (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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