The right options for any turbinate anatomy. Explore our full portfolio of turbinate reduction options designed to address any anatomic situation.
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1 COBLATION REFLEX ULTRA PTR COBLATION REFLEX ULTRA 45 COBLATION TURBINATOR The right options for any turbinate anatomy Explore our full portfolio of turbinate reduction options designed to address any anatomic situation.
2 Choose COBLATION Technology for all your turbinate reduction procedures COBLATION Plasma Technology works through the creation and application of a high-energy field called glow discharge plasma. This controlled plasma field ablates tissue through a chemical process whereby the highly-energized particles in the plasma break down molecules in the tissue, immediately vaporizing mass and providing resistive heating. BENEFITS OF COBLATION TECHNOLOGY n Precise soft tissue removal 1 n Integrated hemostasis n Settings can be fine-tuned n Lower temperatures than other RF-based systems 1 n 100μm 200μm plasma field 1 (about the size of a human hair) COBLATION plasma technology on soft tissue The term COBLATION means controlled ablation. Since the introduction of COBLATION tonsillectomy wands in 1998, the proven patented COBLATION technology has been used in more than 10 million procedures by surgeons in ear, nose and throat (ENT) and various areas of medical specialty. 2
3 Unique anatomies call for unique solutions Minimally invasive hypertrophic turbinate procedures can be efficiently performed in the operating room or in office settings. Smith & Nephew s comprehensive turbinate portfolio includes three options that allow you to customize treatment for every patient s unique anatomy. COBLATION REFLEX ULTRA PTR and ULTRA 45 s COBLATION treatment for hypertrophic turbinates results in immediate removal of central turbinate tissue and continued postoperative contraction of additional tissue for best-in-class results. 3 n May treat anterior and posterior aspects of the turbinate n REFLEX PTR: Two depth markers assist positioning and visibility with pointed tip n REFLEX 45: Three depth markers assist in positioning and visibility with blunt tip COBLATION TURBINATOR The TURBINATOR turbinate reduction wand is designed to allow for fast and efficient submucosal resection with built-in bipolar coag. n Immediate and visible removal of submucosal tissue n Targeted hemostasis with bipolar coagulation feature
4 COBLATION REFLEX ULTRA Wand Performance COBLATION Technology outperforms a leading bipolar radiofrequency applicator 3 The REFLEX ULTRA 45 and REFLEX ULTRA PTR Wands generate plasma through COBLATION technology to immediately vaporize tissue, unlike competitive radiofrequency devices, and create a thermal lesion for continued postoperative tissue contraction. REFLEX ULTRA 45 Wand Lesion Diameter 3 Total Thermal Lesion Diameter 3 Average Lesion Diameter (mm) REFLEX ULTRA 45 REFLEX ULTRA PTR Celon ProBreath (Power 15) Average Lesion Diameter (mm) REFLEX ULTRA 45 REFLEX ULTRA PTR Celon ProBreath (Power 15) Pre-Op COBLATION REFLEX ULTRA Wand Performance Immediate Post-Op REFLEX 45 REFLEX 45 REFLEX PTR REFLEX PTR Celon ProBreath Power 15 Testing performed on bovine myocardium as representative turbinate tissue. When utilizing the technique, the REFLEX ULTRA PTR and REFLEX ULTRA 45 Wands consistently produced larger lesion sizes than the Olympus Celon ProBreath device. The REFLEX family of wands allows the user flexibility in their procedure by utilizing the static technique for smaller lesion size, or the Micro-Motion technique for enhanced tissue removal. 3 1 Month Post-Op Actual case images. Results may vary. COBLATION REFLEX ULTRA 45 A B C D E F Insulated shaft A Depth marker B COBLATION REFLEX ULTRA PTR A D D Thermal active electrode C Silicone spacer D Return electrode E B C D E F F Ablative active electrode
5 COBLATION TURBINATOR Wand Performance COBLATION Technology outperforms a leading mechanical resection microdebrider 4 The TURBINATOR wand s use of advanced COBLATION plasma technology allows it to reduce hypertrophic turbinates more quickly than competitive devices. 1 The addition of bipolar coag helps further expedite surgical procedures by allowing bleeding to be addressed intraoperatively with the wand. Volumetric Removal Rate (mm 3 /sec) SP7 (Default) Suction 30mmHg TURBINATOR wand 2.9mm TURBINATOR and Microdebrider Product Comparison rpm (per IFU) Suction 30mmHg Microdebrider 2.9mm inferior turbinate blade 3000rpm (per IFU) Suction 30mmHg Microdebrider 2.0mm inferior turbinate blade TURBINATOR Wand Pre-Op When comparing the COBLATION TURBINATOR wand to the Medtronic 2.0mm and 2.9mm Microdebrider Blades, the TURBINATOR wand performed significantly faster in terms of volumetric tissue removal rate. The additional benefit of bipolar coagulation found with the wand helps to further expedite submucosal resections. 4 TURBINATOR Wand Microdebrider 2.9mm inferior turbinate blade Microdebrider 2.0mm inferior turbinate blade Testing performed on bovine myocardium as representative turbinate tissue. Immediate Post-Op 1 Month Post-Op Actual case images. Results may vary. Active electrode Distal depth marker Middle depth marker Orientation line Proximal depth marker 2.9mm 12mm 15mm 15mm
6 Ordering Information COBLATION TURBINATOR, REFLEX ULTRA PTR and ULTRA 45 s Reference # Description EICA EICA EICA TURBINATOR Wand REFLEX ULTRA PTR Wand REFLEX ULTRA 45 Wand Accessories EC COBLATOR II Controller Saline Irrigation Pump (use with TURBINATOR Wand) 1. Stalder K. Coblation in Ololaryngology. Proc SPIE. 2003; 4949: This figure was calculated by capturing the number of COBLATION wands sold during the timeframe of July 2008 May (P/N 81915). 3. Data on file P/N Rev. A, Arthrocare, Inc. 4. Data on file P/N Rev. A, Arthrocare, Inc. The information presented is intended to demonstrate Smith & Nephew product offerings. It is the responsibility of operating physicians to determine and utilize the appropriate products and techniques, according to their own clinical judgment, for each of their individual patients. For more information on the application of any products discussed in the brochure, as well as indications for use, contraindications, and product safety information, please consult the Instructions for Use (IFU) for such product. ArthroCare Corporation 7000 West William Cannon Drive Austin, TX 78735, USA Order Entry: Order Entry Fax: Trademark of Smith & Nephew. All trademarks acknowledged Smith & Nephew. All rights reserved. Printed in USA A 06/17
Immediate tissue removal and continued postoperative contraction
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