- Overview
- Product Description
- Detailed Photos
- Theory
- Our Advantages
- Treatment Process
- Product Parameters
- Packing
- FAQ
Basic Info.
Product Description
980nm 1470nm PLDD Laser (Percutaneous Laser Disk Decompression)
PLDD has proven to be safe and effective. It is minimally invasive, is performed in an outpatient setting, requires no general anesthesia, results in no scarring or spinal instability, reduces rehabilitation time, is repeatable, and does not preclude open surgery should that become necessary. It is an ideal choice for patients with poor results in non-surgical treatment.
What is PLDD?
Percutaneous laser disc decompression (PLDD) is a type of surgery in which a laser probe is inserted into the intervertebral disc space and laser energy applied for achieving decompression and neuromodulation thereby relieving the pain. PLDD is a minimally invasive procedure that falls into the category of percutaneous intervertebral surgeries with the aim to significantly reduce the patient's pain and recover neurological deficit. It is performed under local anesthesia. By a specially designed laser, with a coefficient of absorbing energy adjusted for soft discus tissue, specific amount of heat is sent to achieve the evaporation of the water from the disc without additional thermal damage thus achieving decompression and creation of a stable intradiscal scar that will prevent herniation from reoccurring.
Treatment Handlepiece and Fiber:
Applications
- Intra-discal application on cervical spine, thoracic spine, lumbar spine
- Medial branch neurotomy for facet joints
- Lateral branch neurotomy for sacroiliac joints
How is Endovenous Laser Treatment done?
EVLT is an acronym for Endovenous Laser Treatment. This is the procedure that your vascular consultant may use to treat your vein condition. The treatment uses heat from a laser to close off affected veins.This heat gets guided using a very flexible tube, the vein is sealed off from any blood flow. Varicose veins are the swollen veins that mostly occur on the legs and arms. The veins will occur, especially if the valves in your veins get damaged. With damaged veins, comes the problem of streamlined blood flow. With time, a lot of blood will collect and stagnate in the veins, which leads to bulging and twisting of the blood vessels.
Benefits of the minimally invasive PLDD procedure
- Local anaesthesia allows the treatment of patients at risk.
- Very short operating time compared with open procedures
- Low rate of complications and postoperative inflammation(No soft tissue injury,No risk of epidural fibrosis or scarring)
- Fine-needle with very small puncture site and therefore no need for sutures
- Immediate significant pain relief and mobilization
- Shortened hospital stay and rehabilitation
- Lower costs
PLDD: Both fine-needle and fiber are introduced into the diseased disc under fluoroscopy.
PLDD procedure is performed using local anesthesia. Optical fiber is inserted in special cannula under fluoroscopic guidance.After applying contrast to the facet it is possible to check cannula's position and the condition of the disc bulge. Starting laser initiates decompression and lowers intradiscal pressure.
The procedure is done from the posterior-lateral approach with no interference to vertebral canal,therefore,there is no possibility of damaging a reparative treatment,but there is no possibility to reinforce annulus fibrosus. DUring PLDD disc volume is minimally decreased,however,disc pressure can be significantly lowered. In case of using laser to disc decomperssion,small amount of nucleus pulposus evaporates.
Other functions of Clinic Applications
- Vascular lesion therapy(Remove red blood: all kinds of telangiectasia, cherry haemangioma etc.)
- ENT
- Dermatology /Otorhinolaryngology
- Orthopaedics
- Neuro surgey
- Gynaecology
- Urology
- General surgery
- Lipolysis (Laser fat burning )
- EVLT (Endovenous Veins Laser Treatment)
- Skin protrusions: warts, mole, flat warts, compound nevus, junctional nevus, fat particles and other skin problems;
- Dental
Laser type | Diode Laser Gallium-Aluminum-Arsenide GaAlAs |
Wavelength | 980nm+1470nm |
Power | 47W |
Working Modes | CW, Pulse and Single |
Aiming Beam | Adjustable Red indicator light 650nm |
Fiber type | Bare fiber |
Fiber diameter | 400/600 um fiber |
Fiber connector | SMA905 international standard |
Pulse | 0.00s-1.00s |
Delay | 0.00s-1.00s |
Voltage | 100-240V, 50/60HZ |
Size | 50*40*30cm |
Weight | 5KG |
1: WHAT IS PLDD?
The pldd (percutaneous laser disc decompression) is a not-surgical technique but truly minimal invasive interventional procedure for the treatment of a 70% of the disc hernia and 90% of the disc protrusions (these are small disc hernia that sometimes are very painful and do not respond to the most conservative therapies as pain killers, cortisonic and physical therapies and so on).
2: HOW DOES THE PLDD WORK?
It uses local anesthesia, a tiny needle and a laser optical fiber. It is practicated into the operating room with the patient in the lateral position or prone (for lumbar disk) or supin (for cervical). Firstly the local anesthesia in an exact point of the back (if lumbar) or of the neck (if cervical) is done, then a tiny needle is inserted through the skin and muscles and this, under radiological control, reaches the center of the disc (called nucleus pulposus). At this point the laser optical fiber is inserted inside the tiny needle and i start to delivery the laser energy (heat) that vaporizes a very small amount of the nucleus pulposus.
This determines a decrease of 50-60% of the intra discal pressure and therefore also the pressure that disc hernia or protrusion exercises on the nerve root (cause of pain).
Every pldd (i can also treat 2 disks at the same time) takes from 30 to 45 minutes and there is only one session .
4 : PATIENT FEEL PAIN DURING PLDD?
If made in experienced hands the pain during the pldd is minimum and only for few seconds: it comes at the time when the needle cross the anulus fibrous of the disc (the most external part of the disc). The patient, who is always awake and collaborating, must be adviced at that time to avoid rapid and unexpected movement of the body which he / she could make in reaction at the same short pain. Many patients do not feel pain during all the procedure.
5: DOES PLDD HAVE IMMEDIATE RESULTS?
In 30% of cases the patient feels immediate improvement of pain that then improves further and gradually in the following 4 to 6 weeks. In 70% of cases often there are "up and down pain" with "old" and "new" pain in the following 4 - 6 weeks and a serious and reliable judgment on the success of pldd is given only after 6 weeks. When the success is positive, the improvements can continue up to 11 months after the procedure.