L'DISQ for Lumbar

Spring Stopper
Pinch and slide to act as a measurement and dept safety guard

Electrode Tip
Tip length 250mm
Tip diameter 1.0 +- 01.5mm
Arc range of motion -135º to +135º

Cutting Edge Technology

L’DISQ utilizes both Monopolar and Bipolar Radio Frequency technology to stimulate, coagulate, and ablate the target discs - by plasma molecular disassociation.

L’DISQ is a minimally invasive percutaneous device used for outpatient procedures for disc decompression and intradiscal thermal coagulation. L’DISQ provides controlled tissue removal with precision to relieve radicular and discogenic pain, giving significant reduction of intradiscal pressure in herniated discs.

Intradiscal thermal change in the treated disc is negligible. The maximum temperature recorded at 1mm distance from the tip of the electrode is 13.25 +- 0.84C°. and it decreases rapidly with distance (11.35 +- 0.61 C° at 5mm). 
L’DISQ

L’DISQ offers safe volumetric removal of the nucleus with minimal thermal and no structural change or necrosis to the surrounding tissues.
Clinical studies indicate that the L’DISQ procedure: 
• Successfully decompresses the spinal disc 
• Reduces VAS pain scores 
• Eliminates narcotic usage in 79% patients

Patient Selection

L’DISQ Procedure is recommended for patients who have not responded to conservative management including medications, physical therapy, and epidural steroid injections.

Indications - Radicular and Axial Symptoms:

• Herniated nucleus pulposus (including bulging or protrusion morphologies) 
• Discogenic pain (internal disc disruption) with/without protrusion

Contra-indications:

• Patients with cardiac pacemakers or other electronic device implants • Lactating or pregnant women 
• Previously operated discs where integrity of annulus has been compromised by an annulotomy 
• Severely degenerated discs with less than 50 % of normal disc height 
• Discs with metallic fusion cage implanted at an adjacent disc level 
• Annulus herniations with free disc fragments 
• Patients with spinal infections, disease, or severe osteoarthritis 
• Patients with bony deformities such as spondylolisthesis, stenosis, hermivertebrae, or severe congenital abnormalities 

Bipolar Radio Frequency Energy excites electrolytes in a conductive medium, such as saline, creating focused plasma.
Bipolar Radio Frequency Energy removes the targeted portion of the nucleus tissue via plasma molecular disassociation decompressing the herniated disc to relieve radicular or nerve root compression pain. Energised particles in the plasma have sufficient energy to break down molecular bonds, vaporising and dissolving soft tissue, such as the disc nucleus, whilst preserving the integrity and health of the surrounding tissue where negligible thermal increase is seen.

Clinical in-vitro and in-vivo studies have clearly shown a reduction in intradiscal pressure, positive intradiscal biochemistry changes as a result of Bipolar Radio Frequency Energy and improvements in a number of clinical standardised outcome measures. The procedure also allows for rapid patient recovery.
Radio Frequency Energy has been successfully used in Arthroscopy, ENT, and Spinal surgery for the last 40 years. More than 5 million Radio Frequency procedures to date have been performed including its use for spinal disc herniations.

L’DISQ – Treatment Options

L’DISQ treats and decompresses contained herniated discs using three different functions:

Stimulation (Monopolar/Bipolar)
• Identify nociceptors / nerve roots
• Able to detect motor sensors / sensory sensors specifically
• Safety mechanism prior to ablation/

Coagulation Coagulation (Monopolar/Bipolar)
• Electrothermal coagulation (5W / 10W)
• Treatment for painful annulus tear / neo-innervation / nociceptors

Ablation (Aqua-Plasma)
• Decompression of nucleus pulposus
• Molecular disassociation / vaporization
• Minimal damage to surrounding tissues

Clinical Benefits - L’DISQ Procedure

L’DISQ is the worlds most advanced treatment that removes disc lesions that cause pain:

• Targeted removal of nucleus tissue with minimal damage to adjacent tissues
• Significant reduction in intradiscal pressure
• Over 80% of patients successfully treated (50% improvement in pain considered successful)
• Sustained improved quality of life and reduction in VAS pain score
• Rapid recovery without the need for bracing (optional for psychological support)
• Local anaesthesia (do not require general anaesthesia)
• Safe procedure with low risk of complication
• 89% patient satisfaction
• More than 5 million patients treated to date with Bipolar Radio Frequency Energy