In the lateral branch denervation procedure, a Pain Management SInergy* introducer is placed at a point between the S1 posterior sacral foramen and the sacroiliac joint. A Pain Management SInergy* probe is inserted through the introducer and into the tissue just superficial to the sacrum. RF energy generates heat in the surrounding tissue while internal cooling of the electrode moderates temperature near the tip.
This combination creates large volume lesions without excessive
heating at the electrode. Successive lesions are created by repositioning the introducer and electrode caudally in a step-wise manner, until
all lateral branches between the sacral foramina and the sacroiliac joint have been ablated.
Spherical lesion shape allows for perpendicular
or oblique probe placement
near the treatment site.
The spherical shape of a lesion created using the Pain Management SInergy* probe allows for perpendicular, oblique, or parallel approaches towards the target structure. The distally projecting portion of the lesion will form around ridges, and within crevices on irregularly shaped surfaces, such as the sacral surface.
The internally-cooled Pain Management SInergy* probe creates large volume, spherical lesions ideal for treating multiple targets or variable innervation. The cooling allows for greater power to be used while preventing charring of tissue adjacent to the electrode; thus a large volume of the tissue is treated with minimal disturbance to the surrounding tissue.
A temperature sensor precisely located at the electrode tip allows the RF generator to control the power delivery and the rate of electrode cooling.
Placement of the Pain Management SInergy* probes is straight-forward and results in minimal disturbance to the overlying soft tissue. The ease of ‘down the beam’ introducer placement allows for quicker procedure times.
* Registered Trademark or Trademark of Kimberly-Clark Worldwide, Inc.
Pain Management SInergy* System Probe Placement
The SInergy* System RF Lesion
Internally-Cooled SInergy* Probe