Ordering Information Dekompressor Kits

Includes: One percutaneous discectomy probe, one introducer cannula with bevel stylet, one probe cleaner 407-265-000 6" 13 Gauge Straight Dekompressor Kit 407-266-000 6" 15 Gauge Straight Dekompressor Kit 407-250-000 6" 17 Gauge Straight Dekompressor Kit 407-251-000 6" 17 Gauge Curved Dekompressor Kit 407-280-000 6" 19 Gauge Straight Dekompressor Kit 407-260-000 9 17 Gauge Straight Dekompressor Kit 407-281-000
3" 19 Gauge Straight Dekompressor Kit

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Lower back with radicular leg pain is a condition affecting nearly 10 million people. The cost is measured in more than just pain: medical treatment is estimated to cost $20 billion annually.1,2 Percutaneous discectomy using the Stryker Dekompressor System gives you a highly effective treatment for relieving pain due to bulging discs or contained herniations.

Includes: One percutaneous discectomy probe, one introducer cannula with bevel stylet, one blunt stylet, one probe cleaner

Cannulae
Sterile; 5 per pack. For use with 6" 17 gauge straight or curved Dekompressor kits: 407-253-000 6" 17 Gauge Straight Introducer with Stylet 407-254-000 6" 17 Gauge Curved Introducer with Stylet 407-255-000 6" 17 Gauge Blunt Introducer with Stylet For use with 6 13 gauge straight Dekompressor kit: 407-275-000 6 13 Gauge Straight Introducer with Stylet For use with 6 15 gauge straight Dekompressor kit: 407-276-000 6 15 Gauge Straight Introducer with Stylet
Footnotes

Disc Dekompressor
Advanced technology. Measurable results.

An innovative solution for a costly problem.

This minimally invasive approach completes the continuum of care for patients who havent responded to conservative treatments, but want an alternative to surgery. It reduces pain, shortens recovery time, and often returns patients to their previous level of activity.2 Developed with respected medical professionals, use of the Stryker Dekompressor for percutaneous discectomy can benet your patients, your practice, and the healthcare system.

1. Al K, Wright RE, Sutcliffe J, Brandt SA. Percutaneous lumbar discectomy: clinical response in an initial cohort of 50 consecutive patients with chronic radicular pain. Pain Pract. 2004; 4(1):19-29 2. Carey TS, Garrett J, Jackman A, Mclaughlin C, Fryer J, Smucker D. The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons. The North Carolina Back Pain Project. N Eng J Med. 1995; 333(14):913-7 3. Amoretti N, David P, Grimaud A, Flory P, Hovorka I, Roux C, Chevallier P, Bruneton JN. Clinical follow-up of 50 patients treated by percutaneous lumbar discectomy. Clinical Imaging. 2006; 30(4):242-4 4. Al KM, Wright RE, Sutcliffe J, Brandt SA. Percutaneous lumbar discectomy: one-year follow-up in an initial cohort of 50 consecutive patients with chronic radicular pain. Pain Pract. 2005; 5(2):116-23 5. Al K, Wright RE, Fu ZJ. Open human torso laboratory dissection with annular and nuclear lumbar disc analysis pre and post Dekompressor. Denver, CO: University of Colorado Health Sciences Center College of Medicine, Department of Anatomy; January 19/20, 2003 6. Wright R. Preclinical laboratory analysis of Dekompressor percutaneous decompression in sheep and human cadaver discs: Internal Data. Fort Collins, CO: Colorado State University; May 2000 7. Onik G, Maroon J, Helms C, Schweigel J, Mooney V, Kahanovitz N, Day A, Morris J, McCulloch JA, Reicher M. Automated percutaneous diskectomy: initial patient experience. Work in progress. Radiology. 1987; 162(1 Pt 1):129-32 8. Davis, GW, Onik G. Clinical experience with automated percutaneous discectomy. Clin Orthop Relat Res. 1989; 238:98-103 9. Onik G, Mooney V, Maroon JC, Wiltse L, Helms C, Schweigel J, Watkins R, Kahanovitz N, Day A, Morris J, et al. Automated percutaneous discectomy: a prospective multi-institutional study. Neurosurgery. 1990; 26(2):228-32; discussion 232-3 10. Maroon JC, Onik G, Sternau L. Percutaneous automated discectomy. A new approach to lumbar surgery. Clin Orthop Relat Res. 1989; 238:64-70 11. Gill K, Blumenthal SL. Clinical experience with automated percutaneous discectomy: the Nucleotome system. Orthopedics. 1991; 14(7):757-60

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The information presented in this brochure is intended to demonstrate the breadth of Stryker product offerings. Always refer to the package insert, product label and/or user instructions before using any Stryker product. Products may not be available in all markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. Products referenced with TM designation are trademarks of Stryker. Products referenced with designation are registered trademarks of Stryker.

A minimally invasive solution for relieving pain and providing an alternative to surgery.

Noninvasive

Minimally Invasive

Invasive

12. Gill K, Blumenthal SL. Automated percutaneous discectomy. Long-term clinical experience with the Nucleotome system. Acta Orthop Scand Suppl. 1993; 251:30-3 13. Castro WH, Jerosch J, Hepp R, Schulitz KP. Restriction of indication for automated percutaneous lumbar discectomy based on computed tomographic discography. Spine. 1992; 17(10):1239-43

Physical therapy Medication Bed rest

Figure 1. The continuum of care.

14. Yeo SJ, Tay BK. Clinical experience with automated percutaneous discectomy. Singapore Med J. 1993; 34(4):313-5

Open surgery

15. Mathews R, Kent G, Miller M. APLD: A prospective study in an outpatient surgical setting. ISIS Newsletter, 1997 16. Carragee EJ, Han MY, Yang B, Kim DH, Kraemer H, Billys J. Activity restrictions after posterior lumbar discectomy: a prospective study of outcomes in 152 cases with no postoperative restrictions. Spine. 1999; 24(22):2346-51 17. Mariconda M, Galasso O, Secondulfo V, Rotonda GD, and Milano C. Minimum 25-year outcome and functional assessment of lumbar discectomy. Spine. 2006; 31(22):2593-9 * Information current as of 6.30.09

Literature Number: 1000-906-001 Rev. D DDM/PS Copyright 2009 Stryker Printed in USA Stryker Instruments 4100 East Milham Avenue Kalamazoo, MI 49001 USA t: 269 323 7700 f: 800 999 3811 toll free: 800 253 3210 www.stryker.com

Disc

Dekompressor

Quick relief. Simple procedure.

Multiple clinical studies have shown that percutaneous discectomy using the Stryker Dekompressor is successful for 90% of patients.4 This minimally invasive procedure reduces pressure on the nerve root by removing disc nucleus. It results in minimal annular disruption, preserving disc strength and future treatment options, including surgery.1,5,6 Recovery time is rapid, generally 3 to 5 days. Stryker Disc Decompression is typically performed on an outpatient basis and requires only local anesthetic and mild sedation, alleviating the expense and possible

The Stryker Dekompressor System is an innovative minimally invasive disc removal system for disc bulges or contained herniations. It was developed with leading practitioners for measurable, selective extraction of herniated nucleus pulposus without annular or nuclear disruption.1,4,5,6

The Stryker Disc Dekompressor is used in the aspiration of disc material during percutaneous discectomies. Material removed can also be used for disc biopsies.

Product Benets
Removes quantifiable disc material No capital equipment required Unique to Stryker* No thermal damage to the nerve root Provides sample for biopsy Unique to Stryker* Four cannula sizes that regulate the amount of material aspirated Multiple lengths, gauges, and shapes allow procedure customization May be used in the lumbar, thoracic, and cervical regions of the spine

Smart technology. Quantiable results.

Using a patent-pending Archimedes pump principle, Strykers Dekompressor provides a highly efcient method for removing intervertebral disc nucleus through the smallest available channel under uoroscopic control.

Chart 1. Please refer to this chart for Stryker recommended product pairings.

complications of open surgery and general anesthesia.

It typically takes only 15 to 30 minutes to perform and doesnt require a hospital stay. Image 1. MRI image of a disc herniation.

Probes are straight unless otherwise indicated.

9" Dekompressor

Image 2. Stryker Dekompressor removes a measurable amount of disc material without annular or nuclear disruption.1,4,5,6
3" Dekompressor 13 Gauge

Probes
15 Gauge 17 Gauge 19 Gauge

Uses
Regions of Spine

Procedure Benets
Benets of Stryker Disc Decompression are reported
1,4 maintained to include excellent success rates,

annular integrity,1,5,6 low outpatient treatment costs, rapid rehabilitation, and low risk. Significant pain relief1,4 Reduced use of analgesics1,4 Returns patients to their previous levels of activity4 Quantifiable disc material removal4 Less epidural scarring No overnight hospital stay Quick recovery time Low complication and morbidity rates
7-15

Results Compared to Surgery

Possible reduction in: o Perineural scarring o Postoperative brosis o Permanent structural alterations o Spinal instability Decreased complication rate: 0.5% vs. 3% with open surgical discectomy4,16 Lower re-herniation rate: 5% vs. 10-15% compared to open lumbar discectomy17 No incision required Decrease in: o Anesthesia o Procedure time

6" Dekompressor

X
Dekompressor
6" Dekompressor

Cervical

3" Dekompressor

X
9" Dekompressor

X**

Thoracic / Lumbar

Lumbar
Available straight or blunt ** Available straight, blunt, or curved

Table 1.
Outcomes Pain Reduction Analgesic Reduction Functional Improvement Overall Satisfaction 6 Mo 60% 74% 90% 80%
1

o Recovery time 1 Year 65% 79% 91% 88%

4

Bulging/Herniated Disc

Dekompressor needle is guided into the herniated disc, behind the nerve.

Aspiration of disc material using the Dekompressor.

Decompressed disc.