Radiofrequency (RF) Generators, Electrodes, and Cannulas for Pain Management and Neurosurgery - Cosman Medical

Radiofrequency for Pain Management and Neurosurgery      

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Displaying items by tag: pain management

Cosman has expanded its broad offering of RF cannula with new siliconized models. These premium cannula feature medical-grade silicone coating to reduce friction during placement. Like all Cosman cannulae, their insulation is robust, low-profile, and smooth at the tip.

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Register now for a comprehensive hands-on cadaver workshop for interventional pain specialists organized by Dr. Charles A. Gauci and endorsed by the World Institute of Pain (WIP). The two-day program features lectures and training by world-class faculty and will be held March 16 and 17, 2013 at the University of Malta, convenient to both Europe and the Middle East.

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Guy's and St Thomas' Hosptial welcomes pain consultants to an invited lecture by Dr. Eric Cosman, Jr, PhD entitled "Advances in Radiofrequency Pain Management: Physics and Applications". The lecture will be held on the evening of 8th November 2012 at the Pain Management & Neuromodulation Centre at Guy’s and St Thomas Hospital, London, UK.

Lecture Information

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Dr. Eric Cosman, Jr, PhD and Prof. Eric Cosman, Sr, PhD published two chapters on radiofrequency physics and mechanisms in pain management in the third edition of Dr. Charles Gauci's popular Manual of RF Techniques. This contribution updates and expands their work in the previous edition and adds numerous new illustrations.

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Dr. Eric Cosman Jr with Dr. P. Prithvi Raj and Prof. Serdar Erdine during the book signing at the 17th Annual Advanced Interventional Pain Conference and Practical Workshop in Budapest, Hungary, 4th September 2012.

Prof. Eric Cosman, Sr, PhD and Dr. Eric Cosman, Jr, PhD authored a chapter on radiofrequency physics and history in the textbook Pain-Relieving Procedures: The Illustrated Guide by Dr. P. Prithvi Raj, MBBS, FFARCS (Eng), FIPP and Prof. Serdar Erdine, MD, FIPP. The chapter covers mechanisms of thermal and pulsed radiofrequency, and the history of radiofrequency in neurosurgery and pain management since the 1950's.

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A study published in May 2012 issue of the Journal Pain Medicine  by Dr. John MacVicar et al. using the 16-gauge Cosman RRE electrode1 demonstrates complete relief of chronic neck pain for over 1 year in most patients, and beyond 3 years in many patients treated. The RRE Electrode is unique to Cosman Medical and was designed by Dr. Charles D. Ray, MD and Dr. Eric R. Cosman, Sr, PhD.

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Cosman Medical has published another free procedure technique guide for neurosurgeons on DREZ radiofrequency coagulation. Despite the rise of neuromodulation surgeries for pain, DREZ thermocoagulation remains the best evidence-based treatment for deafferentation pain. Cosman offers specialized electrodes for the procedure.

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Lesions created in fresh bovine liver using the Cosman G4 RF generator. Lesion sizes assessed based on color change. Tip length = 10mm. Lesion time = 2 minutes. The lesion width (top) and the length (bottom) are listed below each pictured configuration. Ex vivo lesions do not necessarily predict lesion size in actual clinical use.2,4

Cosman Medical's new line of curved 16-gauge RF cannula allow physicians to create larger ablation zones using standard RF electrodes. The width of a RF lesion is larger when generated using a larger gauge cannula.1,2

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This 16-gauge (16G) electrode can be used to create large RF lesions for the treatment of pain using monopolar RF.  The SRK electrode has a blunt tip and is introduced using 14-gauge autoclavable spinal needles.  The electrode is autoclavable and contains a thermocouple for temperature-controlled RF lesioning.

16-Gauge Blunt Electrode Brochure (SRK)

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This 16-gauge (16G) electrode can be used to create large RF lesions for the treatment of pain using monopolar RF.  The RRE is rigid, solid, and tissue-piercing, so it does not require a cannula for placement.   It is autoclavable and contains a thermocouple for temperature-controlled RF lesioning.

16-Gauge RF Electrode Brochure (RRE)

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