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BioLitec®
Percutaneous Laser Disc Decompression (PLDD)

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biolitec® presents the LEONARDO® Laser – the most versatile and universal medical laser in the market today. This highly compact diode laser features the combination of two wavelengths, 980 nm and 1470 nm offering a variety of tissue interactions. Each wavelength can be individually selected or blended together to offer the perfect desired tissue effects such as incision, excision, vaporization, hemostasis and coagulation of soft tissue with contact or non-contact delivery options for open and endoscopic procedures. For the first time the clinicians can perform laser surgery selectively, with settings individually tailored to the tissue type and the desired tissue effects and thus corresponding to the therapeutic needs.

 

The ability to choose a wavelength mix opens a whole new world of therapeutic applications and improves both the treatment outcomes for the patients and extends the clinicians experience and expertise. The LEONARDO® Laser is designed to work in perfect combination with a broad spectrum of special medical fibers and application kits developed by biolitec® and its companies.
biolitec® is one of the world’s most technologically advanced suppliers of fiberoptic products.
The biolitec® treatment methods are routinely performed and validated in highly respected
medical centers worldwide and are the number one choice for treating a wide variety of diseases and medical conditions.

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Laser Use in Orthopedics & Spine

​​Microsurgical Solution for percutaneous pain management

EVOLVE® in PLDD

During treatment with EVOLVE®, a small volume in a closed hydraulic space (nucleus pulposus) is being vaporized to achieve a reduction of intra-discal pressure (thermic ”shrinking effect“). The reduction in volume and pressure of the pathological disc induces the reduction of disc herniation and thus a reduction in nerve root compression. Furthermore, it leads to the denervation of the pain receptors (nociceptive nerves) of ingrowing nerves from dorsal ligament into annulus fibrosus. In addition to the above, pain causing facette joints can be treated in the same session to give an even better relief in a combination therapy.


The therapeutic effect of intra-discal laser therapy is based on the combination of the specific treatment characteristics. Thanks to the standardized treatment protocol and heating effect, the surgeon creates a defined shrinkage of the disc. Due to vaporization of disc liquid, intra-discal pressure decreases. The laser energy used in minimally invasive treatment strengthens the disc through laser-stimulated scarring as the collagen structure changes. Neo-vascularisation of inflamed discs can be switched off with denervation of pain receptors inside the annulus fibrosus.

Tissue interaction with LEONARDO® DUAL

The LEONARDO® DUAL platform is based on the absorption characteristics of both 980nm and 1470nm wavelengths, which, thanks to its outstanding interaction in water and haemoglobin and moderate penetration depth into disc tissue, enables procedures to be carried out safely and accurately, especially in proximity of delicate anatomical structures. 

 

Microsurgical precision is guaranteed by the technical characteristics of the special PLDD laser fibers, which allow for surgical effectiveness, ease of handling, and maximum safety.
The use of flexible tactile laser fibers with core diameters of 360 micron in combination with the microsurgical PLDD enables a very precise and accurate access and intervention to sensitive areas like the cervical and lumbar disc zones on the basis of clinical therapeutic needs.
PLDD laser treatments are mostly used after non-successful conventional therapeutic options under strict MRT / CT control.

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Applications

 
  • Intra-discal application on cervical spine, thoracic spine, lumbar spine
  • Medial branch neurotomy for facet joints
  • Lateral branch neurotomy for sacroiliac joints
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Indications

  • Contained disc herniations with consecutive foraminal stenosis
  • Discogenic spinal stenosis
  • Discogenic pain syndroms
  • Chronic facet and sacroiliac joint syndrom
  • Further surgical applications, e.g. tennis elbow, calcaneal spur
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Benefits of the minimally
invasive PLDD procedure

 
  • No soft tissue injury
  • No risk of epidural fibrosis or scarring
  • No extensive hospitalization (on outpatient basis possible)
  • No general anesthesia, local anesthesia with mild sedation
  • Minimal recovery time
  • Lower costs
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LEONARDO®
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PRODUCT CATALOG

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