Max More Spine - Model MAXDISC - Endoscopic System

The MaxDisc ® system with a 2.1 mm endoscope for performing minimally invasive discectomy procedures for contained lumbar spine herniations. Our innovative technique and design combines a safe and rapid procedure with outstanding clinical results. The fast, safe and precise procedure for bulging discs, contained herniations and degenerated discs.

Multiple treatment options under direct visualisation:

1. Nucleus Discectomy – Grasping forceps are used to remove excess nucleus material
2. Nucleus Ablation – By using our bipolar RF probe a safe ablation of the nucleus can be performed
3. Annulus Modulation – By using our flexible RF probe, pain receptors can be
   effectively treated because the energy can be guided to the annular wall
4. Visualisation – The 2.1 mm endoscope makes the procedure safer, more precise, faster and easy to document
5. Steroids / stem cells – Visually targeted injection in disc and epidural space
6. Disc abrasion – Method for regeneration of painful degenerated discs

Clinical indications

• Intervertebral disc protrusion >3 mm
• Annular fissures
• Acute / Chronic
• Discogenic pain

Our technique

The goal of this treatment modality is to remove sub annular degenerated nucleus pulposus, depopulate chronic pain generating nerve endings in the annular fissure & achieving shrinkage of the Annulus Fibrosis with RF or low wattage laser.

Access to the disc is obtained with a posterolateral approach. Sub-annular discectomy is performed using mechanical tools, bipolar radiofrequency nuclear ablation and laser. Removed disc material can be used for histopathological examination. Dorsal annular fissures can be treated using bipolar radiofrequency probe or laser by heating & shrinking the annular fissures.

This intervention can be performed under vision using 2.1 mm MaxMoreSpine ® endoscope. MaxDisc ® is a truly visualised minimal access system for treatment of Discogenic Back & Leg pain.