1

Seminal Scientific Article

Describes the ideal lesion characteristics, device description, & lesion size of NIMBUS MEE

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2

NIMBUS MEE for Lumbar RFA

Clinical advantages v. conventional technique, reducing procedure time by 50%

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3

Other References

Comparison of Lesion Volumes & Shapes Produced with Cooled, Protruding, & Standard RFA

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4

Monopolar Lesion Size & Shape

Characterizes the size & shape of the NIMBUS MEE lesion as 467 mm3

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17

Angle of Insertion for Lumbar RFA

Parallel Placement is Technically Challenging - L4 was 31.04º ± 1.83º & L5 was 40.74º ± 1.86º

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18

NIMBUS MEE v Standard Cannula

Muscle-Bone Interface in Ex-Vivo Model Comparison

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16

Large Volume Lesion RFA for Genicular

Statistically significant decrease in pain intensity were observed at up to 24 months

View Article
19

Other References

Advanced Interventional Procedures for Knee Osteoarthritis

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20

RFA for Infrapatellar Knee Pain

Image-guided technique for targeting the infrapatellar branch of the saphenous nerve

View Article
22

NIMBUS MEE for Genicular RFA

At a mean follow-up of 9.0 ± 1.5 months, 50.0% of participants reported ≥50% NRS reduction… and 56.3% reported PGIC scores ≥6

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23

RFA for Greater Trochanteric Hip Pain

≥50% NPRS reduction was reported by 55.6% of participants” at a mean follow-up of 13.1 months, 70.4% reported a ≥2-point NPRS score reduction

View Article
2

NIMBUS MEE for Lumbar RFA

Clinical advantages v. conventional technique, reducing procedure time by 50%

View Article
5

NIMBUS MEE for Lumbar RFA

Perpendicular placement of NIMBUS MEE for lumbar MRI validated to be 601 mm3

View Article
10

NIMBUS MEE for Lumbar RFA

Coaxial (94 p.) to Multifidus Sparing (401 p.) Lumbar RFA with >56% of patients reporting positive outcome at 1 year

View Article
6

NIMBUS MEE for SIJ RFA

Bench science & post-procedure MRI validation of size & shape of strip lesion for SIJ RFA

View Article
7

NIMBUS MEE for SIJ RFA

Case report with MRI validating the size & shape of strip lesion for SIJ neurotomy

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8

NIMBUS MEE for SIJ RFA

12 month outcomes in 182 patients utilizing NIMBUS MEE for SIJ RFA

View Article
9

NIMBUS MEE for SIJ RFA

SIJ innervation from S1–S3 LBs varies and benefits from a large-volume lesion

View Article
11

NIMBUS MEE for SIJ RFA

Significant pain reduction sustained up to 9 months with ultrasound-guided RFA using NIMBUS MEE

View Article
15

NIMBUS MEE for SIJ RFA

12 month outcomes in 182 patients utilizing NIMBUS MEE for SIJ RFA

View Article
21

Diagnostic & RFA Techniques for SIJ

Review of Sacral anatomy, diagnosis, & RFA techniques

View Article
1

Seminal Scientific Article

Ideal lesion characteristics, device description, & lesion size of NIMBUS MEE

View Article
2

NIMBUS MEE for Lumbar RFA

Clinical advantages v. conventional technique, reducing procedure time by 50%

View Article
3

Other References

Comparison of Lesion Volumes & Shapes Produced with Cooled, Protruding, & Standard RFA

View Article
4

Monopolar Lesion Size & Shape

Characterizes the size & shape of the NIMBUS MEE lesion as 467 mm3

View Article
7

NIMBUS MEE for SIJ RFA

Case report with MRI validating the size & shape of strip lesion for SIJ neurotomy

View Article
10

NIMBUS MEE for Lumbar RFA

Coaxial (94 p.) to Multifidus Sparing (401 p.) Lumbar RFA with >56% of patients reporting positive outcome at 1 year

View Article
13

Other References

Diretrizes de prática de consenso sobre intervenções para dor na articulação facetária lombar de um grupo de trabalho internacional multiespecializado

View Article
16

Large Volume Lesion RFA for Genicular

Statistically significant decrease in pain intensity were observed at up to 24 months

View Article
19

Other References

Advanced Interventional Procedures for Knee Osteoarthritis

View Article
22

NIMBUS MEE for Genicular RFA

At a mean follow-up of 9.0 ± 1.5 months, 50.0% of participants reported ≥50% NRS reduction… and 56.3% reported PGIC scores ≥6

View Article
22

NIMBUS MEE for Genicular RFA

At a mean follow-up of 9.0 ± 1.5 months, 50.0% of participants reported ≥50% NRS reduction… and 56.3% reported PGIC scores ≥6

View Article
5

NIMBUS MEE for Lumbar RFA

Perpendicular placement of NIMBUS MEE for lumbar MRI validated to be 601 mm3

View Article
8

NIMBUS MEE for SIJ RFA

12 month outcomes in 182 patients utilizing NIMBUS MEE for SIJ RFA

View Article
11

NIMBUS MEE for SIJ RFA

Significant pain reduction sustained up to 9 months with ultrasound-guided RFA using NIMBUS MEE

View Article
14

ASPN Updated Guidelines for RFA

Supports either multiple lesions or large volume lesion

View Article
17

Angle of Insertion for Lumbar RFA

Parallel Placement is Technically Challenging - L4 was 31.04º ± 1.83º & L5 was 40.74º ± 1.86º

View Article
20

RFA for Infrapatellar Knee Pain

Image-guided technique for targeting the infrapatellar branch of the saphenous nerve

View Article
23

RFA for Greater Trochanteric Hip Pain

≥50% NPRS reduction was reported by 55.6% of participants” at a mean follow-up of 13.1 months, 70.4% reported a ≥2-point NPRS score reduction

View Article
6

NIMBUS MEE for SIJ RFA

Bench science & post-procedure MRI validation of size & shape of strip lesion for SIJ RFA

View Article
9

NIMBUS MEE for SIJ RFA

SIJ innervation from S1–S3 LBs varies and benefits from a large-volume lesion

View Article
12

History of RFA Neurotomy

Advancements in RF technology, including NIMBUS Multitined Expandable Electrode

View Article
15

NIMBUS MEE for SIJ RFA

12 month outcomes in 182 patients utilizing NIMBUS MEE for SIJ RFA

View Article
18

NIMBUS MEE v Standard Cannula

Muscle-Bone Interface in Ex-Vivo Model Comparison

View Article
21

Diagnostic & RFA Techniques for SIJ

Review of Sacral anatomy, diagnosis, & RFA techniques

View Article
24

RFA for Genicular Pain

Larger lesions increase the likelihood of capturing the targeted structure

View Article
13

Other References

Diretrizes de prática de consenso sobre intervenções para dor na articulação facetária lombar de um grupo de trabalho internacional multiespecializado

View Article
14

ASPN Updated Guidelines for RFA

Supports either multiple lesions or large volume lesion

View Article

CS1Vilims BD, Block JE. Effective management of recurrent trauma-induced neck pain with radiofrequency neurotomy using the Nimbus electrode. ASIPP. 2024;8(3):65-70.

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Fundo:

A neurotomia por radiofrequência (RFN) pode ser um tratamento eficaz para pacientes com dor cervical crônica e cefaleias cervicogênicas resistentes ao tratamento conservador. No entanto, o grau e a duração do alívio da dor após a RFN dependem do grau de coagulação do nervo alvo.

Relato de caso:

Este é o caso de um paciente de 37 anos com dor cervical debilitante e dores de cabeça após um acidente automobilístico. O bloqueio anestésico local bem-sucedido do terceiro nervo occipital (TON) confirmou a dor de origem na articulação facetária C2-C3. Um tratamento inicial de RFN do TON, usando eletrodos 18G padrão no modo bipolar, resultou em melhora completa dos sintomas por 8 meses. A repetição do RFN, usando a mesma configuração de eletrodos, não foi bem-sucedida no alívio da dor severa no pescoço e das dores de cabeça, e não produziu nenhuma perda sensorial demonstrável na distribuição do TON. O RFN foi então realizado com o eletrodo expansível multitinado de RF eletrocirúrgico NIMBUS®, que proporciona uma zona de coagulação maior em volume do que os eletrodos de RFN padrão, mesmo quando usado em configuração bipolar.

Conclusão:

The NIMBUS procedure resulted in successful coagulation of the TON with sensory loss in the TON distribution and reinstatement of palliative relief.