TOPAZ^◊ Microdebrider Wands

TOPAZ^◊ Microdebrider COBLATION^◊ Wands are indicated for debridement, resection, ablation and coagulation of soft tissue and hemostasis of blood vessels in arthroscopic and orthopedic procedures.

Providing fast, efficient treatments with minimal disruption to surrounding tissue, the TOPAZ device facilitates precise tissue removal to targeted areas.

How TOPAZ COBLATION Wands Work

Through a small incision, approximately one inch long, the TOPAZ Microdebrider Wand is applied on and around the target tissue for half-second durations, a quarter inch apart to form a grid-like pattern. Small amounts of tissue are removed as an application of radiofrequency energy is guided into the tissue.

• TOPAZ Wands allow for the application of radiofrequency energy and removal of tissue.
• TOPAZ Wands allow use of a minimally invasive technique, requiring only a small incision.

TOPAZ Microdebrider
Designed for tendon and fascia application, the TOPAZ MicroDebrider provides a quick^4,7 outpatient procedure. The 0.8 mm tip of the TOPAZ Wand allows easy access to target areas. Available in Integrated Finger Switcher (IFS) version.

• Ideal for soft tissue treatment
• Narrow tip diameter allows for creating small, shallow impressions
• Slim-line design for easy access to target tissue

TOPAZ Microdebrider with IFS
The TOPAZ MicroDebrider Wand with Integrated Finger Switches enables the micro debridement of soft tissue with the touch of a button. IFS COBLATION devices incorporate the functionality of the foot control in the Wand handle to permit maximum flexibility.

• Eliminates the need for the foot control
• Button design supplies consistent, tactile feedback to control depth of penetration
• Designed to work with the QUANTUM^◊ System ONLY

TOPAZ EPF Microdebrider 45

• The TOPAZ EPF Microdebrider features a 45° tip angle to facilitate an endoscopic surgical approach to fascia in the foot.

The TOPAZ XL Microdebrider

• The TOPAZ XL Microdebrider Wand enables the debridement of soft tissue present within the rotator cuff tendon.
• Features a slim-line design that offers easy access to tissue and a narrow shaft diameter for creating small shallow impressions
• The TOPAZ XL Microdebrider IFS Wand offers integrated finger switches for added convenience.

REFERENCES:
4. Meknas K, Odden-Miland A, Mercer JB, Castillejo M, Johansen O. Radiofrequency microtenotomy: a promising method for treatment of recalcitrant lateral epicondylitis. Am J Sports Med. 2008;36:1960-1965.
7. Lee JH, Park I, Hyun HS, Shin SJ. A Comparison of Radiofrequency-Based Microtenotomy and Arthroscopic Release of the Extensor Carpi Radialis Brevis Tendon in Recalcitrant Lateral Epicondylitis: A Prospective Randomized Controlled Study. Arthroscopy. 2018;34:1439-1446.

Three prospective single-center studies with a total of 45 patients with recalcitrant plantar fasciitis were undertaken independently and addressed:

• Post-operative pain
• Patient satisfaction
• Patient function

Weil et al, 2008:
Minimally invasive TOPAZ microtenotomy achieves rapid pain relief in the majority of patients when used to surgically treat plantar fasciosis.¹

Read the evidence to support:

• Pain improved significantly over baseline by post-surgery day 14
• AOFAS hindfoot and midfoot scores for function showed significant improvement (p<0.001) from baseline to one year after treatment
• All patients returned to normal activities within four to six weeks


Sean, et al. 2010:
Patients non-responsive to earlier treatment for plantar fasciitis who received TOPAZ microtenotomy reported good to excellent satisfaction rates.²

Read the evidence to support:

• Patients reported quick reduction in pain and high satisfaction
• AOFAS Ankle-Hindfoot Scale for function showed significant improvement from baseline to six months (34.5 to 71.3; p=0.00)
• SF-36 scores had significant Improvements over baseline for components of physical function (p=0.01), bodily pain (p=0.01) and social function (p=0.04)


Sorensen et al. 2011.
Patients treated with TOPAZ microtenotomy experienced significant improvement in function and high levels of pain relief and satisfaction. ³

Read the evidence to support:

• Patients’ AOFAS Ankle-Hindfoot Scale for function showed significant improvement from baseline to final follow up
• The majority of patients (80.9%) achieved satisfactory pain control within four months
• Eighteen patients (86%) rated their outcome as excellent or good

 Four prospective studies involving 166 patients in the treatment of lateral epicondylitis (tennis elbow) with TOPAZ Microdebrider address:

• Short-term patient pain and function
• Long –term patient outcomes
• Speed of procedure
 



Meknas et al. 2008:
Patients experienced faster pain relief and increased grip strength than those undergoing tendon release. ⁴

Read the evidence to support:

• 40% reduction in the median length of operation
• Significant reductions in pain scores at three weeks compared to release group (p<0.05) ⁴
• Significant improvements in grip strength at 12 weeks compared to release group (p<0.001) ⁴


Seitz & Lall, 2012.
Patients experienced better pain and function scores in treatment of lateral epicondylitis. ⁵ Compared to arthroscopic synovectomy.

Read the evidence to support:

• TOPAZ treated patients experienced a persistent average drop of 7.7 points in visual analogue scale for pain at six months
• Mayo Elbow Performance Score results improved from an average of 55 preoperatively to 95 postoperatively
• Patient satisfaction rated at 9.075 (scale 0-10) at six months


Tasto et al. 2016.
TOPAZ Microdebrider had a 91% success rate up to nine years after surgery in the treatment of elbow epicondylitis. ⁶

Read the evidence to support:

• Visual Analogue Scale pain score improved by 81% in lateral epicondylitis and 79% in medical epicondylitis
• 91% success in both lateral and medial epicondylitis


Lee et al. 2018
TOPAZ microdebrider significantly reduces operative time and facilitates more consistent results between surgeons.⁷

• 62.3% reduction in the mean length of procedure compared to extensor tendon release
• Functional outcomes significantly improved at 24 months compared to pre-operative

References
1.Weil L Jr, Glover JP, Weil LS Sr. A new minimally invasive technique for treating plantar fasciosis using bipolar radiofrequency: a prospective analysis. Foot Ankle Spec. 2008;1:13-18.
2. Sean NYC, Singh I, Wai CK. Radiofrequency microtenotomy for the treatment of plantar fasciitis shows good early results. Foot Ankle Surg. 2010;16:174-177.
3. Sorensen MD, Hyer CF, Philbin TM. Percutaneous bipolar radiofrequency microdebridement for recalcitrant proximal plantar fasciosis. J Foot Ankle Surg. 2011;50:165-170.
4. Meknas K, Odden-Miland A, Mercer JB, Castillejo M, Johansen O. Radiofrequency microtenotomy: a promising method for treatment of recalcitrant lateral epicondylitis. Am J Sports Med. 2008;36:1960-1965.
5. Seitz WH Jr, Lall A. Treatment of chronic tennis elbow with radiofrequency coblation and localized arthroscopic synovectomy. Curr Orthop Pract. 2012;23:621-624.
6. Tasto JP, Richmond JM, Cummings JR, Hardesty R, Amiel D. Radiofrequency Microtenotomy for Elbow Epicondylitis: Midterm Results. Am J Orthop (Belle Mead NJ). 2016;45:29-33.
7. Lee JH, Park I, Hyun HS, Shin SJ. A Comparison of Radiofrequency-Based Microtenotomy and Arthroscopic Release of the Extensor Carpi Radialis Brevis Tendon in Recalcitrant Lateral Epicondylitis: A Prospective Randomized Controlled Study. Arthroscopy. 2018;34:1439-1446.