The BEST just got BETTER ™ Why Venom technology? Ordering Information • ‘V’ shape active tip provides an optimized configuration to target lesion zones, yielding a larger, more consistent lesion Venom RF Cannulae Venom RF Electrodes • Increases surface area of the active tip without increasing cannula gauge size 0406-660-125 20-gauge, 100mm length, 10mm tip 0406-825-010 25-gauge, 100mm length, nitinol electrode 0406-660-225 20-gauge, 150mm length, 10mm tip 0406-825-015 25-gauge, 150mm length, nitinol electrode • Side port allows for improved anesthesia propagation more local to the target lesion zone • Same exceptional quality as the current Stryker RF cannulae 0406-860-125 18-gauge, 100mm length, 10mm tip 0406-860-225 18-gauge, 150mm length, 10mm tip The Venom RF Cannula and Electrode combination requires the use of the Stryker RF Single Lesion (0406-800-000) or the Stryker RF MultiGen (0406900-000). The Venom Electrode is compatible with the standard 18-gauge and 20-gauge Stryker RF Cannulae. This document is not meant to replace the Instructions for Use. Carefully review and understand the Instructions for Use, including all warnings. Products referenced with TM designation are trademarks of Stryker. Products referenced with ® designation are registered trademarks of Stryker. The information presented in this overview is intended to demonstrate the breadth of Stryker product offerings. Always refer to the package insert, product label and/or user instructions before using any Stryker product. Products may not be available in all markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. strykerIVS.com/Venom MultiGen™ Radiofrequency Generator Stryker Instruments 4100 East Milham Avenue Kalamazoo, MI 49001 USA www.stryker.com 1000-025-220 Rev None Copyright © 2013 Stryker Printed in USA Monopolar and Parallel Bipolar Procedure Overview STEP 1 Confirming Desired Location Prior to the desired placement, use a visualization technology such as fluoroscopic imaging to confirm the proper placement of the Venom Cannula and Venom Electrode. STEP 2 Monopolar STEP 2 Parallel Bipolar Positioning the Venom Cannula Positioning the Venom Cannula After confirming correct location under fluoroscopic guidance, insert and position the Venom Cannula into the treatment area. After confirming correct location under fluoroscopic guidance, insert and position the Venom Cannula into the treatment area. Make sure to orientate the Venom Cannula side port away from bony structures before deploying the Venom Electrode in Step 3. Make sure to orientate the Venom Cannula side port away from bony structures before deploying the Venom Electrode in Step 3. STEP 3 Monopolar Selecting Ablation Configuration Fully insert the Venom Electrode into the Venom Cannula. For Venom configuration use, ensure the ‘V’ on the Venom Electrode and black markings on the Venom Cannula align. For standard configuration use, ensure the ‘I’ on the Venom Electrode and black marking on the Venom Cannula align. Deploying in the Venom configuration creates a larger, more consistent lesion than the standard electrode configuration, potentially allowing for greater procedural efficiency and control. When performing a parallel bipolar and prior to placing the second cannula, determine the desired ablation configuration. After selecting an ablation configuration, utilize the recommended spacing requirements below. Cannula Gauge Size Venom Configuration Standard Configuration 20-gauge 8-10mm 6-8mm 18-gauge 12-14mm 8-10mm Place the second cannula in the same manner as the first, ensuring that at least one of the cannulae is orientated with the side port facing toward the space between the two cannulae. For best results, orient both cannulae with the side ports facing toward the target lesion space. STEP 3 Parallel Bipolar Selecting Ablation Configuration Fully insert the Venom Electrode into the Venom Cannula. For Venom configuration use, ensure the ‘V’ on the Venom Electrode and black markings on the Venom Cannula align. For standard configuration use, ensure the ‘I’ on the Venom Electrode and black marking on the Venom Cannula align. Deploying in the Venom configuration creates a larger, more consistent lesion than the standard electrode configuration, potentially allowing for greater procedural efficiency and control. Insert a Venom Electrode into each of the placed cannulae. Consult the images above for acceptable orientation when utilizing the Venom configuration. Note, when utilizing the Venom configuration, the RF energy will emit from each active tip, creating a thermal lesion in the space between the two active tips. For best results, it is recommended that at least one electrode is deployed in this region. Failure to do so could prevent the proper formation of a lesion in the treatment area. STEP 4 Testing Sensory and Motor Stimulation Ensure stimulation test mode matches ablation configuration. Once the ablation is complete, remove the Venom Electrode before repositioning or removing the Venom Cannula. While performing sensory and motor stimulation, ensure you test the Venom Electrode the same as the desired electrode lesion configuration. If repositioning the Venom Cannula, place the stylet in the cannula before doing so. Failure to do so could result in material entering the cannula and could prevent the deployment of the Venom Electrode. STEP 5 Ablating Perform anesthesia delivery per normal protocol. The Venom Cannula side port facilitates immediate propagation and improved anesthesia delivery to the ablation zone. Utilize a Stryker RF generator to ablate the treatment area. STEP 6 Completing the Procedure Once the ablation is complete, remove the Venom Electrode before withdrawing the Venom Cannula from the patient. Refer to the RF Generator (0406-800-000) and/or RF Stryker MultiGen (0406-900-000) IFUs for further review. WARNING: Carefully review and understand the Instructions for Use, including all warnings.