Trigeminal
Balloon Compression

Just different.

The Trigeminal Balloon Compression Cannula Kit was redesigned according to the requirements of the pain treatment procedures related to the trigeminal nerve. Therefore, the new version of the kit made it easier to navigate the balloon catheter, improved the accuracy in the location of the target and, above all, increased safety during the procedure.

Procedure

How is it done?

Usually, the surgery is performed under general anesthesia and the patient is placed in the position with tilted head. The cannula is inserted through a percutaneous puncture under X-ray fluoroscopy. After the cannula is positioned, the balloon catheter is introduced through the cannula and its tip usually protrudes 1 cm beyond the tip of the cannula, about 10 to 22 mm from the target (oval foramen). After that, the non-ionic X-ray contrast agent is injected into the balloon catheter, approximately 0.7 ml (0.5 to 1 ml is usually injected). The puncture is successful when the inflated balloon exibe a pear-like shape.
The compression time of the balloon generally lasts between 1 and 3 minutes. After compression is performed, the contrast agent is removed from the catheter, as well as the balloon catheter and the patient’s cannula.1,2

Myelin

Sheath

One of the most common causes of trigeminal neuralgia is demyelination, or wear of the Myelin Sheath. The Myelin Sheath is a lipoprotein structure that protects nerve cells. This structure that surrounds the trigeminal nerve can be degraded, or degenerated due to a compression of a vein or artery. When this degeneration reaches a more advanced level, the nerve short-circuits, causing pain.3,4

Cannula

New design

Cannula with concave tip and lateral outlet

We reinvented our cannula! In this new design, the internal and external edges are completely rounded. This way it is possible to facilitate the introduction and removal of the catheter without it sliding, breaking or stopping. The surgeon has complete control over the placement of the catheter.

In addition, its new tip ensures smoother advancement and retraction of the cannula, without causing damage to adjacent tissues.

Eliminates cutting, thinning and sliding of the catheter

Smoother feed and retraction

ponta da cânula do trigêmeo para compressão por balão

Stylet

As you wish.

The Trigeminal Balloon Compression Cannula Kit comes with two stylets, one with a faceted tip, to facilitate puncture and introduction of the cannula to the desired target and another blunt, allowing fine and precise cannula adjustment without injuring any adjacent tissue in the procedure location.
mandril blunt e facetado para compressão por balão

Depth stop

Easier to position the catheter.

Completely new!
The Depth stop is very useful for the correct positioning of the catheter. Usually the tip of the balloon protrudes up to 1 cm beyond the end of the cannula and, with the new design of the Depth stop, it became much more easier.
top limitador para cânula de compressão do trigêmeo

Composition

Trigeminal Balloon Compression Cannula Kit

BMS-D156

Talk to our team!

Product registered with the Brazilian Health Regulatory Agency ANVISA under number 80195520015

Bibliography

1- Ying, Xiang, et al. “Long-Term Outcome of Percutaneous Balloon Compression for Trigeminal Neuralgia Patients Elder than 80 Years.” Medicine, vol. 96, no. 39, Sept. 2017, p. e8199, 10.1097/md.0000000000008199.
2- Sagher, Dr Oren, et al. Pain Neurosurgery. Google Books, Oxford University Press, 8 July 2019, p. 19.
3- Santa, De. MIELINIZAÇÃO, DESMIELINIZAÇÃO E REMIELINIZAÇÃO NO SISTEMA NERVOSO CENTRAL DOMINGUITA LÜHERS GRAÇA *. 1998.
4-‌ Mansano, Dr. André. “DOR NA FACE – NEURALGIA DO TRIGÊMEO (Programa Bem Estar).” YouTube, 26 Mar. 2018, www.youtube.com/watch?v=NBb5OvslnGA. Accessed 4 June 2020.