Plasma Needle Knife for Soft Tissue Pain
RF plasma surgery system technology principle from the U.S. military high-energy military plasma technology, originally mainly used for research related to nuclear energy and cosmic charged particles, and then jointly developed by medical and electronic engineers, now applied to medical clinical. In the United States and Europe and other developed countries have fully replaced the open knife, laser, microwave and other traditional treatment, medical experts agreed that digital radio frequency plasma treatment technology, represents the highest level of today. In China RF plasma surgery system and needle knife, silver needle and other minimally invasive technology together, to achieve a perfect fusion of Western micro and Eastern macro. It is a change in the history of modern medicine.
Ions are the basic particles that make up matter, just like molecules and atoms. The positively charged ones are called cations and the negatively charged ones are called anions. Divided into metal ions such as: Na + , K + , Fe3 + non-metal ions Cl- Br- I-
If the temperature of the ions such as rising, what will happen to the gas? Scientists tell us that the atoms that make up the molecule split and form into separate atoms, such as a nitrogen molecule that splits into two nitrogen atoms, a process we call the dissociation of molecules in a gas. If the temperature is raised further, the electrons in the atom are stripped from the atom and become a positively charged nucleus and a negatively charged electron, a process called ionization of the atom.
A brief history of the discovery
In 1887, at the age of 28, Arrhenius proposed a theory of ionization based on previous research. However, his mentor, the famous scientist Professor Tallon, disagreed with him and severely criticized his paper, and as a result, the ionization theory was recognized only a few years later. Arrhenius was awarded the Nobel Prize in Chemistry in 1903. Later the physicist Debye made further research on ions and won the 1936 Nobel Prize in chemistry. Plasma state and gas discharge: in any gas where the absolute temperature is not zero.
Plasma when the ionization process occurs frequently, so that the concentration of electrons and ions reaches a certain value, the state of matter also plays a fundamental change, and its properties become completely different from those of gases. To distinguish this state from the solid, liquid and gas states, we call this state of matter the fourth state of matter, also known as the plasma state.
Plasma” technology is to generate plasma by excitation of medium (Nacl) with specific ultra-low frequency 100Khz – 480khz electrical energy. The high-speed charged particles in the plasma directly break the molecular bonds and cause the cleavage and vaporization of proteins and other tissues into low molecular weight gases such as H2, O2, CO2, N2 and methane.
Under the ordinary RF 500-4000KHz changeable electric field, the particles on the one hand can not get enough acceleration time, in a reciprocal oscillation state; on the other hand, the intensified molecular friction under high frequency will produce strong thermal effects, and the higher the frequency the more heat production.
However, under the low frequency stable electric field of 100KHz-480khz, the particles will get longer acceleration time, and finally form high-speed charged particles with greater kinetic energy, which will directly break the molecular bonds. In addition, because of the low frequency, compared to high frequency greatly reduces the frictional heat generation between molecules, so that the processes of cutting, ablation and hemostasis are completed within 40℃~70℃, thus realizing the minimally invasive effect.
Electrosurgery equipment (electric knife) has gone through the development stage of “ordinary radio frequency” – “plasma radio frequency”, from low to high.
The “plasma” technology has completely changed the traditional “RF” “heat” working method with direct “vaporization”. “The vaporization of tissues at 40℃~70℃ replaces the burning and damaging effects of the traditional “cutting” and “hemostasis” processes at high temperatures of hundreds of degrees, which greatly reduces the trauma during the surgery.
The minimally invasive effect of “plasma” technology in clinical treatment is the trend of future medical development.
Radiofrequency plasma surgery technology
It is a combination of RF plasma surgery system and minimally invasive techniques such as needle knife, silver needle, hook needle, tooth hook needle, _needle, blade needle, etc., realizing the perfect fusion of western microscopic and eastern macroscopic. It is the perfect combination of Chinese and Western medicine and surgery, a milestone change in the history of modern medicine.
Radiofrequency plasma can be combined with all existing minimally invasive needles such as needle knife, silver needle, hook needle, tooth hook needle, _-needle, and blade needle to be quoted in the clinic.
Principle of action.
1.Mechanical effect: the effect produced by RF plasma as it advances in the medium. It can cause a number of reactions in the body. Make changes in the internal structure of the cell, resulting in functional changes in the cell, so that the hard connective tissue is extended and loosened. It is used to treat adhesions and chronic pain of soft tissues.
2.Diffusion effect: RF plasma wave can improve the permeability of biofilm, after the action of RF plasma wave, the cell membrane permeability to potassium, calcium ions occur stronger changes. This enhances the diffusion process of biofilm, promotes material exchange and accelerates metabolism. Thus, the process of cleaning, activating and repairing damaged cell tissues is achieved. Promote microcirculation and enhance inflammation elimination.
3.Thermal effect and physical and chemical effect, precise treatment of focal diseases in the target location. Carry out musculoskeletal tissue reconstruction, bone regeneration induction, structural remodeling, and treatment of tendon end disease. Make the cells in the target tissue decompose into carbohydrates and oxides causing liquefaction and ablation of the diseased tissue.
Working principle.
In the case of working for 5 seconds
0–10W, ion shock, blood circulation is accelerated, stimulating circulating blood and nervous system nerve activity, promoting the conversion of pathological state to normal state as soon as possible. Commonly used 6-8W,
10–20W, ion shock, micro-shattering inflammatory lesions, pain relief, preventing adhesions, promoting regeneration of microvascular neuromuscular tissue, accelerating microcirculation, stimulating circulating blood and nervous system nerve activity. Microagglutination. 15W is commonly used.
20 – 30W, ionic shock, early removal of old lesions, accelerated circulation, rapid pain relief, prevention of adhesions, late promotion of regeneration of microvascular neuromuscular tissues, treatment of intractable pain relief. With thermal coagulation effect. Commonly used 25W.
Treatment scope.
For the treatment of acute and chronic pain in the head, neck, trunk and extremities
1. various types of cervical spondylosis.
2, frozen shoulder, biceps tendonitis, humeral epicondylitis, tendovaginitis.
3, lumbar disc herniation, lumbar triple transverse synovitis, supraspinous ligamentitis, lumbar osteophytes, lumbar degeneration, lumbar spinal stenosis, etc.
4, femoral head necrosis, knee osteoarthritis, lateral collateral ligamentitis, knee osteophytes, meniscal injury, and
Cervical spondylosis can be performed to release small joints and ligamentous nerves
For lumbar disc herniation, we can perform release of the joint capsule, posterior nerve branches, and internal and external ports of the intervertebral foramen, as well as access to the intervertebral disc and perform ablation of the disc.
For osteoarthritis of the knee joint, tendon release and cartilage repair can be performed.
Examples of treatment methods.
Lumbar disc targeted radiofrequency plasma needle thermal coagulation ablation
Small joint medial margin method
According to the patient’s imaging data, the five-step positioning method determines the entry point, the No. 3 plasma needle knife blade line is parallel to the longitudinal axis of the torso, quickly crosses the skin, slowly crosses the ligamentum flavum, pierces 1 cm into the target point protrusion through the spinal canal, and makes a meter cut within the protrusion. Connect the RF plasma line, foot switch, RF plasma machine energy from 5W, start 1 second detection, the patient has no lower limb radioactive scurrying numbness, both can foot 5 seconds to start thermal coagulation ablation, the same way to do 10W, 15W, 20W, 25W, 35W 1 second detection and five seconds thermal coagulation ablation. It can make the collagen fibers of the fibrous ring vibrate and produce heat, dehydration and thermal coagulation and shrinkage, and the ions in the nucleus pulposus vibrate and produce plasma, which interrupts the molecular chain to form a 2mm airway cavity, liquefies the proteoglycan cells, reduces the internal pressure of the interstitial discs by gasification and ablation, and plays the role of plasma cutting. The needle knife is then stabbed one centimeter deeper to do a tortuous 35W ablation in the disc. The plasma needle knife retreats to the lateral saphenous fossa to do 5W for 5 seconds to eliminate sterile inflammation in the lateral saphenous fossa, then lifts and inserts to the internal orifice, does 15W for 5 seconds to loosen the internal orifice, and finishes by exiting the needle.
This method is used for patients with lumbar disc herniation caused by left-sided, right-sided or posterior herniation with lower extremity numbness and one to one imaging of symptoms and signs.
Lateral intervertebral foramen safety triangle method
According to the patient’s imaging data, the five-step positioning method determines the point of entry, the No. 1 or No. 2 plasma needle knife incision line is parallel to the longitudinal axis of the torso, quickly crosses the skin, slowly touches the bone surface, pierces 1 cm into the target herniation via the safety triangle of the external intervertebral foramen, and makes a meter cut inside the herniation. Connect the RF plasma line, foot switch, RF plasma machine energy from 5W, start 1 second detection, the patient has no lower limb radioactive scurrying numbness, both can foot 5 seconds to start thermal coagulation ablation, the same way to do 10W, 15W, 20W, 25W, 35W 1 second detection and five seconds thermal coagulation ablation. The needle knife is then stabbed one centimeter deeper to do a circuitous 35W ablation in the disc. The plasma needle knife is retired to the lateral saphenous fossa to do 5W for 5 seconds to eliminate sterile inflammation in the lateral saphenous fossa, and then lifted and inserted to the external orifice to do 15W for 5 seconds for external orifice release, and finished by exiting the needle.
This method is used for patients with lumbar disc herniation caused by left-sided, right-sided or extreme lateral herniation with lumbar pain accompanied by numbness and pain in the lower extremities, with one to one imaging of symptoms and signs.
Radiofrequency plasma needle release for periarthritis
Treatment of points
Attachment pain points of the long head of biceps, short head of biceps, supraspinatus, infraspinatus, lesser circular muscle, and greater circular muscle of the starting and stopping pain point triangle. The radiofrequency plasma needle knife is pierced parallel to the longitudinal axis of the torso to touch the bone surface of the attachment point, and then the longitudinal and transverse lifting and inserting is done at each point to release the pain. Anti-inflammatory, pain management, relaxation, crushing of nociceptive lesions, remodeling of microcirculation, repair of damage, and
Facial treatment
Determine the adhesion surface according to the patient’s range of abduction and internal rotation. Radiofrequency plasma needle knife connected to the machine line, on the adhesion surface in layers to do 25W energy output of relaxation, anti-inflammatory treatment. The effect of releasing the adhesions and restoring the functional position is achieved.
Radiofrequency plasma needle knife for heel spur release
RF plasma needle knife quickly into the needle touch the anterior edge of the heel spur, along the anterior edge of the heel spur to do parallel loosening, RF plasma machine energy from 5W, start 1 second detection, the patient does not have lower limb radioactive tingling, both can foot 5 seconds to start thermal coagulation, the same way to do 10W, 15W, 20W, 25W, 35W 1 second detection and five seconds of thermal coagulation, to play the role of anti-inflammatory destruction of nociceptive small nerves, permanent cutting metatarsal muscle The effect of the fascia. It is better to get rid of the pain caused by fascia pulling the periosteum growth and stimulating the nerve.