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Introducing the latest innovation 
in the iovera° Smart Tip portfolio

Designed to treat chronic low back pain

With the iovera° Spine Smart Tip, you can target medial branch nerves to provide immediate, long-lasting relief1-3 from chronic back pain—the number one indication for opioid prescriptions in the US. It provides a compelling alternative to treatments such as radiofrequency ablation (RFA), which can damage surrounding tissue and blood vessels4 and may not always provide immediate pain relief.5

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The first head-to-head study comparing iovera° vs. RFA*

Patients in the iovera° group showed:6

59%

greater self-reported improvement
from baseline compared to the RFA patients

39%

Less pain than RFA patients at 180 days

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44%

Less pain than RFA patients at 360 day§

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“I admittedly was a skeptic at first and I frequently perform RFA for low back treatment. But my first five patients left the procedure reporting a pain score of zero. My procedure time has also been comparable to my RFAs.”
-Melissa Z. Murphy, MD, MPH

“I’m impressed with how the new Smart Tip has performed and total procedure time. In terms of pain scores, the first patient I treated went from 10/10 to 0/10 and the second patient from 7/10 to 1/10. One patient had two prior RFA procedures and didn’t want a third, so this was an ideal alternative.”
-Gary Schwartz, MD

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About the iovera° Spine Smart Tip

Smart Tip 21180STIM

  • Double the length of iovera° Smart Tip 2190, which allows for the treatment of deeper nerves such as the medial branch associated with facet joint pain
  • Designed for use through a cannula or introducer
  • Typically performed under fluoroscopic guidance
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Get started today

Contact your iovera° Sales representative to schedule a discussion about implementing Smart Tip 21180STIM into your practice.

1. Radnovich R, Scott D, Patel AT, et al. Cryoneurolysis to treat the pain and symptoms of knee osteoarthritis: a multicenter, randomized, double-blind, sham-controlled trial. Osteoarthritis Cartilage. 2017;25(8):1247-1256. doi:10.1016/j.joca.2017.03.006 2. Ilfeld BM, Finneran JJ. Cryoneurolysis and percutaneous peripheral nerve stimulation to treat acute pain. Anesthesiology. 2020;133(5):1127-1149. doi:10.1097/ALN.0000000000003532 3. Dasa V, Lensing G, Parsons M, Harris J, Volaufova J, Bliss R. Percutaneous freezing of sensory nerves prior to total knee arthroplasty. Knee. 2016;23(3):523-528. doi:10.1016/j.knee.2016.01.011 4. Zhou L, Craig J, Parekh N. Current concepts of neurolysis and clinical applications. J Analgesic. 2014;2:16-22. 5. Chen AF, Khalouf F, Zora K. Cooled radiofrequency ablation provides extended clinical utility in the management of knee osteoarthritis: 12-month results from a prospective, multi-center, randomized, cross-over trial comparing cooled radiofrequency ablation to a single hyaluronic acid injection. BMC Musculoskelet Disord. 2020;21(1):363. 6. Ferrillo MG, Brady O, Cliff K, Chang M, DiGiorgi M. Randomized Controlled Trial: Lumbar Medial Branch Cryoneurolysis Versus Radiofrequency Ablation for Chronic Low Back Pain. Presented at: North American Neuromodulation Society; 2024; Nevada.