WEBVTT

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(calm music)

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- So, I first learned about iovera,

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mostly through my partner.

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We're constantly looking at
new things to help patients.

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We do all the kind of cutting edge things

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that are pain injections to help people.

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And what we were really looking for

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is what's something we can
do to advance the patients

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to the next level.

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- You know, two years ago,

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I just kinda ran across iovera

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and did some research on it.

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Even though we were doing a very good job

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of controlling pain around
the time of surgery,

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the first three to six weeks
was still a challenge for us

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in terms of narcotics for our
patients and refilling them

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and the complications
associated with narcotics.

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So, that was something that was on my mind

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when I started evaluating,

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you know, what could we
do to help with that?

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- Most patients just sit there and go,

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oh, that makes sense.

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It's really kind of almost
common sense to them.

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I go, guess what?

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We're gonna numb up your skin

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and we're gonna use a little tube

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and we're gonna put a little
ice cube on your nerve.

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And it's gonna basically freeze the nerve

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and disrupt the information to your brain

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about the pain you're having,

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and it's gonna do that

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for maybe four to six weeks, maybe longer,

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but that's gonna reduce your pain

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and that's what's gonna make you

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more successful after surgery.

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You know, they've all
used ice on some extremity

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and numbed it up and stuff

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and so they get kind of an
idea and no one balks at it.

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- We started out wanting to evaluate

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in a small group of patients

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for a period of about two months

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and see how they did first.

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Once we had a group of patients

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that really had that clinical success

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and we documented how much
narcotics they were taking

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and how it helped with
their pain postoperatively

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and how their results
were over three weeks

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and six weeks and three months,

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and how the recovery was so
much easier compared to before.

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We said, okay, we need to expand this and,

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you know, a wider patient population.

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It's really grown since then,

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and this fits a very important role

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in the postoperative recovery.

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- I've had countless patients
come back after the iovera

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and say what'd you do different this time?

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And why am I getting more motion?

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And did you change the medication?

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We're getting more patients

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to come back doing better early on.

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Dr Kunapuli and myself
do the same regimen.

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We do the same pain protocol.

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We try to give the same medication,

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all of it together.

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And especially with the iovera,

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it reduces their pain medication.

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- The results kind of
spoke for themselves.

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We saw our patients with iovera,

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without iovera in terms
of how they were doing

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and the narcotic usage and where they were

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at three weeks and six weeks.

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If you look at the overwhelming
majority of patients

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who have gone through the
program have done this,

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really it's been very successful.

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- How you implement it in your practice

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may be different depending
on your own situation,

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whether that's somebody
else doing it for you

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or whether you implement
it in your own practice

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like we have.

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It's ergonomic, you can
take it to your office,

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you can be in your office,

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it can be in a hospital and
we have other physicians

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who actually send us their
patients to have the iovera done

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so they can get a more successful result.

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(calm music)

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- [Narrator] Indication.

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The iovera system is
used to destroy tissue

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during surgical procedures
by applying freezing cold.

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It can also be used to produce lesions

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in peripheral nervous tissue
by the application of cold

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to the selected site for
the blocking of pain.

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It is also indicated
for the relief of pain

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and symptoms associated with
osteoarthritis of the knee

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for up to 90 days.

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The iovera system is not indicated

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for treatment of central
nervous system tissue.

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The iovera system's one by
ninety Smart Tip configuration

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indicating one needle which
is 90 millimeters long

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can also facilitate target nerve location

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by conducting electrical nerve stimulation

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from a separate nerve stimulator.

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Important safety information.

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The iovera system should
not be used in people

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with the following conditions.

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Blood that thickens
when patient is exposed

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to cold or cryoglobulinemia.

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Blood appearing in the urine

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when patient is exposed to the cold

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or paroxysmal cold hemoglobinuria.

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Skin rash that appears
when patient is exposed

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to the cold or cold urticaria.

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Narrowing of the blood
vessels in the hands and feet

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when patient is exposed to
the cold or Raynaud's disease

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and open and or infected wounds

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at or near the treatment site.

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Patients being treated
with the iovera system,

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a needle based therapy,

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may experience certain reactions,

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including, but not limited to bruising,

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swelling, inflammation and or redness,

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local pain and or tenderness

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and altered feeling at
the site of application.

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Proper use of the device as
described in the user guide

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can help reduce or prevent
the following reactions.

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In the areas where you were treated,

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damage to the skin from being
exposed to cold or heat,

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darkening or lightening of the
skin and dimples in the skin.

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Outside the areas where you were treated,

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muscles may not work or move normally.

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For more information,
visit www.iovera.com.