Treatment for the Relief of Chronic Low Back Pain
 

Key Benefits of the Intracept Procedure

  • Provides a treatment option for patients who have not responded to conservative therapy

  • Minimally invasive, outpatient procedure

  • Implant-free and preserves the structure of the spine

  • Provides durable relief of chronic low back pain

Intracept Procedure Step

During the Intracept Procedure, doctors make a small (3-5mm) incision in the lower back. Following this, a specialized probe is advanced into the vertebrae and positioned at the precise location of the pain-sensing, basivertebral nerve. Once positioned, the Intracept probe uses radiofrequency energy (heat) to disable the basivertebral nerve, rendering it unable to transmit pain signals.

STEP 1: Access the pedicle
Under fluoroscopic guidance, the Intracept Introducer Cannula is advanced through the pedicle.

STEP 2: Create the channel
The Intracept Curved Cannula is utilized to create a channel to the trunk of the basivertebral nerve.

STEP 3: Place the RF Probe
The Intracept Radiofrequency Probe is inserted into the curved path and placed at the basivertebral nerve.

STEP 4: Ablate the BVN
The Relievant Radiofrequency Generator is utilized to ablate the basivertebral nerve.

Patient Selection for the Intracept Procedure

  • Chronic Low Back Pain of at least 6 months

  • Not responded to at least 6 months of conservative care

  • Type 1 or Type 2 Modic changes on an MRI  (See Figure)

Indications, Contraindications and Risks

The Intracept Intraosseous Nerve Ablation System is intended to be used in conjunction with radiofrequency (RF) generators for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, and is also accompanied by either Type 1 or Type 2 Modic changes on an MRI.

Use of the Intracept Intraosseous Nerve Ablation System is contraindicated in:

  • Patients with severe cardiac or pulmonary compromise

  • Patients where the targeted ablation zone is < 10 mm away from a sensitive structure not intended to be ablated, including the vertebral foramen (spinal canal)

  • Patients with active systemic infection or local infection in the area to be treated

  • Patients who are pregnant

  • Skeletally immature patients (generally < 18 years of age)

  • Patients with implantable pulse generators (e.g., pacemakers, defibrillators) or other electronic implants

  • Situations where unintended tissue damage may result, based on the clinical assessment by the physician

  • Application with electrosurgical instruments NOT tested and specified for use with the Relievant RFG

As with any surgical procedure, there are risks and considerations associated with the Intracept Procedure. To review the contraindications, warnings and precautions click here.

1. Fischgrund, Jeffrey et al., Treatment of Chronic Low Back Pain via Ablation of the Basivertebral Nerve: Results of the Smart Trial. The Spine Journal, Volume 17, Issue 10, S120-121