Chapter 5-1: VeinGogh - Ohmic Thermolysis

Newly Designed Needle – ‘Bristle’ • • •

Using heat energy through a specialty designed needle to coagulate spider telangiectasia 27-gauge Needle is insulated except for distal 2mm

Needle • Heat is conducted efficiently without loss to surrounding tissues due to the insulation • Very low power settings needed due to insulation • Minimal to no collateral skin damage • See fast resolution of treated vein within a month

Technique • •

Needle may or may not need to be inserted completely through the skin, depending on depth of spider telangiectasia Mechanism of action is destruction of spider vein by loss of endothelium and fusion of vein wall by thermal energy

VeinGogh Device • • •

May be used on all skin types All patients need a preliminary test of a small area before beginning treatment As with any other device, test spot should be done to rule out any adverse reactions

Clinical Experience With VeinGogh - Ron Bush, MD, FACS • • • • • • • •

Used VeinGogh in over 500 patients with all skin types No complications Skin tracking is almost non-existent compared to the original ballet needle on the leg Leg – Prefer for spider veins < 0.6 mm Red Vein – Vessels most amendable to this device Larger veins – 1 mm, can be treated after experience is gained with this device Training is needed by a professional Currently doing studies with VeinGogh and sclerotherapy at the same setting

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More than 40 biopsies with histological evaluations have been completed using VeinGogh device

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THERE ARE NO CONTRAINDICATIONS & NO PERMANENT SKIN DAMAGE!

89/27/12 For patient comfort during a VeinGogh session, we have been using "BLT" cream. This is 20% Benzocaine, 10% Lidocaine and 10% Tetracaine.

At the consult, we give the patient a small amount of the cream and have them apply it 1 hour before their procedure. We ask them to rub it on the treatment areas for about 2 minutes. We remind them to wash their hands to avoid numb fingers! The numbness starts about 30-45 minutes after application and remains for approximately 3 hours.

This is really helpful in the area around the nose. It does not completely numb the discomfort, but lessens it dramatically. It also seems to help with the burning discomfort/sensation post procedure too.

We have purchased this cream from MD Custom RX in Wisconsin. Their number for ordering is 262-373-1050.

Nancy Peret, RN Vena-The Varicose Vein Institute N4 W22370 Bluemound Road, Suite 201

Waukesha, WI 53186 Â 262-349-9371

8/21/12 For patient comfort during a VeinGogh session, we have been using "BLT" cream. This is 20% Benzocaine, 10% Lidocaine and 10% Tetracaine.

At the consult, we give the patient a small amount of the cream and have them apply it 1 hour before their procedure. We ask them to rub it on the treatment areas for about 2 minutes. We remind them to wash their hands to avoid numb fingers! The numbness starts about 30-45 minutes after application and remains for approximately 3 hours.

This is really helpful in the area around the nose. It does not completely numb the discomfort, but lessens it dramatically. It also seems to help with the burning discomfort/sensation post procedure too.

We have purchased this cream from MD Custom RX in Wisconsin. Their number for ordering is 262-373-1050.

Nancy Peret, RN

Vena-The Varicose Vein Institute N4 W22370 Bluemound Road, Suite 201 Waukesha, WI 53186 Google Maps / Directions 262-349-9371

Visit Website Nancy Peret, RN

VeinGoghâ&#x201E;˘ Contact Information Refine USA, LLC 340 3rd Avenue South STE #C Jacksonville Beach, Florida 32250 (866) 333-6858 www.refineusa.com