The right options for any turbinate anatomyExplore our full portfolio of turbinate reduction options designed to address any anatomic situation.

COBLATION™ TURBINATOR™ Turbinate Reduction Wand

COBLATION™ REFLEX ULTRA™ 45 Turbinate Reduction Wand

COBLATION™ REFLEX ULTRA™ PTR Turbinate Reduction Wand

Choose COBLATION™ Technology for all your turbinate reduction procedures COBLATION Plasma Technology works through the creation and application of a high-energy field called ‘glow discharge plasma.’ This controlled plasma field ablates tissue through a chemical process whereby the highly-energized particles in the plasma break down molecules in the tissue, immediately vaporizing mass and providing resistive heating.

BENEFITS OF COBLATION TECHNOLOGY

n Precise soft tissue removal1

n Integrated hemostasis

n Settings can be fine-tuned

n Lower temperatures than other RF-based systems1

n 100μm – 200μm plasma field1 (about the size of a human hair)

COBLATION plasma technology on soft tissue

The term COBLATION means ‘controlled ablation.’ Since the introduction of COBLATION tonsillectomy wands in 1998, the proven patented COBLATION technology has been used in more than 10 million procedures by surgeons in ear, nose and throat (ENT) and various areas of medical specialty.2

Unique anatomies call for unique solutionsMinimally invasive hypertrophic turbinate procedures can be efficiently performed in the operating room or in office settings. Smith & Nephew’s comprehensive turbinate portfolio includes three options that allow you to customize treatment for every patient’s unique anatomy.

COBLATION™ TURBINATOR™ Turbinate Reduction Wand

The TURBINATOR turbinate reduction wand is designed to allow for fast and efficient submucosal resection with built-in bipolar coag.

n Immediate and visible removal of submucosal tissue

n Targeted hemostasis with bipolar coagulation feature

COBLATION™ REFLEX ULTRA™ PTR and ULTRA 45 Turbinate Reduction Wands

COBLATION treatment for hypertrophic turbinates results in immediate removal of central turbinate tissue and continued postoperative contraction of additional tissue for best-in-class results.3

n May treat anterior and posterior aspects of the turbinate

n REFLEX PTR: Two depth markers assist positioning and visibility with pointed tip

n REFLEX 45: Three depth markers assist in positioning and visibility with blunt tip

When utilizing the MicroMotion technique, the REFLEX ULTRA PTR and REFLEX ULTRA 45 Wands consistently produced larger lesion sizes than the Olympus Celon ProBreath device. The REFLEX family of wands allows the user f lexibility in their procedure by utilizing the static technique for smaller lesion size, or the Micro-Motion technique for enhanced tissue removal.3

COBLATION Technology outperforms a leading bipolar radiofrequency applicator3

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REFLEX ULTRA 45(Set Point 6)

REFLEX ULTRA PTR(Set Point 6)

Celon ProBreath(Power 15)

MicroMotionStatic

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REFLEX ULTRA 45(Set Point 6)

REFLEX ULTRA PTR(Set Point 6)

Celon ProBreath(Power 15)

MicroMotionStatic

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Lesion Diameter3 Total Thermal Lesion Diameter3

Pre-Op

REFLEX ULTRA 45 Wand

Immediate Post-Op

1 Month Post-Op

Actual case images. Results may vary.

A Insulated shaft

B Depth marker

C Thermal active electrode

D Silicone spacer

E Return electrode

F Ablative active electrode

COBLATION REFLEX ULTRA PTR Turbinate Reduction Wand

B C E FDA

D

A B C FD E

D

COBLATION REFLEX ULTRA 45 Turbinate Reduction Wand

REFLEX 45 Set Point 6 Static

REFLEX 45 Set Point 6 MicroMotion

REFLEX PTR Set Point 6 Static

REFLEX PTR Set Point 6 MicroMotion

Celon ProBreath Power 15

Testing performed on bovine myocardium as representative turbinate tissue.

COBLATION™ REFLEX ULTRA™ Wand Performance

COBLATION REFLEX ULTRA Wand Performance

The REFLEX™ ULTRA™ 45 and REFLEX ULTRA PTR Wands generate plasma through COBLATION technology to immediately vaporize tissue, unlike competitive radiofrequency devices, and create a thermal lesion for continued postoperative tissue contraction.

COBLATION Technology outperforms a leading mechanical resection microdebrider4

The TURBINATOR wand’s use of advanced COBLATION plasma technology allows it to reduce hypertrophic turbinates more quickly than competitive devices.1 The addition of bipolar coag helps further expedite surgical procedures by allowing bleeding to be addressed intraoperatively with the wand.

When comparing the COBLATION TURBINATOR wand to the Medtronic® 2.0mm and 2.9mm Microdebrider® Blades, the TURBINATOR wand performed significantly faster in terms of volumetric tissue removal rate. The additional benefit of bipolar coagulation found with the wand helps to further expedite submucosal resections.4

15mm15mm12mm

2.9mm

Active electrode Distal depth markerMiddle depth marker Orientation line

Proximal depth marker

TURBINATOR Wand

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3000rpm (per IFU)Suction 30mmHg

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TURBINATOR wand2.9mm

Microdebrider 2.9mm inferior turbinate blade

Microdebrider 2.0mm inferior turbinate blade

3000rpm (per IFU)Suction 30mmHg

TURBINATOR and Microdebrider Product Comparison4

Testing performed on bovine myocardium as representative turbinate tissue.

TURBINATOR Wand

Microdebrider2.9mm inferiorturbinate blade

Microdebrider2.0mm inferiorturbinate blade

Pre-Op

Immediate Post-Op

1 Month Post-Op

Actual case images. Results may vary.

COBLATION™ TURBINATOR™ Wand Performance

ArthroCare Corporation7000 West William Cannon DriveAustin, TX 78735, USA

™ Trademark of Smith & Nephew. All trademarks acknowledged. ©2017 Smith & Nephew. All rights reserved. Printed in USA.

87638 A 06/17

Ordering InformationCOBLATION™ TURBINATOR™, REFLEX ULTRA™ PTR and ULTRA 45 Turbinate Reduction Wands Reference # Description

EICA6895-01 TURBINATOR WandEICA4835-01 REFLEX ULTRA PTR WandEICA4845-01 REFLEX ULTRA 45 Wand

AccessoriesEC8000-01 COBLATOR™ II Controller72290055 Saline Irrigation Pump (use with TURBINATOR Wand)

1. Stalder K. Coblation in Ololaryngology. Proc SPIE. 2003; 4949:341-3532. This figure was calculated by capturing the number of COBLATION wands sold during the timeframe of July 2008 – May 2016. (P/N 81915).3. Data on file P/N 86029 Rev. A, Arthrocare, Inc.4. Data on file P/N 86017 Rev. A, Arthrocare, Inc.

The information presented is intended to demonstrate Smith & Nephew product offerings. It is the responsibility of operating physicians to determine and utilize the appropriate products and techniques, according to their own clinical judgment, for each of their individual patients. For more information on the application of any products discussed in the brochure, as well as indications for use, contraindications, and product safety information, please consult the Instructions for Use (IFU) for such product.

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