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The iovera° Smart Tips

The iovera° system uses Smart Tips to reach superficial or deep nerves. These tips can deliver extreme cold when inserted into the targeted area in the body.

Smart Tip 309 and 190 Details

Dr Pieter Vreede introduces the Smart Tip 309 and the Smart Tip 190 and talking through the mechanics of a full iovera˚ treatment cycle.

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Smart Tip 309

Smart Tip 309 includes three 27-gauge needles that are 8.5-mm long. The duration of each treatment cycle with this tip is approximately 60 seconds. This tip can be used to treat superficial nerves, such as the:

  • Anterior femoral cutaneous nerve
  • Lateral femoral cutaneous nerve
  • Infrapatellar branches of the saphenous nerve
  • Occipital nerve
  • Trigeminal nerve
Smart Tip

Smart Tip 190

Smart Tip 190 includes a single, 20-gauge needle with trocar tip that is 90-mm long. The duration of each treatment cycle with this tip is approximately 106 seconds per User Guide. This tip can be used to treat superficial and deep nerves, such as the:

  • Intercostal nerve
  • Ilioinguinal nerve
  • Suprascapular nerve
  • Deep genicular nerves

Imaging is required for placing the Smart Tip 190 in close proximity to the targeted nerve. Additionally, this tip allows for nerve stimulation, which further confirms nerve location and improves accuracy of treatment.

Smart Tip
Smart Tip 1 x 90 mm

Access the iovera° User Guide by clicking here

This video shows how to administer the iovera° therapy to treat anterior knee pain

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Contact us to learn more about the iovera° system and its components

IndicationThe iovera° system is used to destroy tissue during surgical procedures by applying freezing cold. It can also be used to produce lesions in peripheral nervous tissue by the application of cold to the selected site for the blocking of pain. It is also indicated for the relief of pain and symptoms associated with osteoarthritis of the knee for up to 90 days. The iovera° system is not indicated for treatment of central nervous system tissue. The iovera° system’s “1x90” Smart Tip configuration (indicating one needle which is 90 mm long) can also facilitate target nerve location by conducting electrical nerve stimulation from a separate nerve stimulator.

Important Safety Information

ContraindicationsThe iovera° system is contraindicated for use in patients with the following:

  • Cryoglobulinemia, paroxysmal cold hemoglobinuria, cold urticaria, Raynaud’s disease, and open and/or infected wounds at or near the treatment site

Potential ComplicationsAs with any surgical treatment that uses needle-based therapy and local anesthesia, there is a potential for site-specific reactions, including, but not limited to:

  • Ecchymosis, edema, erythema, local pain and/or tenderness, and localized dysesthesia

Proper use of the device as described in the User Guide can help reduce or prevent the following complications:

  • At the treatment site(s): injury to the skin related to application of cold or heat, hyper- or hypopigmentation, and skin dimpling
  • Outside the treatment site(s): loss of motor function