The first and only spine surgery power tool with a curved protected tip, designed for effective bone removal around spinal curves, ensuring safer access, preserving healthy tissue, and delivering superior outcomes for surgeons, patients, and hospitals.
-
High speed rotation
Efficiently cuts bone -
Integrated irrigation
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2-3mm tip diameter
Fits Spinal Anatomy -
9mm radius of curvature
Allows optimal tip placement
-
Shielded cutter
with multiple orientations -
Enhanced visibility
Due to curved design -
Unique forward drilling
helps to minimize nerve manipulations
-
High speed rotation
Efficiently cuts bone -
Integrated irrigation
-
bayoneted
for a better view
-
2-3mm tip diameter
Fits Spinal Anatomy
-
9mm radius of curvature
Allows optimal tip placement
-
Shielded cutter
with multiple orientations -
Enhanced visibility
Due to curved design -
Unique forward drilling
helps to minimize nerve manipulations
MAXIMUM DECOMPRESSION. MINIMUM TRAUMA.
23%
larger remaining pars width
(indication of stability)
163%
increase in foraminal clearance
Kerrison Rongeur Dreal
DREAL SYSTEM SINGLE-USE PRODUCT LINE
STANDARD-SHAFT LINE
C3S45FUS | C3S45FU | C3L10DS (cervical)
BAYONETED-SHAFT LINE
B3S45FUS | B3S45FU
| Model | Shaft | Tip Angle | Cutting Direction | Shield | Application | Label color |
|---|---|---|---|---|---|---|
 |
Standard
|
45°
|
Upcutting
|
Downward
|
Lumbar decompression / foraminotomies & Posterior Cervical foraminotomies
|
 |
 |
Standard
|
45°
|
Upcutting forward
|
Downward
|
Lumbar decompression / foraminotomies
|
 |
 |
Standard
|
10°
|
Side-cutting
|
Distal
|
ACDF posterior osteophyte removal
|
 |
 |
Bayonet
|
45°
|
Upcutting
|
Downward
|
Lumbar decompression / foraminotomies & Posterior Cervical foraminotomies
|
 |
 |
Bayonet
|
45°
|
Upcutting forward
|
Downward
|
Lumbar decompression / foraminotomies
|
 |
CLINICAL EXPERIENCE
To date, Dreal has been used to treat thousands of patients, in more than 10 different spinal procedures, covering all anatomical segments of the spine (cervical, thoracic and lumber). Results have shown to support the efficacy, safety and wide versatility of the dreal system.
- Safety results found to be superior to baseline data for both traditional and new devices
- Reduction in fused levels demonstrated
PUBLICATIONS
- Pflugmacher et.al, Suitability of Administrative Databases for Durotomy Incidence Assessment: Comparison to the Incidence Associated With Bone-Removal Devices, Calculated Using a Systemic Literature Review and Clinical Data
- Peloza JH, Millgram MA, Jacobian E, Kolsky DE, Guyer RD, Le Huec JC, Ashkenazi E. Economic Analysis of Transforaminal Lumbar Interbody Fusion Surgery Utilizing a Curved Bone Removal Device. Pharmacoecon Open. 2021 Jan 19. doi: 10.1007/s41669-020-00256-1. Epub ahead of print. PMID: 33462767.
- Milgram, et.al, A New High-Speed Shielded Curved Device Allowing Safe Posterior Thoracic Discectomy Through a Modified Transforaminal Thoracic Interbody Fusion Approach: Technique Description and Case Series; Int J Spine Surg. 2019 Dec; 13(6): 515–521
- John H.PelozaMD, Michael Millgram MD, Larry T.Khoo MD, Hani Malone MD, Richard D.Guyer MD, Jean-Charles LeHuec MD, PhD, Ely Ashkenazi MD; Safe and improved spinal surgery using a new device in multiple indications, The Spine Journal, Volume 20, Issue 9, Supplement, September 2020, Pages S160-S161
- Improved Efficacy of Tlif Procedures Due to a New Device: Preliminary Cadaver Study and a 209-Patient Retrospective Study in a Single Center, Peloza John, MD, Millgram Michael, MD, Rand Nahshon, MD, Guyer Richard, MD, Le Huec Jean-Charles, MD, PhD, Ashkenazi Ely, MD
- New Decompression Device Facilitating a Smaller Procedure in Anterior Cervical Corpectomy and Fusion: Case Series
- Estimating Changes of Hospitalization Cost by Calculating the Contribution of Different Cost Components: Literature Review and a Test Case of a New Device Improving TLIF Efficiency, p.39
- Efficient Bone Removal in Open and Minimal Invasive Settings Using a New Device: A Two-Center Experience With 143 Patients, p.9
- Milgram et.al, Safe posterior thoracic discectomy through a modified transforaminal thoracic interbody fusion (TTIF) approach, The Spine Journal 18(2018)S70 S128
- Peloza, et.al, Increased Foraminotomy Efficiency with Reduced Spinal Instability and Patient Strain: Cadaver Study and Preliminary Clinical Experience (SMISS 2017 oral presentation)
- Bernard et.al, Uncosectomy Facilitated Cervical Foraminotomy using a new high-speed shielded curved device (white paper)