• While there are hundreds of thousands of lumbar decompressions performed every year, I believe that this device has the potential of reducing the number of fusions in these patients.

    Richard D. Guyer | MD
    Co-founder of the Texas Back Institute in Plano, TX, USA; Past president of the North American Spine Society

  • Surgeons are still using the same tools for decompression that they have been using for decades... Carevature changes this with a decompression platform that offers advantages to surgeons and patients alike.

    Larry Khoo | MD
    Fellowship trained Neurosurgeon at the Spine Clinic of Los Angeles; Past President of SMISS

  • This system is intuitive, it’s easy to use and has become a valuable work tool for me, in both lumbar and cervical cases using a minimally-invasive approach.

    John Peloza | MD
    Board certified by the American Board of Orthopedic Surgery, Center for Spine Care, Dallas, TX, USA

High speed rotation

Efficiently cuts bone

Integrated irrigation

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

  • 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
    • 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.

      MAXIMUM DECOMPRESSION. MINIMUM TRAUMA.

      23%

      larger remaining pars width

      (indication of stability)

      MAXIMUM DECOMPRESSION. MINIMUM TRAUMA.

      163%

      increase in foraminal clearance

      Kerrison Rongeur Dreal

      CLINICAL EXPERIENCE

      To date, Dreal has been used to treat hundreds 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 considerably improved compared to literature baseline data for both traditional and new devices
      • Reduction in fused levels demonstrated

      CASE STUDIES

      Lumbar Procedures

      #1Removing Posterior OsteophytesCase study
      #2Endplates PreparationCase study
      #3Endplates PreparationCase study
      #4Reducing fusion sizeCase study
      #5Fast, Efficient Decompression; Avoiding InstabilityCase study
      #6Lumbar DecompressionCase study

      Cervical Procedures

      #1Osteophytes Removal; ACDFCase study
      #2Osteophytes Removal; ACCFCase study
      #3Osteophytes Removal; ACCFCase study
      #4Osteophytes Removal; ACDFCase study
      #5Dens Tumor RemovalCase study
      #6Uncinate resection Facilitated Cervical ForaminotomyCase study

      Thoraco-Lumbar Discectomy and Fusion

      #1Transforaminal Thoracic Interbody FusionCase study

      PUBLICATIONS

      DREAL SYSTEM SINGLE-USE PRODUCT LINE

      standard shaft line

      STANDARD-SHAFT LINE

      C3S45FUS | C3S45FU | C3S45FI | C3L10DS (cervical) | 2L75FU (cervical)

      bayoneted shaft line

      BAYONETED-SHAFT LINE

      B3S45FUS | B3S45FU | B3S45FIS | B3S45FI

      ModelShaftTip AngleCutting DirectionShieldApplicationLabel color
      DREAL™ SYSTEM SINGLE-USE PRODUCT LINE
      Standard
      45°
      Upcutting
      Downward
      Lumbar decompression / foraminotomies & Posterior Cervical foraminotomies
      dtc-1-c
      DREAL™ SYSTEM SINGLE-USE PRODUCT LINE
      Standard
      45°
      Upcutting forward
      Downward
      Lumbar decompression / foraminotomies
      Dreal Label color
      DREAL™ SYSTEM SINGLE-USE PRODUCT LINE
      Standard
      45°
      Downcutting forward
      Upward
      Lumbar/thoracic endplates preparation; bridging osteophytes
      Dreal Label color
      DREAL™ SYSTEM SINGLE-USE PRODUCT LINE
      Standard
      10°
      Side-cutting
      Distal
      ACDF posterior osteophyte removal
      Dreal Label color
      dreal-top
      Standard
      75°
      Upcutting forward
      Downward
      Cervical corpectomies
      dreal-top
      dreal-top
      Bayonet
      45°
      Upcutting
      Downward
      Lumbar decompression / foraminotomies & Posterior Cervical foraminotomies
      dreal-top
      dreal-top
      Bayonet
      45°
      Upcutting forward
      Downward
      Lumbar decompression / foraminotomies
      dreal-top
      dreal-top
      Bayonet
      45°
      Downcutting
      Upward
      Lumbar bridging osteophytes
      dreal-top
      dreal-top
      Bayonet
      45°
      Downcutting forward
      Upward
      Lumbar/thoracic endplates preparation; bridging osteophytes
      dreal-top