• 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