THE CHALLENGE

Safely reaching target anatomy for precise tissue removal while preserving structural bone.

Hypertrophic SAP neural impingement within foramen

Hypertrophic SAP neural impingement within foramen

Complete intervertebral access for endplate prep

Complete intervertebral access for endplate prep

Dorsal osteophyte impingement during Anterior Cervical

Dorsal osteophyte impingement during Anterior Cervical

Most spinal procedures share some common themes:

  • Tissues that are targeted for removal are often “around corners”
  • These tissues are also often proximal to neural anatomy or other visceral structures
  • Precise removal of the target tissues without damaging nearby structural anatomy is often difficult to achieve

POWERED PRECISION TECHNOLOGY

The first and only curved at the tip and powered, single-use decompression platform efficient enough to handle bony tissue and precise enough to work safely around spinal anatomy. Dreal’s unique design allows for easier and safer access with less trauma and less costs, resulting in better outcomes for both the patients and the healthcare system.

EFFECTIVE PROCEDURES “CERVICAL TO SACRUM”

ACCFIpsilateral ForaminotomyContralateral ForaminotomyExternal Foraminotomy
ACDFOsteophytes removalLaminotomyEndplate preparation

DESIGNED FOR SAFETY

Durotomy Incidence Study

DESIGNED FOR PROTECTION

0.2%

Dreal (05/2020)

DESIGNED FOR PROTECTION

0.8 – 1.95%

Ultrasonic devices

DESIGNED FOR PROTECTION

2.91%

High speed drills

DESIGNED FOR PROTECTION

2.8 – 3.5%

General incidence

Robert 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” (Link: International journal of spine surgery).

The Shield
advantage

Protect the surrounding tissue

The Curve
advantage

Remove less healthy tissue in less device passes to reach adequate decompression

THE FORWARD DRILLING ADVANTAGE

Minimal neural structure manipulation
Optimized for tissue orientation

ABOVE THE ROOT
UNDER THE ROOT

DRIVING THE DREAL

The Dreal connects to most common electric or
pneumatic operating-room driving systems

READ MORE
DRIVING THE DREAL