EBI® VueCath® System: Spinal Endoscopic Tool for Diagnosis and Treatment

The VueCath® System from EBI is a fiberoptic endoscope developed for use by a spine or pain management specialist to see the inside of the lumbar space to treat patients with chronic low back pain (Fig. 1). Sometimes low back and leg pain is caused by inflammation or compression of a spinal nerve due to a disc injury (e.g., herniated disc), postoperative scarring, narrowing of the spinal canal (e.g., spinal stenosis), or other abnormalities.

EBI VueCath Endoscopic tool
Figure 1.
The VueCath® Endoscopic Tool.
EBI© Used with permission.

As a diagnostic tool, the VueCath® system aids in the diagnosis of inflammation or scarring around a spinal nerve when other tests (e.g., MRI) are inconclusive. As a treatment tool, VueCath® enables the specialist to see the inside of the spinal canal and to inject medications precisely where needed to treat the cause of pain. The endoscopic catheter (flexible tube) is very small; about the diameter of a pencil lead.

The outpatient procedure is performed in hospital or clinic under local anesthetic. Intravenous sedation can be added if necessary. The procedure takes from 15 to 30 minutes. The soft steerable catheter is inserted near the tailbone (Fig. 2).

EBI VueCath Endoscopic flexible catheter
Figure 2.
The flexible 'steerable' catheter is inserted near the tailbone.
EBI© Used with permission.

spinal view using EBI VueCath
Figure 3.
A real-time view inside the spine. A sample of what
the spine specialist can see using the VueCath® System.
EBI© Used with permission.

During the entire procedure, images of the spinal canal are displayed on a video monitor (Fig. 3). The procedure is not painful. Some patients have reported feelings of pressure in the back or legs or tingling sensations. Patients are released home shortly after the procedure and usual activities can be resumed the following day.

This article is an excerpt from Dr. Stewart G. Eidelson's book, Advanced Technologies to Treat Neck and Back Pain, A Patient's Guide (March 2005).

Last Updated: 02/28/2007