Newly Designed Needle – ‘Bristle’

• Using heat energy through a specialty designed needle to coagulate spider telangiectasia

• 27-gauge • Needle is insulated except for distal 2mm

Needle

• Heat is conducted efficiently without loss to surrounding tissues due to the insulation

• Very low power settings needed due to insulation • Minimal to no collateral skin damage • See fast resolution of treated vein within a month

Technique

• Needle may or may not need to be inserted completely through the skin, depending on depth of spider telangiectasia

• Mechanism of action is destruction of spider vein by loss of endothelium and fusion of vein wall by thermal energy

VeinGogh Device

• May be used on all skin types • All patients need a preliminary test of a small area before beginning

treatment • As with any other device, test spot should be done to rule out any adverse

reactions

Clinical Experience With VeinGogh - Ron Bush, MD, FACS

• Used VeinGogh in over 500 patients with all skin types • No complications • Skin tracking is almost non-existent compared to the original ballet needle

on the leg • Leg – Prefer for spider veins < 0.6 mm • Red Vein – Vessels most amendable to this device

• Larger veins – 1 mm, can be treated after experience is gained with this

device • Training is needed by a professional • Currently doing studies with VeinGogh and sclerotherapy at the same

setting

• More than 40 biopsies with histological evaluations have been completed using VeinGogh device

• THERE ARE NO CONTRAINDICATIONS & NO PERMANENT SKIN

DAMAGE! 89/27/12 For patient comfort during a VeinGogh session, we have been using "BLT" cream. This is 20% Benzocaine, 10% Lidocaine and 10% Tetracaine. At the consult, we give the patient a small amount of the cream and have them apply it 1 hour before their procedure. We ask them to rub it on the treatment areas for about 2 minutes. We remind them to wash their hands to avoid numb fingers! The numbness starts about 30-45 minutes after application and remains for approximately 3 hours. This is really helpful in the area around the nose. It does not completely numb the discomfort, but lessens it dramatically. It also seems to help with the burning discomfort/sensation post procedure too. We have purchased this cream from MD Custom RX in Wisconsin. Their number for ordering is 262-373-1050. Nancy Peret, RN Vena-The Varicose Vein Institute N4 W22370 Bluemound Road, Suite 201

Waukesha, WI 53186  262-349-9371

8/21/12 For patient comfort during a VeinGogh session, we have been using "BLT" cream. This is 20% Benzocaine, 10% Lidocaine and 10% Tetracaine. At the consult, we give the patient a small amount of the cream and have them apply it 1 hour before their procedure. We ask them to rub it on the treatment areas for about 2 minutes. We remind them to wash their hands to avoid numb fingers! The numbness starts about 30-45 minutes after application and remains for approximately 3 hours. This is really helpful in the area around the nose. It does not completely numb the discomfort, but lessens it dramatically. It also seems to help with the burning discomfort/sensation post procedure too. We have purchased this cream from MD Custom RX in Wisconsin. Their number for ordering is 262-373-1050. Nancy Peret, RN Vena-The Varicose Vein Institute N4 W22370 Bluemound Road, Suite 201 Waukesha, WI 53186 Google Maps / Directions 262-349-9371 Visit Website Nancy Peret, RN

VeinGogh™ Contact Information Refine USA, LLC 340 3rd Avenue South STE #C Jacksonville Beach, Florida 32250 (866) 333-6858 www.refineusa.com