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Tenex Health TX for Percutaneous Tenotomy and Percutaneous Fasciotomy MKT106, Rev. A

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Chronic Conditions Treated With Tenex Health TX Chronic Shoulder Pain Tennis / Golfers Elbow Jumpers / Runners Knee Achilles Tendonitis Plantar Fasciitis Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved.

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Chronic Conditions Treated With Tenex Health TX Achilles Tendonitis Plantar Fasciitis Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved.

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Chronic Shoulder Pain Damaged tendons Chronic shoulder pain is indicated by persistent soreness or pain in the shoulder. Symptoms can include: Shoulder pain that gradually worsens Pain radiating from the shoulder when rotating, pushing, pulling or grasping Impaired range of motion in shoulder joint Chronic shoulder pain is not limited to athletes. It can be caused by any activity that involves repetitive movement of the shoulder joint. Healthy tendons Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved.

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Tennis Elbow Tennis Elbow is soreness or pain on the outside of the arm near the elbow. Symptoms can include: Targeted pain in the elbow Elbow pain that gradually worsens Pain radiating from the outside of the elbow to the forearm and back of the hand when grasping or twisting Weak grasp Swelling is uncommon Tennis Elbow is not limited to athletes. It can be caused by any activity that involves repetitive twisting of the wrist. Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved.

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Runners / Jumpers Knee Patellar Tendonitis, commonly referred to as Jumpers Knee or Runners Knee is pain that occurs on the front and center of the knee. Symptoms can include: A dull, aching pain most often felt Behind the kneecap Below the kneecap On the sides of the kneecap There is a grating or grinding sensation when the knee is flexed and the ankle is brought closer to the back of the thigh. This sensation is noticeable when performing deep knee bends, going down stairs, running downhill, or standing up after sitting for awhile. Healthy Patellar Tendon Patellar Tendonitis

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Achilles Tendonitis Achilles Tendonitis occurs when the tendon that connects the back of the leg to the heel becomes swollen and painful near the bottom of the foot. Symptoms can include: Pain in the heel and along the tendon when running or walking (often painful and stiff in the morning) The tendon may be painful to touch or move Area may be swollen and warm May have trouble standing on tiptoes Rarely caused by an injury, back of the heel pain is most often due to overuse and can occur in walkers, runners or other individuals. Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved.

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Plantar Fasciitis Plantar Fasciitis usually develops slowly over time, but can occur suddenly after intense activity. Most often, it affects individuals with foot arch problems, long distance runners, individuals who have sudden weight gain or who are obese, those who have tight Achilles tendons, or people who wear shoes with poor arch support and/or high heels. Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved. Plantar Fasciitis is damage to the thick tissue on the bottom of the foot. This tissue, called plantar fascia, connects the heel bone to the toes, creating the arch of the foot. Symptoms can include: Dull or sharp pain and stiffness in the bottom of the heel (usually worse in the morning or after sitting for a period then taking first steps) The bottom of the foot may ache or burn Area may be swollen and warm May have trouble standing up on tiptoes

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Tenex Health TX for Percutaneous Tenotomy and Percutaneous Fasciotomy More than 7,000 cases successfully performed to date Based on technology developed in collaboration with the Mayo Clinic Minimally invasive modality that allows physicians to remove the source of tendon pain quickly and safely Combines ultrasound guidance used to identify damaged tissue with the advanced TX MicroTip which precisely breaks down and removes only the damaged tissue that causes pain Can be performed in a procedure room in 20 minutes or less Recovery time for the procedure is relatively quick with patients usually experiencing near immediate results and pain relief Anticipated full recovery time is approximately 2- 6 weeks for a return to normal activity levels Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved.

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TX MicroTip Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved. Back-and-forth tip movement Optimized ultrasonic energy Continuous irrigation

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Placement Example: Elbow Utilizing ultrasound guidance, the damaged site is visualized Once located, ultrasonic energy is activated to cut and debride the damaged tissue Micro-incision is closed with a small, adhesive bandage Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved.

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Placement Example: Plantar Fasciitis Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved.

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Placement Example: Achilles Utilizing ultrasound guidance, the damaged site is visualized Once located, ultrasonic energy is activated to cut and debride the damaged tissue Micro-incision is closed with a small, adhesive bandage Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved.

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Tenex Health TX Animation Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved.

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Typical Recovery Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved. Tennis Elbow recovery: Resume non-repetitive use of arm/hand in 2 days Resume normal use of arm/hand in 6 weeks Jumpers Knee recovery: Use crutches for 5-7 days or knee brace for 2 weeks Resume normal use of knee in 6 weeks Achilles Tendon recovery: Wear walking boot for 2 weeks Resume normal use of foot in 6 weeks Plantar Fasciitis recovery: Wear walking boot for 4 days Resume normal use of foot in 6 weeks NOTE: Evaluation and recommendation for heavy use or more strenuous activities may vary by medical provider

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Who is a good candidate for Tenex Health TX? Those who require or demand to return to normal activity Silent Sufferers - individuals with chronic tendon pain Those who have tried all, or a combination of: rest, cortisone injections, medication and PT Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved.

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What do patients love about Tenex Health TX? Quick procedure which promotes tendon healing Minimally invasive Actual removal of damaged tissue takes just minutes No general anesthesia Typically done in a surgery center or physicians office using only a local anesthetic No sutures or stitches Closed with only a small, adhesive bandage Quick recovery Back to normal activities in a few days; full recovery in 6 weeks Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved.

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Key Benefits of Tenex Health TX Minimally invasive, compelling safety profile Designed to remove only damaged soft tissue, does not disturb surrounding healthy tendon tissue No sutures, no stitchesrequires only a small adhesive bandage Local anesthetic used instead of general anesthesia Can be performed in office, procedure room, or ASC Treatment time of 20 minutes or less Quick pain relief and tendon healing, patients return to normal activities rapidly (2-6 weeks) Most insurances cover Percutaneous Tenotomy and Percutaneous Fasciotomy Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc. 2012 Tenex Health Inc. All rights reserved.

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Tenex Health TX Questions?