American Society of Interventional Pain PhysiciansThe Voice of Interventional Pain Management

EXHIBITOR PROSPECTUS

INTERVENTIONAL TECHNIQUESCOMPREHENSIVE REVIEW COURSE AND CADAVER WORKSHOP

LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION

COMPREHENSIVE REVIEW COURSE AND CADAVER WORKSHOP

REGENERATIVE MEDICINE IN MUSCULOSKELTAL &

LUMBAR SPINE DISORDERSCOMPREHENSIVE REVIEW COURSE AND CADAVER WORKSHOP

MAY 4-6, 2018 | PHONEIX, AZ

VENUE AND CADAVER WORKSHOP SITEKIMPTON HOTEL PALOMAR

2 E JEFFERSON ST., PHONEIX, AZ 85004 (602) 253-6633

WWW.HOTELPALOMAR-PHONEIX.COM

ASIPP® Educational Services | Excellence in the education of Interventional Pain Physicians

American Society of Interventional Pain Physicians2

MAY, 2018 | EXHIBITOR PROSPECTUS

C O N F E R E N C E C O - C H A I R S

FRIDAY MAY 4, 2018COMPREHENSIVE REVIEW COURSE FOR INTERVENTIONAL TECHNIQUES

6:30 am – 7:55 am REGISTRATION AND BREAKFAST

7:55 am – 10:00 am Session Chair - Hans Hansen MD

8:30 am – 8:15 am Introduction to Workshop and ASIPP - Hans Hansen, MD

9:15 am – 10:00 am Lumbar Epidural Injections (Caudal, Interlaminar, and Transforaminal):

Technical Considerations and Evidence - Hans Hansen, MD

10:00 am – 10:25 am BREAK WITH EXHIBITORS

10:30 am – 11:00 am Lumbar Discography: Technical Considerations and Evidence - Aaron K. Calodney, MD

11:00 am – 11:30 am Sacroiliac Joint Interventions: Technical Considerations and Evidence - Hans Hansen, MD

11:30 am – 12:00 pm Percutaneous Adhesiolysis: Technical Considerations and Evidence - Standiford Helm II, MD

12: 00 pm – 12:55 pm LUNCH

1:00 pm – 1:45 pm Cervical and Thoracic Epidural Injections: Technical Considerations and Evidence - Francis X. Riegler, MD

1:45 pm – 2:30 pm Lumbar Facet Joint Interventions (Intraarticular, Nerve Blocks and Radiofrequency

Thermoneurolysis): Technical Considerations and Evidence - Frank J.E. Falco, MD

2:30 pm – 3:15 pm Cervical Facet Joint Interventions (Intraarticular, Nerve Blocks and Radiofrequency

Thermoneurolysis): Technical Considerations and Evidence - Hans Hansen, MD

3:15 pm – 3:40 pm BREAK WITH EXHIBITORS

3:45 pm – 4:30 pm Thoracic Facet Joint Interventions (Intraarticular, Nerve Blocks and Radiofrequency

Thermoneurolysis): Technical Considerations and Evidence - Standiford Helm II, MD

4:30 pm – 5:15 pm Cervical and Thoracic Sympathetic Blocks: Technical Considerations and Evidence - Sukdeb Datta, MD

5:15 pm – 6:00 pm Lumbar Sympathetic and Hypogastric Plexus Blocks - Sukdeb Datta, MD

Kent Remley, MDGeorgia Pain and Spine Care

Laxmaiah Manchikanti, MDChairman of the Board and Chief Executive Officer, ASIPP®

Jason Capra, MD, PhDPain Specialist

Frank J.E. Falco, MDFounder, CEO and a Principal, Mid Atlantic Spine and Pain

Sukdeb Datta, MDVice President - Strategic Alliances, ASIPP®

Sudhir A. Diwan, MDPresident-Elect, ASIPP®

Hans Hansen, MDPresident, ASIPP®

Kenneth Candido, MDAcademic Director, ASIPP®

Sheldon Jordan, MDNeurological Associates of West Los Angeles

George Chang Chien, DOYoung Physician Directors ASIPP®

Annu Navani, MDDirector-At-Large, ASIPP®

Sheri Albers, DODirector-At-Large, ASIPP®

AC C R E D I TAT I O N S TAT E M E N TThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The Institute for Medical Studies and the American Society of Interventional Pain Physicians (ASIPP®). The Institute for Medical Studies is accredited by the ACCME to provide continuing medical education for physicians.

On behalf of the Board of the American Society of Interventional Pain Physicians (ASIPP®), it is our privilege and pleasure to invite you to participate in our May meetings. The courses will run May 4-6 in Phoenix, Arizona at the Kimpton Hotel Palomar

M AY D I D AC T I C C O U R S E S

FRIDAY MAY 4, 2018COMPREHENSIVE REVIEW COURSE FOR INTERVENTIONAL TECHNIQUES

6:30 am – 7:55 am REGISTRATION AND BREAKFAST WITH EXHIBITORS

7:55 am – 10:00 am Session Chair – Hans Hansen, MD

7:55 am – 8:00 am Introduction by Session Chair - Hans Hansen, MD

8:00 am – 8:15 am Introduction to Workshop and ASIPP - Hans Hansen, MD

8:15 am – 9:00 am Lumbar Epidural Injections: Caudal, Interlaminar, Transforaminal - Ramsin Benyamin, MD

9:00 am – 9:30 am Cervical and Thoracic Interlaminar Epidural Injections - Standiford Helm II, MD

9:30 am – 10:20 am BREAK WITH EXHIBITORS

10:20 am – 11:55 am Session Chair - Sudhir A. Diwan, MD

10:20 am – 10:25 am Introduction by Session Chair - Sudhir A. Diwan, MD

10:25 am – 10:55 am Sacroiliac Joint Injections and Radiofrequency Thermoneurolysis - Ramsin Benyamin, MD

10:55 am – 11:25 am Lumbar Facet Joint Interventions (Intraarticular Injections, Nerve Blocks and Radiofrequency Thermoneurolysis) - Hans Hansen, MD

11:25 am – 11:55 am Cervical Facet Joint Interventions (Intraarticular Injections, Nerve Blocks and Radiofrequency Thermoneurolysis) - Ramsin Benyamin, MD

12: 00 pm – 12:55 pm LUNCH WITH EXHIBITORS

12:55 pm – 3:00 pm Session Chair – Standiford Helm II, MD

12:55 pm – 1:00 pm Introduction by Session Chair - Standiford Helm II, MD

1:00 pm – 1:30 pm Hip & Knee Injections and Radiofrequency Thermoneurolysis - John DiMuro, DO, PhD

1:30 pm – 2:00 pm Thoracic Facet Joint Interventions (Intraarticular Injections, Nerve Blocks and Radiofrequency Thermoneurolysis): Technical Considerations and Evidence - Kenneth Candido, MD

2:00 pm – 2:30 pm Percutaneous Adhesiolysis - Standiford Helm II, MD

2:30 pm – 3:00 pm Spinal Cord Stimulation Trial and Implantation - TBD

3:00 pm – 3:45 pm BREAK WITH EXHIBITORS

3:45 pm – 5:30 pm Session Chair – Kenneth Candido, MD

3:45 pm- 3:50 pm Introduction by Session Chair - Kenneth Candido, MD

3:50 pm – 4:15 pm Discography (Lumbar, Thoracic, Cervical) - TBD

4:15 pm – 5:00 pm Spinal Cord Stimulation: Trial and Implantation - TBA

5:00 pm – 5:30 pm Sympathetic Blockade (Celiac Plexus, Splanchnic Nerves, Lumbar Sympathetic, and Hypogastric Plexus Blocks Kenneth Candido, MD

5:30 pm – 7:00 pm Exhibitor Meet & Greet

American Society of Interventional Pain Physicians 3

EXHIBITOR PROSPECTUS | MAY, 2018

FRIDAY, MAY 4, 2018 REVIEW COURSE FOR LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION 7:00 am – 8:00 am BREAKFAST AND REGISTRATION WITH EXHIBITORS

8:00 am – 12:00 pm Morning Session Chairperson - Frank Falco, MD

8:00 am – 8:30 am Introduction - Laxmaiah Manchikanti, MD

8:30 am – 9:00 am Lumbar Disc Pathology: Overview, Diagnosis, and Classification - Sheri L. Albers, DO

9:00 am – 9:30 am Spinal Stenosis: Overview, Diagnosis, and Classification - Kent B. Remley, MD

9:30 am – 10:30 am BREAK WITH EXHIBITORS

10:30 am – 12:00 pm Session Chairperson: Jason Capra, MD, PhD

10:30 am – 11:00 am Technical Considerations: Needle Placement and Manipulation - Frank Falco, MD

11:00 am – 11:30 am Technical Considerations: Endoscope Placement and Manipulation - Sukdeb Datta, MD

11:30 am – 12:00 am Technical Considerations: Transforaminal Endoscopic Surgery: Inside–Out - Jason Capra, MD, PhD

12:00 pm –12:55 pm LUNCH WITH EXHIBITORS

12:55 pm – 6:00 pm Afternoon Session Chairperson - Sukdeb Datta, MD

12:55 pm – 1:00 pm Introduction - Sukdeb Datta, MD

1:00 pm – 1:30 pm Technical Considerations: Transforaminal Endoscopic Surgery: Outside–In - Kent B. Remley, MD

1:30 pm – 2:00 pm Indications & Efficacy: Transforaminal Endoscopic Surgery - Frank Falco, MD

2:00 pm – 2:30 pm Technical Considerations: Disc Protrusions vs. Extrusion - Jason Capra, MD, PhD

2:30 pm – 3:00 pm Technical Considerations: Disc Decompression L4/5 and L5/S1 - Tony Mork, MD

3:00 pm – 3:30 pm BREAK WITH EXHIBITORS

3:30 pm – 4:00 pm Technical Considerations: Spinal Decompression for Spinal Stenosis - Sukdeb Datta, MD

4:00 pm – 4:30 pm Technical Considerations: Disc & Spinal Decompression for Spondylolisthesis - Tony Mork, MD

4:30 pm – 5:00 pm Technical Considerations: Other Applications – Obesity, Elderly, Tumors - Jason Capra, MD, PhD

5:00 pm – 5:30 pm Creating the Pain Interventionalist and Spine Surgeon Alliance for Better Patient Outcomes - Tony Mork, MD

5:30 pm – 7:00 pm Exhibitor Meet & Greet

FRIDAY, MAY 4, 2018 REGENERATIVE MEDICINE IN MUSCULOSKELETAL AND LUMBAR SPINE DISORDERS

6:30 am – 7:55 am REGISTRATION AND BREAKFAST WITH EXHIBITORS

7:55 am – 10:00 am Session Chair - Annu Navani, MD

7:55 am – 8:20 am Introduction to Regenerative Medicine and Review Course - Annu Navani, MD

8:20 am – 8:45 am Scientific Basis of Role Regenerative Medicine and Musculoskeletal Disorders - David Harrell, PhD

8:45 am – 9:10 am Basics and Technical Aspects of Ultrasound - Kenneth Candido, MD

9:10 am – 9:30 am Legal and Ethical Aspects and FDA Position on Regenerative Medicine in Musculoskeletal and Lumbar Spine Disorders - David Harrell, PhD

9:30 am – 10:30 am BREAK WITH EXHIBITORS

10: 30 am – 12:00 pm Ultrasound Hands on Workshop Sheldon Jordan, MD; Art Watanabe, MD; Sheri Albers, DO; George Chang Chien, DO; Andres Betts, MD, Kenneth Candido, MD and Steve Aydin, DO

12:00 pm – 12:55 pm LUNCH WITH EXHIBITORS

12:55 pm – 3:00 pm Session Chair - Sheldon Jordan, MD

12:55 pm – 1:00 pm Introduction by Session Chair - Sheldon Jordan, MD

1:00 pm – 1:30 pm Bone Marrow Concentrate: Evolution, Application and Acquisition in Musculoskeletal and Lumbar Spine Disorders - Sheldon Jordan, MD

1:30 pm – 2:00 pm PRP: Evolution, Physiology, Application and Acquisition in Musculoskeletal and Lumbar Spine Disorders - Annu Navani, MD

2:00 pm – 3:00 pm Ultrasound Hands on Workshop Sheldon Jordan, MD; Art Watanabe, MD; Sheri Albers, DO; George Chang Chien, DO; Andres Betts, MD, Kenneth Candido, MD

3:00 pm – 3:30 pm BREAK WITH EXHIBITORS

3:30 pm – 5:30 pm Session Chair –George Chang Chien, DO

3:30 pm- 3:35 pm Introduction by Session Chair - George Chang Chien, DO

3:35 pm – 3:55 pm Application of Regenerative Medicine in Lower Extremity Disorders: Evidence and Technical Considerations (Fluoroscopy and/or Ultrasound) - Sheri L. Albers, DO

3:55 pm – 4:15 pm Application of Regenerative Medicine in Upper Extremity Disorders: Evidence and Technical Considerations (Fluoroscopy and/or Ultrasound) of Intraarticular Injections - Sheldon Jordan, MD

4: 15 pm – 4:35 pm Application of Regenerative Medicine in Tendon and Ligament Pathologies - George Chang Chien, DO

4:35 pm – 4:55 pm Application of Regenerative Medicine in Spinal Disorders - Steve Aydin, DO

4:55 pm – 5:15 pm Public Relations and Marketing of Practice of Regenerative Medicine: Understanding the Differences from Traditional Insurance Model - Christy Davies

5:30 pm – 7:00 pm Exhibitor Meet & Greet

American Society of Interventional Pain Physicians4

MAY, 2018 | EXHIBITOR PROSPECTUS

CADAVER LAB COURSE LEVELS

BASIC INTERMEDIATE ADVANCED

1. Caudal epidural injections2. Lumbar interlaminar epidural injections3. Lumbar transforaminal epidural injections4. Lumbar facet joint intraarticular injections 5. Lumbar facet joint nerve blocks 6. Lumbar facet joint radiofrequency neurotomy7. Percutaneous adhesiolysis8. Knee and hip injections (supine)

1. Lumbar discography 2. Thoracic facet joint intraarticular injections3. Thoracic facet joint nerve blocks and radiofrequency neurotomy4. Cervical facet joint intraarticular injections5. Cervical facet joint nerve blocks and radiofrequency neurotomy6. Cervical interlaminar epidural injections7. Thoracic interlaminar epidural injections8. Lumbar sympathetic blocks

1. Lumbar discography2. Cervical facet joint interventions (intraarticular injections, nerve blocks, radiofrequency neurotomy)3. Thoracic facet joint interventions (intraarticular injections, nerve blocks, radiofrequency neurotomy)4. Celiac plexus and splanchnic nerve blocks, lumbar sympathetic, and hypogastric plexus blocks5. Spinal cord stimulator trial – Conventional leads6. Spinal cord stimulator trial – Newer leads 7. Spinal cord stimulator implant8. Knee and hip injections and radiofrequency neurotomy

M AY C A D AV E R W O R K S H O P C O U R S E P R O C E D U R E SNo exhibitors are allowed at the cadaver workshop unless otherwise approved by ASIPP staff

MAY 5-6, 2018CADAVAR WORKSHOP FOR LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION

MAY 5-6, 2018 CADAVAR WORKSHOP FOR REGENERATIVE MEDICINE IN MUSCULOSKELETAL AND LUMBAR SPINE DISORDERS

CADAVER LAB COURSE LEVELSBASIC INTERMEDIATE

1. PRP Preparation

2. BMC acquisition and preparation

3. BMC acquisition and preparation

4. Shoulder joint and related injections

5. Elbow and wrist joint and related injections

6. Hip joint and related injections

7. Knee joint and related injections

8. Ankle and foot and related injections

9. Free Form

1. BMC acquisition and preparation

2. BMC acquisition and preparation

3. Upper extremity injections

4. Lower extremity injections

5. Lumbar facet joint injections

6. Sacroiliac joint and related injections

7. Lumbar discography (2 hour station)

8. Free Form

CADAVER LAB COURSE LEVELSINTERMEDIATE ADVANCED

1. Discography 2. Needle placement for endoscopy3. Scope manipulation and equipment use4. Endoscopic decompression L4/5: prone5. Endoscopic decompression L5/S1: prone and lateral 6. Endoscopic decompression annular tear: prone 7. Free form practice

1. Scope placement and familiarization with tools2. Endoscopic decompression L4/5 and L5/S1: prone, lateral, interlaminar 3. Endoscopic decompression spinal stenosis 4. Free form practice

MAY 5-6, 2018 CADAVAR WORKSHOP FOR NTERVENTIONAL TECHNIQUES

For office use only:

Application Received: _________________________________________________ Amt. of Payment: ________________________________________________

ASIPP® Approval ________________________________________________________________________________________________________________________

American Society of Interventional Pain Physicians

EXHIBITOR APPLICATIONASIPP MAY 2018 COURSES

• LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION Review Course and Hands-on Cadaver Workshop • REGENERATIVE MEDICINE IN MUSCULOSKELETAL & LUMBAR SPINE DISORDERS Review Course and Hands-on Cadaver Workshop

• INTERVENTIONAL TECHNIQUES Review Course and Hands-on Cadaver Workshop

KIMPTON HOTEL PALOMAR, 2 E Jefferson St., Phoneix, AZ 85004

EXHIBITOR DATES • May 4-5, 2018. Kimpton Hotel Palomar

There will be breakfast, lunch and 2 breaks on Friday and breakfast and lunch on Saturday. Meet&Greet on Friday evening.Payment must accompany all applications. Completed forms with credit card payment can be faxed to (270) 554-5394 or e-mailed to Kristina Ramey at kramey@asipp.org If paying by check, mail form to: 81 Lakeview Drive, Paducah, KY 42001.

Application Date ________________________________

Company Information (as it will appear on signage)

Company Name ______________________________________________________________________________

Company Contact ____________________________________________________________________________

Address _____________________________________________________________________________________

City, State, ZIP ________________________________________________________________________________

Phone ____________________ Fax ______________________ E-mail ___________________________________

Names of Attending Representatives (Title):(Two reps included in fee - $100 for each additional representative)

1. ___________________________________________________________________ 2. ____________________________________________________________

Additional Names: ___________________________________________________________________________________________________________________

Check the applicable booth information:

o Table Top Exhibit ______ X $1,500.00

o May 4-5, 2018 Kimpton Hotel Palomar (Table and two chairs provided with fee - requests for additional booth items i.e. electricity, etc., should be addressed through the hotel)

*** NO DISPLAY TABLES ALLOWED IN LAB

Product List

o _________________________________________________________________________________________________________________________________

Method of Payment

o Check (made payable to ASIPP) o Credit Card: ___MC ___Visa ___AmExpress

o Pre-paid with Corporate Membership

Card Number ___________________________________________________ Expiration Date _________________ Security Code ____________________

Signature ____________________________________________________ Name on Card (print)______________________________________________

AgreementSignature and submission of this application is considered a binding agreement by the applying company and its representatives to abide by the conditions outlined in this prospectus including all rules and regulations. The signer of this application shall be the sole contact between ASIPP® and applicant company.

Company Contact Signature ______________________________________________ Print Name ____________________________________________________

Company Product/Service DescriptionPlease select a company description from below:

o Equipment

o Technology

o Diagnostics/Imaging

o Pharmaceuticals

o Practice Management

o Publisher

o Medical Services

o Other ____________________________________