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Advanced Neuromodulation Systems

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Advanced Neuromodulation Systems

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    1. Advanced Neuromodulation Systems

    3. Cascade but appear all at once without mouse clickCascade but appear all at once without mouse click

    4. Same as leads and accessoriesSame as leads and accessories

    5. Keys to SCS Success Coverage Specificity Sustainability Coverage-Can you capture all the painful areas? Specificity-Can you hit the target?...and avoid areas of unwanted stimulation Sustainability-Can you keep it?Coverage-Can you capture all the painful areas? Specificity-Can you hit the target?...and avoid areas of unwanted stimulation Sustainability-Can you keep it?

    7. Tenets of SCS Comprehensive trial Customizable system components Optimized efficiency in programs and design Team approach to patient care

    8. Comprehensive Trial Give patients the best chance for success How? Fully featured trial stimulator Ability to accommodate 16-contacts Programming flexibility Patient empowerment with expert involvement Trial results used to determine system Not only whether they should get SCS but also what type of system matches their needs both in terms of lifestyle, cognitive function, and power requirements.Not only whether they should get SCS but also what type of system matches their needs both in terms of lifestyle, cognitive function, and power requirements.

    9. Neurostimulator Continuum (Visit booth #... For a free copy of Device Selection Criteria video) (Visit booth #... For a free copy of Device Selection Criteria video)

    10. Tenets of SCS Comprehensive trial Customizable system components Optimized efficiency in programs and design Team approach to patient care

    11. Customizable System Components

    12. 10 seconds: - Low back and legs, 2 more pain patterns, and (3 lead options for each) - Lamitrode mostly - Double-check levels 10 seconds: - Low back and legs, 2 more pain patterns, and (3 lead options for each) - Lamitrode mostly - Double-check levels

    18. Tenets of SCS Comprehensive trial Customizable system components Optimized efficiency in programs and design Team approach to patient care

    19. Linda to locate brochure with better visuals of constant current. Use a simple analogy to say what this does for the patient. Perhaps cruise control in car that automatically adjusts for hills and valleys to maintain constant speed.Linda to locate brochure with better visuals of constant current. Use a simple analogy to say what this does for the patient. Perhaps cruise control in car that automatically adjusts for hills and valleys to maintain constant speed.

    20. Need to add title – Also Brad, I usually do NOT see the whole abstract – just the title with authors; and the results bulleted like you have. Do you want me to change the image? Check sitation for proper reference.Need to add title – Also Brad, I usually do NOT see the whole abstract – just the title with authors; and the results bulleted like you have. Do you want me to change the image? Check sitation for proper reference.

    23. Octrode® Advantage This slide depicts a fluoroscopic image of an ANS Octrode with 4 mm spacing and an 8-contact lead with 1 mm spacing. The Octrode spans 52 mm, or 2 vertebral segments, while the 1 mm spced lead only covers 31 m or approximately 1 vertebral segement.This slide depicts a fluoroscopic image of an ANS Octrode with 4 mm spacing and an 8-contact lead with 1 mm spacing. The Octrode spans 52 mm, or 2 vertebral segments, while the 1 mm spced lead only covers 31 m or approximately 1 vertebral segement.

    24. Results 8.6%deeper 244% more energy Will change image Study length? Coverage Back target = T9.4 Legs = T11 Reinsert graphic from study w/ varying spinal level. Mathematically the ideal design is to have narrowly spaced electrodes however, clinically it is not practical because you lose the ability to reposition the stimulation to fit the pain.Will change image Study length? Coverage Back target = T9.4 Legs = T11 Reinsert graphic from study w/ varying spinal level. Mathematically the ideal design is to have narrowly spaced electrodes however, clinically it is not practical because you lose the ability to reposition the stimulation to fit the pain.

    25. There is a controversy in the market place about this issue. Mathematically, this spacing is deemed the most efficiently. Clinically, it is less efficient. Only get 8.6%deeper and 9.6% more specific, 40% (?) less span, and 244% less energy efficient.There is a controversy in the market place about this issue. Mathematically, this spacing is deemed the most efficiently. Clinically, it is less efficient. Only get 8.6%deeper and 9.6% more specific, 40% (?) less span, and 244% less energy efficient.

    28. Will change image Study length? Coverage Back target = T9.4 Legs = T11 Reinsert graphic from study w/ varying spinal level. Mathematically the ideal design is to have narrowly spaced electrodes however, clinically it is not practical because you lose the ability to reposition the stimulation to fit the pain.Will change image Study length? Coverage Back target = T9.4 Legs = T11 Reinsert graphic from study w/ varying spinal level. Mathematically the ideal design is to have narrowly spaced electrodes however, clinically it is not practical because you lose the ability to reposition the stimulation to fit the pain.

    29. Impact of Pulse Width

    30. Strength Duration Curve

    31. Sequential Recruitment Use screen grabs of longitudinal and lateral movement of field. Show top view moving. A final way we establish proper stimulation coverage is by steering current. We’ve always had the ability to steer current over two vertebral segments, in fact we pioneered the concept. I have admit, that ANS, as an organization, has done a poor job of explaining our current steering capabilities. Let me show you a video animation of what’s going through (insert rep’s name) head has he/she is programming patients. The first video clip show our ability to steer current laterally. The second clip shows our ability to steer current longitudinally along the lead.Use screen grabs of longitudinal and lateral movement of field. Show top view moving. A final way we establish proper stimulation coverage is by steering current. We’ve always had the ability to steer current over two vertebral segments, in fact we pioneered the concept. I have admit, that ANS, as an organization, has done a poor job of explaining our current steering capabilities. Let me show you a video animation of what’s going through (insert rep’s name) head has he/she is programming patients. The first video clip show our ability to steer current laterally. The second clip shows our ability to steer current longitudinally along the lead.

    33. ANS Rechargeable Technology

    34. Recharge Interval

    35. Keys to SCS Success Coverage Specificity Sustainability Coverage-Can you capture all the painful areas? Specificity-Can you hit the target?...and avoid areas of unwanted stimulation Sustainability-Can you keep it?Coverage-Can you capture all the painful areas? Specificity-Can you hit the target?...and avoid areas of unwanted stimulation Sustainability-Can you keep it?

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