IIAT | How it works?
A typical spinal cord stimulation system implant is completed in 2 stages. The first stage is a 3- to 7-day screening test to evaluate whether or not the patient is a candidate for the second stage – the spinal cord stimulation system implant.
During a neurostimulation screening test, the patient receives a temporary, external neurostimulation system for 3 to 7 days and percutaneous leads are used for the screening test.
During the screening test, the patient uses the external neurostimulation trialing system while completing daily activities. In some cases, the patient can use a patient control device to change some stimulation settings within physician-programmed limits.
Throughout the screening test, the external neurostimulator collects patient-use data and the patient records activities, neurostimulation settings, and degree of pain relief in a diary.
After the screening test ends, percutaneous trial leads are removed. Results are evaluated to determine if the patient is a candidate for a spinal cord stimulation system implant.
After the screening test, clinicians review input from the pain management team, the patient, evaluates if the goals of a neurostimulation trial have been met; and determine if a neurostimulation system will be implanted.
Implanting the spinal cord neurostimulation system requires a short surgery, typically done on as an outpatient procedure. The neurostimulator is inserted under the skin through a small incision in the upper buttock. The long-term lead is implanted in the epidural space of the spinal cord.
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