501 posters, 2 videos, 1 audios, 8 topics, 37 sessions, 395 authors, 307 institutions
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23rd Annual Pain Medicine Meeting 2024
November 21-23, 2024 | Caesars Palace, Las Vegas, Nevada

6209
12-MONTH OUTCOMES WITH A FLEXIBLE CLOSED-LOOP SPINAL CORD STIMULATION SYSTEM
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Scientific Abstracts > Chronic Pain
12-month Outcomes with a Flexible Closed Loop Spinal Cord Stimulation System
Background
•A double-blind survey of a representative sample of 100 SCS patients showed that inconsistent dosing (e.g., over- or under stimulation) occurs in over 50% of patients with fixed-output devices, regardless of the waveform.1
•Inconsistent dosing results from changes in lead-to-cord distance during activities of daily living. The closed-loop (CL) algorithm in the study device adjusts amplitude based on the measured physiologic response of the spinal cord – the evoked compound action potential (ECAP).2
•Here we report outcomes with CL-SCS and multiplexed waveforms tailored to the patient’s needs (e.g., above/below perception, low dose etc. ).2
Summary
•CL-SCS reduced overstimulation and the need for manual adjustments, thereby improving the overall therapy experience.
•Significant and sustained improvements were observed in Pain, Physical Function, and Quality of Life through 12-months.
•Follow-ups are ongoing to evaluate the long-term benefits of CL-SCS with customized, multiplexed waveforms.
