Abbott Spinal Cord Stimulator Manual: A Comprehensive Guide
This manual provides essential guidance for Abbott spinal cord stimulation systems, including Eterna and Proclaim XR,
offering chronic pain relief and improved quality of life for patients.
Abbott’s Spinal Cord Stimulation (SCS) systems represent a significant advancement in chronic pain management, offering a potential alternative to long-term opioid therapy. These systems are designed to alleviate pain stemming from failed back surgery, complex regional pain syndrome (CRPS), and other debilitating conditions. Abbott continually innovates, exemplified by the launch of Eterna in December 2022 – the world’s smallest implantable, rechargeable SCS system, minimizing recharge frequency to less than five times annually under typical usage.
The Proclaim XR system, featuring BurstDR stimulation, has demonstrated effectiveness in reducing pain medication dosages post-implantation, as evidenced by studies evaluating patient quality of life. Abbott provides comprehensive support, including a dedicated patient controller and the St. Jude Medical Patient Controller app, alongside resources like the Northern Pain Centre, ensuring patients have the tools and information needed for optimal system management and care. This manual serves as your guide to understanding and utilizing your Abbott SCS system effectively.
What is Spinal Cord Stimulation (SCS)?
Spinal Cord Stimulation (SCS) is a well-established pain management technique involving the delivery of low-level electrical pulses to the spinal cord. These pulses interfere with pain signals traveling to the brain, providing relief from chronic pain conditions. An electrode, carefully positioned in the epidural space, delivers these precise currents. SCS doesn’t eliminate the source of pain, but effectively manages its perception, improving functionality and quality of life.
Abbott’s SCS systems utilize sophisticated technology to personalize therapy. The hand-held controller allows patients to adjust stimulation parameters – turning the system on/off, modifying stimulation type, location, and intensity. Different therapies, like BurstDR and Dorsal Root Ganglion (DRG) therapy with Proclaim DRG, cater to diverse pain patterns. SCS is often considered when conservative treatments have proven insufficient, offering a potentially life-changing solution for chronic pain sufferers.
How Abbott SCS Systems Work
Abbott’s Spinal Cord Stimulation systems function by intercepting pain signals before they reach the brain. An Implantable Pulse Generator (IPG), like those in the Eterna and Proclaim XR systems, sends electrical impulses through leads positioned near the spinal cord. These impulses create a tingling sensation, effectively masking the pain perception.
Advanced technologies, such as BurstDR stimulation, mimic the natural firing patterns of the spinal cord, providing more physiological and effective pain relief. Proclaim DRG therapy targets specific nerve clusters for focused pain management. The patient controller allows for personalized adjustments, optimizing therapy based on individual needs. Regular evaluation of medication dosages before and after implantation helps assess the system’s effectiveness, contributing to a comprehensive pain management strategy.
Abbott SCS System Components
Abbott SCS systems comprise an Implantable Pulse Generator (IPG), electrodes, and a patient controller – essential elements working together to deliver targeted pain relief effectively.
Implantable Pulse Generator (IPG) ⎯ Eterna & Proclaim XR
The Implantable Pulse Generator (IPG) is the power source of the Abbott Spinal Cord Stimulation (SCS) system, and Abbott offers two primary options: Eterna and Proclaim XR. Eterna stands out as the smallest implantable, rechargeable SCS device currently available, designed with patient comfort as a priority. A significant benefit of Eterna is its reduced recharge frequency – typically less than five times a year under normal usage, minimizing disruption to daily life.
Proclaim XR, on the other hand, incorporates BurstDR stimulation, a technology designed to more closely mimic natural nerve signals. Both IPGs are meticulously engineered for reliability and longevity, delivering consistent pain relief. The choice between Eterna and Proclaim XR depends on individual patient needs and the recommendations of their healthcare provider, considering factors like pain type, lifestyle, and desired features.
Electrodes & Lead Placement
Abbott SCS systems utilize electrodes, slender components carefully positioned within the epidural space of the spinal column. These electrodes deliver precisely targeted electrical currents to the spinal cord, modulating pain signals. Accurate lead placement is crucial for optimal therapy, and is determined by a qualified physician based on the patient’s specific pain patterns.
The placement process often involves fluoroscopic guidance, ensuring precise positioning. Leads can be configured in various arrangements – single, dual, or multiple – to cover the relevant pain areas. The electrodes themselves are designed to be biocompatible and durable, providing long-term stability. Proper lead placement minimizes unwanted stimulation and maximizes pain relief, contributing significantly to the overall success of the SCS therapy.
Patient Controller: Your Remote Control
Your Abbott Patient Controller is a handheld device, acting as your personal remote for the spinal cord stimulation system. It empowers you to manage your therapy, turning the system on and off as needed, and adjusting stimulation parameters within pre-set ranges determined by your physician. The controller allows for selection of different program options, tailored to various activities and pain levels.
The St. Jude Medical Patient Controller app, developed by Abbott, offers an alternative method for control via smartphone. Familiarize yourself with the controller’s functions and interface, as detailed in the provided guide. Should you encounter any difficulties, remember that support is readily available at 1-800-727-7846. Mastering the controller is key to maximizing the benefits of your SCS therapy;
Abbott SCS Systems: Key Technologies
Abbott’s innovative technologies, like BurstDR stimulation and DRG therapy with Proclaim DRG, provide targeted pain relief,
while Eterna systems offer MRI conditional functionality.
BurstDR Stimulation
BurstDR stimulation, a key technology within Abbott’s Proclaim XR Spinal Cord Stimulator, represents a significant advancement in chronic pain management. Unlike traditional tonic stimulation, which delivers a constant electrical pulse, BurstDR mimics the natural firing patterns of the spinal cord. This is achieved by delivering bursts of high-frequency pulses, followed by periods of rest.
This unique approach offers several potential benefits for patients. Studies, including evaluations documented on PMC, suggest that BurstDR can lead to improved pain relief and reduced medication usage. The intermittent nature of the stimulation may also contribute to a more comfortable and natural sensation, minimizing the paresthesia (tingling) sometimes experienced with conventional SCS.
The Proclaim XR system allows physicians to precisely tailor BurstDR parameters to each patient’s specific pain pattern and needs, optimizing therapy for maximum effectiveness. It’s a sophisticated method designed to address chronic pain syndromes more comprehensively.
Dorsal Root Ganglion (DRG) Therapy ⎼ Proclaim DRG
Abbott’s Proclaim DRG therapy offers a targeted approach to pain management, specifically designed for focal pain conditions in the limbs. Unlike traditional spinal cord stimulation (SCS) which modulates signals within the spinal cord, DRG therapy directly targets the Dorsal Root Ganglion (DRG); The DRG are clusters of nerve cells that relay pain signals from the periphery to the spinal cord.
The Proclaim DRG system utilizes a specialized lead placed near the DRG, delivering precisely targeted stimulation to interrupt these pain signals at their source. This is particularly effective for conditions like Complex Regional Pain Syndrome (CRPS) and neuropathic pain in the feet and legs.
As highlighted in Abbott’s promotional materials, Proclaim DRG provides a unique connection to patient care, offering a distinct therapeutic option when conventional SCS may be less effective. It represents a significant advancement in personalized pain relief strategies.
MRI Conditional Systems ⎼ Eterna
Abbott’s Eterna spinal cord stimulation system is designed as MRI-Conditional, offering patients greater flexibility regarding diagnostic imaging. This means, under specific conditions, patients with the Eterna system can safely undergo Magnetic Resonance Imaging (MRI) scans without requiring the IPG to be reprogrammed or removed.
However, strict adherence to the MRI safety guidelines outlined in the Eterna manual is crucial. These guidelines detail specific parameters for MRI scanning, including the maximum magnetic field strength, scan duration, and radiofrequency energy absorption.
Patients must inform MRI personnel about the presence of the Eterna system before the scan. They should also be instructed to immediately report any unusual sensations – such as discomfort, pain, heating, stimulation, or vibration – during the procedure. Detailed MRI procedure information is available from Abbott.
Using Your Abbott Patient Controller
Your Patient Controller is a handheld device used to manage your Abbott SCS system, allowing you to adjust stimulation settings and control your therapy.
Turning the System On and Off
Activating your Abbott Spinal Cord Stimulation (SCS) system is straightforward using your Patient Controller. To turn the system on, locate the power button on the controller and press it firmly. The display will illuminate, indicating the system is active and delivering therapy. Conversely, to turn the system off, simply press and hold the power button for a few seconds until the display turns off.
It’s important to note that the system may have a ‘lock’ function to prevent accidental adjustments. Refer to your complete guide for unlocking instructions. Additionally, a magnet, often provided with your system, can be used as a temporary on/off switch in certain situations. Wave the magnet over the implanted pulse generator (IPG) to toggle the system’s status. Always consult your physician regarding appropriate use of the magnet.
Adjusting Stimulation Parameters
Your Abbott Patient Controller allows personalized control over your SCS therapy. Adjusting stimulation parameters – such as amplitude (strength), pulse width, and frequency – can optimize pain relief; Use the up and down arrow buttons on the controller to incrementally increase or decrease these settings. Begin with small adjustments and carefully monitor your pain levels to determine the most comfortable and effective configuration.
The ‘program’ selection feature enables you to store multiple customized settings for different activities or times of day. Experiment with various combinations to find what works best for you. Remember to document your preferred settings. If you experience any discomfort or unexpected sensations, immediately reduce the stimulation level or turn the system off. Always discuss any significant changes or concerns with your pain management specialist.
Understanding Program Options
Abbott’s Patient Controller offers diverse program options designed to cater to your individual needs and daily activities. These programs pre-set combinations of stimulation parameters – amplitude, pulse width, and frequency – for optimized pain relief in various scenarios. Explore the available programs to find those that best address your specific pain patterns and lifestyle.
The Proclaim XR system, for example, features BurstDR stimulation, offering a unique program option. Your physician will program these options based on your diagnosis and response to therapy. The controller’s display will indicate the currently selected program; You can cycle through programs using the controller buttons. Remember to note which programs provide the most effective pain relief for different situations, and discuss your preferences with your healthcare provider.
Managing Your Abbott SCS System
Effective system management involves monitoring battery life (Eterna), adjusting medications as needed, and promptly addressing any issues that may arise post-implantation.
Battery Life & Recharge Procedures (Eterna)
The Eterna SCS system is designed for infrequent recharging, typically less than five times a year under normal usage conditions, minimizing disruption to your daily life. Battery life depends on stimulation settings; higher settings consume more power.
To recharge, use the provided charger, ensuring proper alignment with the IPG. A full charge usually takes several hours, and the patient controller will indicate charging status. Avoid using third-party chargers, as they may damage the device.
Regularly monitor the battery indicator on your patient controller. When the battery reaches a low level, schedule a recharge promptly. Do not attempt to open or repair the IPG yourself; contact Abbott support for any concerns. Proper charging ensures continued pain relief and optimal system performance.
Medication Management Post-Implantation
Following implantation of your Abbott SCS system, particularly with Proclaim XR and BurstDR stimulation, you may experience a reduction in pain. This often allows for a potential decrease in your pain medication dosage, but never alter your medications without consulting your physician;
Work closely with your doctor to gradually adjust your medication regimen, monitoring for any changes in pain levels or side effects. The goal is to optimize pain control with the lowest effective medication dose, enhancing overall well-being.
Continue regular follow-up appointments with your pain specialist to assess your progress and refine both stimulation parameters and medication management. A collaborative approach ensures the best possible outcome and minimizes potential risks associated with medication use.
Troubleshooting Common Issues
Occasionally, you may encounter minor issues with your Abbott SCS system. If you experience a sudden loss of stimulation, first check the battery level on your Patient Controller. Ensure the system is turned on and the lead hasn’t migrated – contact your physician if you suspect this.
If discomfort, pain, heating, stimulation, or vibration occurs during an MRI, immediately inform MR personnel. For connectivity problems with the St. Jude Medical Patient Controller app, verify Bluetooth is enabled and the app is updated.
For general concerns, consult this manual or contact Abbott Support at 1-800-727-7846. Do not attempt to repair the system yourself; always seek professional assistance from your healthcare provider.
Safety Information & Precautions
Prioritize safety by adhering to MRI guidelines and understanding potential electromagnetic interference. Follow post-implantation care instructions diligently for optimal system performance and longevity.
MRI Safety Guidelines
Abbott’s Eterna SCS system is designed to be MRI Conditional, but strict adherence to guidelines is crucial for patient safety during Magnetic Resonance Imaging (MRI) procedures. Before undergoing an MRI, patients must inform MR personnel about the implanted device.
Specific absorption rate (SAR) limits must be observed, and the MRI environment should be monitored. Patients should be instructed to immediately notify MR personnel if they experience any unusual sensations, such as discomfort, pain, heating, stimulation, or vibration during the scan.
Pre-scan programming by a qualified healthcare professional is essential, and post-scan device interrogation is recommended to verify continued proper function. Detailed MRI procedure information is available, outlining specific parameters and precautions to ensure a safe imaging experience. Always consult the full MRI guidelines provided with your system.
Electromagnetic Interference (EMI)
Abbott Spinal Cord Stimulation (SCS) systems may be susceptible to electromagnetic interference (EMI) from various sources, potentially causing unintended stimulation or device malfunction. While designed with shielding, certain environments require caution.
Avoid close proximity to high-voltage power lines, industrial equipment generating strong electromagnetic fields, and radiofrequency (RF) transmitting devices. Security systems, including metal detectors at airports, may trigger interference; inform security personnel about your device.
Although generally safe, it’s prudent to minimize exposure to these sources. If you experience unexpected changes in stimulation, move away from the potential EMI source. Report any persistent issues to your physician or Abbott support at 1-800-727-7846 for evaluation and guidance. Understanding potential EMI sources is key to maintaining optimal system performance.
Post-Implantation Care Instructions
Following Abbott SCS implantation, diligent post-operative care is crucial for optimal healing and device function. Keep the incision site clean and dry, adhering to your surgeon’s specific wound care instructions. Avoid strenuous activities, heavy lifting (over 10 pounds), and bending/twisting motions for approximately six weeks, or as directed by your doctor.
Monitor the incision for signs of infection – increased redness, swelling, drainage, or fever – and report them immediately. Attend all scheduled follow-up appointments to assess healing and adjust stimulation parameters. Familiarize yourself with your Patient Controller and practice using it as instructed.
Be mindful of potential electromagnetic interference (EMI) and follow safety guidelines. Contact Abbott support at 1-800-727-7846 with any concerns or questions regarding your SCS system.
Patient Support & Resources
Abbott offers comprehensive support, including a dedicated helpline at 1-800-727-7846, the St. Jude Medical Patient Controller app, and resources from Northern Pain Centre.
Contacting Abbott Support (1-800-727-7846)
For immediate assistance with your Abbott spinal cord stimulation system, or if you encounter any operational concerns, please do not hesitate to contact Abbott’s dedicated support team. You can reach them directly at 1-800-727-7846. This helpline is staffed by knowledgeable professionals equipped to address a wide range of inquiries, from troubleshooting common issues to providing guidance on system functionality and maintenance.
The support team can assist with questions regarding your Patient Controller, IPG (Implantable Pulse Generator), electrode performance, and programming adjustments. They are also available to provide information about battery life, recharge procedures for Eterna systems, and potential electromagnetic interference (EMI) concerns. Remember to have your device information readily available when you call to expedite the support process. Abbott is committed to ensuring a positive and effective experience with your SCS therapy.
St. Jude Medical Patient Controller App
Enhance your control and convenience with the St. Jude Medical Patient Controller app, now part of the Abbott family of solutions. This innovative application, designed for compatible smartphones, allows you to manage certain aspects of your spinal cord stimulation therapy directly from your mobile device. The app mirrors many of the functions available on your physical Patient Controller, offering a streamlined and accessible experience.
Through the app, you may be able to adjust stimulation programs, monitor battery status (for rechargeable systems like Eterna), and potentially access educational resources. Please note that app functionality may vary depending on your specific Abbott SCS system and programming settings. Ensure you discuss app usage with your physician to confirm its suitability for your individual needs and to understand any limitations. Download and setup instructions are available through your healthcare provider or Abbott’s support channels.
Northern Pain Centre Information Resources
The Northern Pain Centre provides comprehensive support and educational materials to enhance your understanding of Abbott spinal cord stimulation (SCS) therapy. Their resources are designed to complement your care and empower you to actively participate in managing your chronic pain. Key components of the SCS system, such as the implantable pulse generator (IPG), electrodes, and the patient controller, are explained in detail.
The Centre’s information clarifies how electrodes deliver precise currents to the spinal cord, and how the handheld controller allows you to adjust stimulation parameters – turning the system on/off, modifying stimulation type, location, and intensity. They offer guidance on post-implantation care, potential troubleshooting steps, and emphasize the importance of regular follow-up appointments with your pain specialist. Access their resources online or through your care team for a deeper understanding of your SCS system and its optimal use.