indications, safety, and warnings SPINAL CORD STIMULATION

NEUROSTIMULATION SYSTEMS FOR PAIN THERAPY

Brief Summary: Product manuals must be reviewed prior to use for detailed disclosure.

INDICATIONS

Spinal cord stimulation (SCS) is indicated as an aid in the management of chronic, intractable pain of the trunk and/or limbs-including unilateral or bilateral pain.

CONTRAINDICATIONS

Diathermy - Energy from diathermy can be transferred through the implanted system and cause tissue damage resulting in severe injury or death.

WARNINGS

Sources of electromagnetic interference (e.g., defibrillation, electrocautery, MRI, RF ablation, and therapeutic ultrasound) can interact with the system, resulting in unexpected changes in stimulation, serious patient injury or death.  An implanted cardiac device (e.g., pacemaker, defibrillator) may damage a neurostimulator, and electrical pulses from the neurostimulator may cause inappropriate response of the cardiac device. Diabetic patients may have more frequent and severe complications with surgery. A preoperative assessment is advised for some diabetic patients to confirm they are appropriate canadiates for surgery.

PRECAUTIONS

Safety and effectiveness has not been established for pediatric use, pregnancy, unborn fetus, or delivery.  Avoid activities that put stress on the implanted neurostimulation system components.  Recharging a rechargeable neurostimulator may result in skin irritation or redness near the implant site.

ADVERSE EVENTS

May include:  undesirable change in stimulation (uncomfortable, jolting or shocking); hematoma, epidural hemorrhage, paralysis, seroma, infection, erosion, device malfunction or migration, pain at implant site, loss of pain relief, and other surgical risks. Adverse events may result in fluctuations in blood glucoase in diabetic patients.

Refer to  www.medtronic.com for product manuals for complete indications, contraindications, warnings, precautions and potential adverse events.

Rx only   Rev 0222