Evoke
®
SCS System Clinical Manual
CLIN-UMAN-005175
Revision: 9.00
Page 2 of 101
Table of Contents
1
DESCRIPTION ................................................................................................................... 5
1.1
T
HE CONCEPT OF
ECAP-
CONTROLLED CLOSED
-
LOOP
SCS ............................................................ 5
1.2
S
TIMULATION
F
EATURES
....................................................................................................... 5
1.3
M
EASUREMENT
F
EATURES
.................................................................................................... 6
1.4
S
YSTEM
C
OMPONENTS
......................................................................................................... 8
2
INDICATION FOR USE ..................................................................................................... 10
3
CONTRAINDICATIONS .................................................................................................... 10
4
SAFETY INFORMATION ................................................................................................... 10
4.1
P
RECAUTIONS
................................................................................................................... 10
5
INTRODUCTION .............................................................................................................. 12
5.1
E
VOKE
C
LINICAL
I
NTERFACE
(CI) ........................................................................................... 12
5.2
E
VOKE
C
LINICAL
S
YSTEM
T
RANSCEIVER
(CST) ......................................................................... 12
6
CLINICAL INTERFACE – GENERAL PROGRAMMING USING THE CPA ................................. 13
6.1
C
ONNECTING THE
CI
TO THE
CST
AND E
CLS/CLS .................................................................... 13
6.2
S
ET STIMULATOR TIME
........................................................................................................ 15
6.3
C
HECK STIMULATOR BATTERY VOLTAGE
.................................................................................. 16
6.4
R
ETRIEVE OR SET THE
P
ATIENT
ID
AND
P
ATIENT
Z
ONE
............................................................... 16
6.5
M
EASURE ELECTRODE IMPEDANCES
....................................................................................... 18
6.6
S
ET UP LEAD ORIENTATION
.................................................................................................. 19
6.7
P
ROGRAMMING OVERVIEW
................................................................................................. 20
6.8
C
HOOSE THE STIMULATION ELECTRODES AUTOMATICALLY
.......................................................... 20
6.9
S
TART AND STOP STIMULATION WITH CLOSED
-
LOOP DISABLED
.................................................... 21
6.10 S
ET UP
ECAP
MEASUREMENT
.............................................................................................. 23
6.11 S
ET UP CLOSED
-
LOOP STIMULATION
...................................................................................... 29
6.12 S
ET APPROPRIATE LIMITS AND INCREMENTS
............................................................................. 30
6.13 E
NABLE CLOSED
-
LOOP STIMULATION
..................................................................................... 31
6.14 S
TART AND
S
TOP STIMULATION WITH CLOSED
-
LOOP ENABLED
..................................................... 33
6.15 S
AVE A PROGRAM TO THE STIMULATOR
.................................................................................. 34
6.16 C
REATE A NEW PROGRAM OR USE PROGRAMMING FEATURES AND SETTINGS
.................................. 36
6.17 D
ISCONNECT FROM THE STIMULATOR AND CLOSE THE
CPA ........................................................ 36
7
CLINICAL INTERFACE – PROGRAMMING FEATURES ........................................................ 37
7.1
S
TIMULATION
W
AVEFORM
.................................................................................................. 37
7.2
C
LEAR
CAP ...................................................................................................................... 38
7.3
C
URRENT STEERING
........................................................................................................... 39
7.4
M
EASUREMENT ELECTRODE SCAN
......................................................................................... 40
7.5
I
NTERLEAVED STIMULATION
................................................................................................. 45
7.6
A
CTIVATION PLOT LEVELS
.................................................................................................... 49
7.7
D
ATA FILES
...................................................................................................................... 50
7.8
N
EUROPHYSIOLOGICAL MEASUREMENTS
................................................................................ 51
7.9
A
DDITIONAL IMPEDANCE MEASUREMENTS
.............................................................................. 57
7.10 P
ATIENT
S
URVEY
............................................................................................................... 57
8
CLINICAL INTERFACE – SETTINGS GUIDE ......................................................................... 59
8.1
S
TIMULATION SETTINGS MENU
............................................................................................. 59
8.2
M
EASUREMENT AND FEEDBACK SETTINGS MENU
...................................................................... 60
