Saluda closed loop vs Medtronic inceptiv closed loop scs

[soxman]

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I haven't tried either . Saluda mentions that Medtronic invested into their tech and was able to legally use "components" of it into their inceptiv system. Any idea what the difference is between both closed loop systems ?

 

[Orin]

I haven't tried either . Saluda mentions that Medtronic invested into their tech and was able to legally use "components" of it into their inceptiv system. Any idea what the difference is between both closed loop systems ?

Saluda uses ECAPs to make sure they're doing what they think they're doing, generating a comfortable tonic paresthesia. They have to map it to the region of pain, like old school stuff, and then the ECAP feedback loop keeps paresthesia intensity in the therapeutic window. They can do this during the trial. Their battery is like the old Nevro batteries and their leads are 12 contacts long. They have active anchors with a Torq-able screw.

Medtronic uses ECAPs to make sure they're not over or under stimulating. Their ECAP measures the ceiling for their stimulation, and they cut that back to set the floor. They marry it to their DTM waveform to allow them to not have to do all the paresthesia based mapping. Patient's don't need to feel a paresthesia per se, but they can. They can only do this with the implant though as they didn't want to interfere with the trial process at all. They can use the Intellis-like battery so it's a familiar footprint and thin. Their electrodes are the usual 8-contact percs you may have used before, with their usual white bumpy or bi-wing passive anchors.

 

[clubdeac]

Saluda uses ECAPs to make sure they're doing what they think they're doing, generating a comfortable tonic paresthesia. They have to map it to the region of pain, like old school stuff, and then the ECAP feedback loop keeps paresthesia intensity in the therapeutic window. They can do this during the trial. Their battery is like the old Nevro batteries and their leads are 12 contacts long. They have active anchors with a Torq-able screw.

Medtronic uses ECAPs to make sure they're not over or under stimulating. Their ECAP measures the ceiling for their stimulation, and they cut that back to set the floor. They marry it to their DTM waveform to allow them to not have to do all the paresthesia based mapping. Patient's don't need to feel a paresthesia per se, but they can. They can only do this with the implant though as they didn't want to interfere with the trial process at all. They can use the Intellis-like battery so it's a familiar footprint and thin. Their electrodes are the usual 8-contact percs you may have used before, with their usual white bumpy or bi-wing passive anchors.

Do you speak for either of them. Very impressive knowledge of this technology

 

[Orin]

Do you speak for either of them. Very impressive knowledge of this technology

No, just a simple academic doc but I enjoy pestering KOLs and engineers in my spare time

 

[Ducttape]

heard a talk from saluda rep.

it sounds all high falutin.



anyone try yet?

 

[Gnarvin]

I haven’t put any Saluda systems in but I inherited a few patients with Saluda systems and none were happy. Can’t battery swap them to a different company either because the Saluda leads are 12 contact.

I know one person who put quite a few Saluda systems in and they were not overly impressed with the outcomes, either. Obviously this isn’t hard science, just what I have seen and heard.

 

[jwheezy]

I haven’t put any Saluda systems in but I inherited a few patients with Saluda systems and none were happy. Can’t battery swap them to a different company either because the Saluda leads are 12 contact.

I know one person who put quite a few Saluda systems in and they were not overly impressed with the outcomes, either. Obviously this isn’t hard science, just what I have seen and heard.

You think it’s Saluda or just poor patient selection? Seems like either stim works or doesn’t, regardless of what company. That being said… I haven’t used Saluda.

 

[Gnarvin]

You think it’s Saluda or just poor patient selection? Seems like either stim works or doesn’t, regardless of what company. That being said… I haven’t used Saluda.

I honestly think it is most likely both. Of the patients I have inherited with Saluda systems that are doing poorly, about half of them I think were relatively poor patient selection. However, hindsight is 20/20.

I don’t know anyone that isn’t a KOL for Saluda or doesn’t have some sort of ties to the company/reps that is overly enthusiastic about the real world results they are seeing. I think Saluda is a great product for providing consistent paresthesia based stimulation, but that is it.

These are just my opinions and real world experience, of course.

 

[Ronin1]

In our experience of about 50 Saluda implants it does usually work. What I personally have seen is the trial to implant ratio is much less than say with Abbott. That being said it’s not perfect. We have several explants including virtual ones. It’s all about patient selection