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Which leads are the easiest to steer?

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Ducttape

SDN Lifetime Donor
7+ Year Member
Oct 7, 2011
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  1. Attending Physician
pray tell... what are the most notable differences and when would exploit one over the other? This will be a good review

its all marketing by the companies, i admit, (with the exception possibly of the lunches)

but the ones joshmir lists, and also:

RestoreSensor for positional changes by Medtronic.

Non-Medtronic systems if your patient is absentminded and you are worried he will forget to recharge (have had at least 2 patients in my limited 5 year pain experience need it changed because battery ran completely dry)

i dont use it, but maybe Epiducer?

i havent done this, but do have a patient with 2 separate pain issues that might benefit from 2 separate arrays, so maybe St. Jude for its 16 contacts...
 
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Aether2000

algosdoc
15+ Year Member
May 3, 2005
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Boston is great for patients that have trouble reaching behind them due to limitations of shoulder motion, has great programability. S leads from StJ are unidirectional which has been shown to reduce lig flavum stimulation induced back pain in some, and a wide electrode that does not move in a capacious canal. MDT is the only one approved for patients needing brain MRIs and the positional change gyro is kewl/ works well...and is better in patients that have jobs that require frequently changing positions.
 
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Ligament

Interventional Pain Management
15+ Year Member
Jan 9, 2002
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I use all three companies. It is better to keep competition up to drive down prices and encourage innovation. Also, reps come and go so good to be familiar with multiple. Also, any rep/company will take you for granted if you use them exclusively, unless you are a heavy hitter lecturer/researcher for them.
 
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Axehandler

Full Member
Oct 30, 2009
31
2
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No problems steering Medtronic. Best prior authorization service-Medtronic, best customer service-Medtronic, Restore Sensor-Medtronic, MRI brain compatible-Medtronic

How can you justify putting in a system that has no MRI compatibility when you know one that allows for at least limited compatibility exists?
 
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nhl23

New Member
May 26, 2011
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No problems steering Medtronic. Best prior authorization service-Medtronic, best customer service-Medtronic, Restore Sensor-Medtronic, MRI brain compatible-Medtronic

How can you justify putting in a system that has no MRI compatibility when you know one that allows for at least limited compatibility exists?


Medtronic's MRI Labeling has several limitations, there are too many variables to ensure patient safety to classify their SCS as "MRI compatible". It is labled as head only with many caveats. In fact, this head only labeling can be obtained by any manufacturer that wants it. Boston is approved in Europe for head only scans. Many of the raw components of all manufacturers are sourced from the same suppliers. Medtronic just pursued to have it on their labeling.

For me it is Boston first for many reasons, mainly because the rep is very good, they have the best programming platform , most efficient in the OR, completely wireless, and to answer the original question of this thread, the leads do steer better for me. I also use Medtronic , but never because of the limited MRI compatibility, and I don't use St. Jude.

All systems have their merits and shortcomings. It is good to be familiar with them all and match the right system to the patient needs.
 
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painstop

Pain Attending
10+ Year Member
Dec 28, 2010
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nhl23, I don't like to besmirch other people without knowing them but I STRONGLY suspect you are a Boston rep troll. Your only other contrbution to this forum was about the St. Jude recall for Eon-mini...unless all you do every day in your "pain clinic" is SCS then I will call an a spade a spade and take your "advice" at face value... I for one have never researched the raw materials used in these systems but I suspect it was taught to you at your yearly Boston Scientific retreat

PS - I have no problem with Boston Scientific personally and find they do have excellent programmability
 
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