Boston Scientific Precision Spectra System Programming Manual

Transcripción

1 Boston Scientific Precision Spectra System Programming Manual NM Clinician Programmer NM R Clinician Programmer NM Clinician Programmer NM R Clinician Programmer en es fr ptbr CAUTION: Federal law restricts this device to sale, distribution and use by or on the order of a physician REV A

2 Precision Spectra System Programming Manual Copyright 2013 Boston Scientific Corporation or its affiliates. All Rights Reserved. These documents are the property of Boston Scientific Corporation and shall not be reproduced, distributed, disclosed, or used for manufacture or sale of device without the express written consent of Boston Scientific Corporation. en Guarantees Boston Scientific Corporation reserves the right to modify, without prior notice, information relating to its products in order to improve their reliability or operating capacity. Trademarks Infinion, Artisan, BionicNavigator, E-Troll, and EGL Scan are trademarks of Boston Scientific. Other brands and their products are trademarks or registered trademarks of their respective holders and should be noted as such. Models NM Clinician Programmer NM R Clinician Programmer NM Clinician Programmer NM R Clinician Programmer Precision Spectra System Programming Manual REV A 1 of 296

3 Table of Contents Table of Contents Introduction...4 Setting Up...5 Connecting the Programming Wand to the CP...6 Starting a Session...7 Main Screen...7 Entering Patient Information...10 Changing Patients...12 Defining the Patient s Pain...13 Configuring the CP and Stimulator...15 Connecting to a Stimulator...15 Assigning a Patient to a Stimulator...18 Choosing a Patient Record to Use...19 Disassociating a Patient...20 Viewing the Programming Connection Status...20 Displaying CP and Programming Wand Information...21 Configuring Leads...23 Changing a Lead s Orientation on the Lead Placement Panel...27 Assigning a Lead to a Group...28 Using EGL Scan Technology...29 Measuring Impedances...34 Programming the Patient...35 Mapping and Programs Screen...37 Overview...37 Basic Panel...38 Parameters Panel...39 Full View Tab...42 Selecting the Program...43 Electrode Programming...44 Using E-Troll Mode...44 Using Navigate Mode...45 Using Manual Mode...45 Increasing/Decreasing Amplitude...46 Increasing/Decreasing Pulse Width...46 Increasing/Decreasing Rate...47 Using the Keyboard Shortcuts...47 en Precision Spectra System Programming Manual REV A 2 of 296

4 Precision Spectra System Programming Manual en Understanding the Area Slots...48 Turning Stimulation ON or OFF...49 Understanding the Advanced Options...50 Understanding the Program Options...51 Defining Cycling, Maximum Amplitude, and Ramp Up Time...52 Specifying Remote Control Locks...54 Copying Areas to other Area Slots...55 Clearing an Area...56 Temporarily Saving Areas...56 Completing the Programming Session...58 Notes...59 Tools...60 Patient Configuration...60 Backup Data/Logs...62 Update Leads...63 Reports...65 Troubleshooting...67 Glossary...68 NOTE: All graphics are for illustration purposes only. Screens depicted in this manual may differ slightly from the screens on your Precision Spectra System Clinician Programmer. Refer to the Indications for Use for indications and related information. Refer to the Precision Spectra System Information for Prescribers manual for contraindications, warnings, precautions, adverse events summary, Physician instructions, component disposal, and contact information for Boston Scientific. Refer to the Labeling Symbols Addendum for an explanation of Labeling Symbols. Refer to the Programming Wand Directions for Use for instructions on using the Programming Wand. Refer to the Limited Warranty for warranty information. Refer to the Precision Spectra System Information for Prescribers for clinical studies supporting the clinical use of the neuromodulation system. Precision Spectra System Programming Manual REV A 3 of 296

5 Introduction Introduction Welcome to the Precision Spectra Clinician Programmer (CP) by Boston Scientific. Your CP s software allows you to set and adjust stimulation parameters for the Precision Spectra Spinal Cord Stimulator System. The goal of this Programming Manual is to provide useful information and instruction to users of the CP. The user interface is designed so that you can navigate through the user interface systematically. A typical programming session consists of the following sequential procedures: Create a profile for the patient Connect to the Stimulator Connect and Configure Leads Map and Save Stimulation Programs en In the following pages, you will learn basic concepts that will allow you to complete the above procedures as well as perform additional functions, such as creating reports. If you have any issues, please refer to the Troubleshooting section on page 67. Precision Spectra System Programming Manual REV A 4 of 296

6 Precision Spectra System Programming Manual Setting Up Programming Wand Programming Wand ClinicianProgrammer Programmer Clinician OptionalJoystick Joystick Optional en USB Cable Cable USB M AR K OF F LE Figure 1: Clinician Programmer (CP) and Programming Wand Precision Spectra System Programming Manual REV A 5 of 296 VE L

7 Setting Up The CP communicates with the Stimulator via a Programming Wand. The Programming Wand uses a radio frequency (RF) link to communicate with the Stimulator. Programs can be created and downloaded to the CP for previewing, activating, and changing stimulation parameters. Stimulation programs can also be saved to the Stimulator. CAUTION: Use only Precision Spectra System components with the Precision Spectra Clinician Programmer. Failure to do so may result in the inability to program the Stimulator. CAUTION: The CP is not equipment for the patient environment as defined by IEC The CP and the person using the CP should not be in contact with the patient while programming. en Note: See Toshiba Portege M400 Tablet PC Series Manuals at for additional instructions. See ASUS Eee Slate B121 manuals at for additional instructions. Note: If desired, an external monitor can be connected for easier viewing by multiple people. For Toshiba, use the 15-pin, analog VGA port to connect an external SVGA monitor (color or monochrome). For ASUS, insert a mini HDMI cable into the port to connect to a high-definition multimedia interface (HDMI). Connecting the Programming Wand to the CP 1. Insert the Mini-B USB end of the USB connector cable into the Mini-B USB port on the side of the Programming Wand. 2. Insert the Standard-A end of the USB connector cable into the Standard-A USB port on the CP. Precision Spectra System Programming Manual REV A 6 of 296

8 Precision Spectra System Programming Manual Starting a Session Power [ON] the CP to display the Neuromodulation desktop. Select the Precision Spectra icon to launch the BionicNavigator 3D Software. Upon launch, the Main screen displays. To access the Main screen at any other time, select any accessible space on the gray Main screen expander bar at the top of the screen. Main Screen en Figure 2: Main Screen The components on the Main screen are global (displayed on all screens) and are described in Table 1. Precision Spectra System Programming Manual REV A 7 of 296

9 Starting a Session Table 1: Global Components Component 1 Patient Expander Bar 2 Configuration Expander Bar Description Displays the current patient s name and pain scale. Select the Patient Expander Bar to display the Patient Info screen which allows you to: Create a new Patient Profile Enter/Edit Patient Information Record a patient s Pain Scale Select the Configuration Expander Bar to display the Configuration screen which allows you to: Connect to a Stimulator Define lead configurations Check impedances The CP s connection status is also indicated at the right of this expander bar. Green indicates a connection, while the red x indicates a connection has not been made. en 3 Mapping and Programs Expander Bar Select the Mapping and Programs Expander Bar to display the Mapping and Programs screen which allows you to set up and configure stimulation programs Precision Spectra System Programming Manual REV A 8 of 296

10 Precision Spectra System Programming Manual 4 Stimulation On/Off Button The Stimulation On/Off button displays at the top of every screen and changes color to indicate connection status as well as stimulation On/Off status: The CP is not connected to a Stimulator. en The CP is connected to a Stimulator; and stimulation is OFF Notes Reports Tools Quit The CP is connected to a Stimulator, and stimulation is ON. When the CP is connected to a Stimulator, you can turn stimulation on or off at anytime by selecting the Stimulation On/Off button. Displays the Notes pop-up window which allows you to: Select a reason for the visit Record Session Notes View the Notes History Displays the Reports pop-up window which allows you to generate and print customizable reports. Displays the Tools pop-up window which allows you to: Increase or decrease the default value for pulse width and rate. Specify which parameters are locked out on the remote control. Backup data and logs. Enable or disable leads Displays the Quit pop-up window which allows you to: Disconnect from the Stimulator Exit the Clinician Programmer Software Turn Off the CP Precision Spectra System Programming Manual REV A 9 of 296

11 Starting a Session Entering Patient Information From the Main screen, select the Patient Expander Bar to access the Patient Info screen (default) and the Pain Scale screen. en Figure 3: Patient Info Screen Note: Required fields on the screen above are indicated by an asterisk. The Patient Info and Pain Scale buttons on the left side of the Patient screen allow you to toggle between the Patient Info screen and the Pain Scale screen. See Defining a Patient s Pain for additional information. To enter/edit information on the Patient (Information) screen: 1. Type the Patient/Chart ID (Optional) 2. Type the Patient s Last Name. 3. Type the Patient s First Name. Precision Spectra System Programming Manual REV A 10 of 296

12 Precision Spectra System Programming Manual en 4. Select the calendar icon to select the Date of Birth. Tip: To quickly change the birth year, click or tap twice on the [Month, Year] at the top of the calendar to be able to scroll (left-right) to different decades. 5. Select a Gender: (Optional) a. Female b. Male 6. Type the Patient s Address. (Optional) 7. Type the name of the Physician, or select from the drop-down list. (Optional) Note: This text box is enabled only when the CP is connected to a Stimulator. See Connecting to a Stimulator in this manual. 8. Type the Diagnosis, or select from the drop-down list.(optional) Note: This text box is enabled only when the CP is connected to a Stimulator. See Connecting to a Stimulator in this manual. 9. Select the Save button to save the information entered. Important: Offline changes will only be saved on the CP. Note: You can revert back to the last saved version of the patient s information by selecting the Revert button on the Patient (Information) screen. Note: To create a new patient record, select the Create New Patient button and repeat steps 1-9 as appropriate. Precision Spectra System Programming Manual REV A 11 of 296

13 Starting a Session Changing Patients You can choose to display information for a different patient, when not connected to a stimulator, by selecting the Change Patient button on the Patient Info screen. The Select a patient pop-up window will be displayed: en Figure 4: Select a Patient Pop-Up Window Note: Use the scroll bars at the bottom and side of the pop-up window to view all of the available information. To Change a Patient: 1. Type any part of the Patient s name in the Search text box to narrow the list. 2. Select the desired Patient from the list. 3. Select the Select button. Precision Spectra System Programming Manual REV A 12 of 296

14 Precision Spectra System Programming Manual Defining the Patient s Pain From the Patient Info screen, select the Pain Scale button to display the Pain Scale screen. Note: A Stimulator must be connected to the CP in order to access the Pain Scale screen. Refer to Connecting to a Stimulator. en Figure 5: Pain Scale Screen Note: As indicated on the Pain Scale screen in Figure 5, 0 represents No Pain and 10 represents the Worst Pain Imaginable. To enter a Patient s Pain Scale: 1. Select the Sliding Number button on the Stimulation ON bar and slide it to the number that best represents the Patient s level of pain when stimulation is ON. 2. Select the Sliding Number button on the Stimulation OFF bar and slide it to the number that best represents the Patient s level of pain when stimulation is OFF. Precision Spectra System Programming Manual REV A 13 of 296

15 Starting a Session Note: Stimulation can be turned on and off at any time, by selecting the Stimulation On/Off Button at the top of the screen. en Precision Spectra System Programming Manual REV A 14 of 296

16 Precision Spectra System Programming Manual Configuring the CP and Stimulator en The Configuration screen allows you to set up the CP and Stimulator for programming. On the Configuration screen you can: Establish a programming connection between the CP and the Stimulator. Check the status of the programming connection. Identify which leads are used and record where they were implanted. Set up the connection between the leads and the Stimulator ports. Run EGL Scan to identify and apply the relative offset of leads. Check the impedances of each contact. Connecting to a Stimulator In order to program a Stimulator, you must connect the CP to that Stimulator. 1. Select the Configuration Expander bar to display the Connect screen. 2. Select the button to create a programming connection between the desired Stimulator and CP. The Connection Status Indicator displays green when a valid connection is made. Note: After connecting the desired Stimulator and CP, a Remote Control (and in the case of an ETS, also the ETS On/Off button) can be used to modify the Stimulator s settings (e.g., turn stimulation ON or OFF). Any subsequent change to the Stimulator from the CP will transfer the settings displayed on the CP to the Stimulator. Caution: If the Remote Control is used to turn stimulation OFF during programming, turn the Stimulation On/Off Button on the CP to OFF before resuming programming. This will ensure that the CP is synchronized with the stimulation status of the Stimulator. Precision Spectra System Programming Manual REV A 15 of 296

17 Configuring the CP and Stimulator en 5 7 Figure 6: Connection Screen Component 1 CP to Wand to Stimulator Connection Description Displays the status of the connections between the CP, Wand, and Stimulator. 2 Rescan Button Select this button to rescan the vicinity for available Stimulators. (Disabled if CP is already connected to a Stimulator) 3 Stimulator Information Note: When the Connect screen is first accessed, the CP scans the vicinity to locate and lists all available Stimulators. Displays the following: Type of Stimulator (Trial Stimulator or Implantable Pulse Generator) Model Number Serial Number Firmware Version Number Stimulator service life information, if within 6 months of end of service life Precision Spectra System Programming Manual REV A 16 of 296

18 Precision Spectra System Programming Manual en 4 Patient Information Last Name, First Name, and Date of Birth are displayed if the Stimulator is assigned to a patient. If not, these fields are blank. Refer to Assigning a Patient to a Stimulator on page Disassociate Button Select this button to disassociate the displayed patient from the connected stimulator. 6 Connection Status Indicator 7 Connect or Disconnect Button The indicator displays a green filled circle if the Stimulator is connected to the CP. When no stimulator is connected, this button reads Connect. When a Stimulator is connected, this button reads Disconnect. Select the button to Connect or Disconnect the desired stimulator. Figure 7: Connection Screen after Trial Stimulator is Connected Precision Spectra System Programming Manual REV A 17 of 296

19 Configuring the CP and Stimulator Assigning a Patient to a Stimulator A patient profile must be associated with a Stimulator before a Stimulator can be programmed. If a Stimulator is not assigned a patient profile, the software prompts you to assign a patient profile from the patient profile database on the CP. en Figure 8: Change Patient Dialog Box 1. If desired, type the first name, last name or Patient/Chart ID in the Search text box to filter the list of Patients. 2. Select the appropriate Patient. 3. Select the Assign Patient button. Precision Spectra System Programming Manual REV A 18 of 296

20 Precision Spectra System Programming Manual Choosing a Patient Record to Use During the connection process, if the Patient information in the Stimulator and the Patient information in the CP database differ, you will be prompted to select which Patient record to use. en Figure 9: Change Patient Record Dialog Box 1. Review the Patient records. 2. Select the Use this Record button for the record that you want to save to the Stimulator and to the CP. The record that is not selected will be overwritten. Precision Spectra System Programming Manual REV A 19 of 296

21 Configuring the CP and Stimulator Disassociating a Patient You can disassociate or remove a patient profile from a Stimulator. Note: The Disassociate button only displays on the Configuration Connect screen when a Patient profile is assigned to a Stimulator. From the Connect screen: 1. Select the button for the Stimulator to which the Patient is currently associated. 2. The Patient profile is removed from the Stimulator and the programming connection between the CP and the Stimulator is terminated. For the ETS, all programming, usage, and lead configuration data are also removed. en Viewing the Programming Connection Status The programming connection status between the CP, Programming Wand, and Stimulator is displayed on the Connect screen. Figure 10 Connected Status Figure 11: Disconnected Status Precision Spectra System Programming Manual REV A 20 of 296

22 Precision Spectra System Programming Manual en Displaying CP and Programming Wand Information You can view additional information for the CP or Programming Wand from the Connect screen. 1. Select the CP image to display the following CP information: System Date System Time Installation Confirmation Key Install Date Software Version Software Part Number. Figure 12: Connection Screen, CP Information Precision Spectra System Programming Manual REV A 21 of 296

23 Configuring the CP and Stimulator 2. Select the Wand image to display the following information: Model Number Serial Number Firmware Part Number en Figure 13: Connection Screen, Wand Information 3. Re-select the Stimulator image to display the Stimulator information (Connection screen s default view): Model Number Serial Number Firmware version NOTE: The Model number and Serial number of the Trial Stimulator can be found by removing the battery compartment on the Trial Stimulator. Precision Spectra System Programming Manual REV A 22 of 296

24 Precision Spectra System Programming Manual Configuring Leads Before programming can begin, leads must be selected, positioned, and connected to the Stimulator on the Leads screen. Compatible Leads: Infinion 16 xx cm 16 contact lead en Linear xx cm 8 Contact Leads Linear ST xx cm 8 Contact Leads Linear 3-4 xx cm 8 Contact Leads Linear 3-6 xx cm 8 Contact Leads Artisan 2x8 Surgical leads CoverEdge 32 XXcm 4x8 Surgical Lead CoverEdge X 32 XXcm 4x8 Surgical Lead 8 Contact Extensions 2x4 Splitters 2x8 Splitters Note: xx denotes length (cm)the Precision Spectra System supports any combination of 8 contact percutaneous, 16 contact percutaneous and 16 contact surgical leads totaling up to 32 active contacts. Precision Spectra System Programming Manual REV A 23 of 296

25 Configuring the CP and Stimulator The Leads screen can be accessed by selecting the Leads screen. Button within the Configuration en Figure 14: Leads Screen Precision Spectra System Programming Manual REV A 24 of 296

26 Precision Spectra System Programming Manual The features on the Leads screen are described in the table below: en Panel 1 Lead Selection Panel 2 Lead Placement Panel 3 Placement/Grid Lines Description Displays all supported percutaneous and paddle leads for the Stimulator. Note: 1x8 percutaneous = lead included in the Linear (ST) XXcm 8 Contact Trial Lead Kit or Linear ST) XXcm 8 Contact Lead Kit. All other 8 contact Linear leads and Splitter configurations may be programmed using this lead. Manual mode may be used to account for different contact spacing. 1x16 percutaneous = lead included in the Infinion XXcm 16 Contact Lead Kit 2x8 paddle = Artisan XXcm 2x8 Surgical Lead Kit 4x8 paddle (optimal) = CoverEdge 32 XXcm 4x8 Surgical Lead Kit 4x8 paddle (general) = CoverEdge X 32 XXcm 4x8 Surgical Lead kit Note: XX denotes lead length Illustrates and records the vertebral level of the spinal column where leads are placed. Illustrates and records the mediolateral placement of the leads. A lead can be dragged and dropped on to one of seven Grid Lines on the Lead Placement Panel. NOTE: After placing the first percutaneous lead in a Lead Group, only alternating Grid Lines will be available for additional percutaneous leads that are placed in that Lead Group. To view all seven Grid Lines, remove all but one lead in any Lead Group. 4 Stimulator Ports Displays the OR Cable ports or Implantable Pulse Generator (IPG) ports available. 5 Trash Can Drag and drop individual leads to the Trash Can to delete. 6 Lead Options Panel Contains the following information about a selected lead (features 7 through 9) 7 Description For example, 1 x 8 Percutaneous 8 Retrograde Check Box If the Retrograde check box is selected, the orientation of the lead has been rotated 180 degrees (the distal end of lead is positioned caudal to the insertion point). 9 Lead Group The selected radio button tells you if a lead is in Group 1, 2, 3 or 4. See Assigning a Lead to a Group in this manual for additional information. 10 EGL Scan Button Initiates an Electronically Generated Lead Scan (EGL Scan). Refer to Using EGL Scan Techncology on page 29. Precision Spectra System Programming Manual REV A 25 of 296

27 Configuring the CP and Stimulator 1. Drag the desired lead from the Lead Selection Panel into the appropriate vertebral level and medio-lateral position within the Lead Placement Panel. When dropped the lead snaps horizontally to the nearest Grid Line. 2. Connect the tail(s) of the lead(s) to the appropriate header port. Select the numbered circle of the tail and drag it over the appropriate port and release. Note: The 1x8 percutaneous lead displays one tail that corresponds to all eight contacts. The 1x16 percutaneous lead displays two tails: the first tail corresponds to the contacts 1-8 on the distal end of the lead and the second tail corresponds to contacts The 2x8 paddle lead displays two tails: the first tail corresponds to the left column of eight contacts and the second tail corresponds to the right column of eight contacts. The 4x8 paddle lead (optimal and general) displays four tails: en The first tail with one marker band corresponds to the first (leftmost) column of contacts (1-8). The second tail with two marker bands corresponds to the second column of 8 contacts (9-16). The third tail with three marker bands corresponds to the third column of 8 contacts (17-24). The fourth tail with four marker bands corresponds to the fourth column of 8 contacts (25-32). Note: Check to be sure that each tail has been correctly assigned to the appropriate port. Figure 15: Lead Configuration with two percutaneous leads placed. Precision Spectra System Programming Manual REV A 26 of 296

28 Precision Spectra System Programming Manual Changing a Lead s Orientation on the Lead Placement Panel From the Leads screen: 1. Select a lead. 2. Select the Retrograde check box to flip the lead 180 degrees, so that the distal end is pointing caudally and the proximal tails emerge from the rostral end of the lead. 3. If desired, uncheck the Retrograde check box to flip the lead back to its original (default) position. en Figure 16: Changing Lead Orientation Precision Spectra System Programming Manual REV A 27 of 296

29 Configuring the CP and Stimulator Assigning a Lead to a Group Lead Groups specify which leads should be programmed together in automated programming modes (for example, to create an independent stimulation field). NOTE: Multiple percutaneous leads can be grouped together, but any paddle lead must be in its own Lead Group. In manual programming mode, you can program across lead groups. The first lead dropped into the Lead Placement Panel is assigned to Group 1. Each subsequent percutaneous lead dropped into this panel is assigned to the Group of whichever lead is currently selected. Lead Group assignments can be changed by selecting a lead then selecting one of the four radio buttons for Lead Groups; however, the target Lead Group must be empty. To add a new lead to a Lead Group that already has a percutaneous lead assigned to it, a new lead must be added from the Lead Selection Panel on the left. When a Paddle lead is dropped into the Lead Placement Panel, it is assigned to its own Lead Group, if an empty Lead Group is available. Additional leads cannot be added to Lead Groups that are already occupied by a paddle lead. IMPORTANT: Only leads that are in the same Lead Group will interact to program a stimulation Area, except when programming in Manual mode. Refer to Using Manual Mode on page Drag and drop the desired lead onto the Lead Placement Panel. As stated earlier, the first lead dropped will be automatically assigned to Group Subsequent percutaneous leads dropped onto the Lead Placement Panel will be added to Group 1. When a paddle lead is dropped, it will be assigned to its own Lead Group if an empty Lead Group is available. 3. Lead Groups can be modified by selecting the desired lead, then selecting a different Lead Group radio button on the right of the screen. en Precision Spectra System Programming Manual REV A 28 of 296

30 Precision Spectra System Programming Manual Using EGL Scan Technology Electronically Generated Lead Scan (EGL Scan) technology allows you to measure the relative rostrocaudal orientation between two or more leads in the same Lead Group. Select the EGL Scan button on the lower right hand corner of the Leads screen. The EGL Scan pop-up window will display the results for the first Lead Group. en Figure 17: EGL Scan Pop-Up Window Precision Spectra System Programming Manual REV A 29 of 296

31 Configuring the CP and Stimulator The components on the EGL Scan pop-up window are described in the table below. Component Description 1 Lead Group drop-down list Allows you to select a specific Lead Group to review. 2 Cancel button Discards the EGL Scan results for the Lead Group shown. 3 Rescan button Re - runs EGL Scan for all Lead Groups. 4 Apply button Allows you to accept the EGL Scan results for the Lead Group shown, adjusting the relative alignment of the leads accordingly. 5 Close button Closes the EGL Scan pop-up window to return to the Leads Screen. en The image displayed on the EGL Scan pop-up window may display a different relative lead orientation than what was configured in the Leads Placement panel. Between each pair of leads is a symbol indicating the correlation of the EGL Scan measurement to the displayed lead offset, as the EGL Scan measurement is dependent on the geometry of the actual lead placement. There are three symbols that describe EGL Scan measurement results: Correlation of EGL Scan Measurement to the displayed lead offset is high. See Figure 18. Correlation of EGL Scan Measurement to the displayed lead offset is low. See Figure 19. EGL Scan is unable to provide meaningful result and will display the lead configuration that was manually specified by user. See Figure 20. Precision Spectra System Programming Manual REV A 30 of 296

32 Precision Spectra System Programming Manual en Figure 18: EGL Scan with Check Mark - A check mark in a green circle indicates that correlation of EGL Scan Measurement to the displayed lead offset is high. If the displayed EGL Scan measurement is applied, the leads will be re-aligned with respect to the center of the Lead Group and displayed in the Leads Placement panel. Precision Spectra System Programming Manual REV A 31 of 296

33 Configuring the CP and Stimulator en Figure 19: EGL Scan with Question Mark - A question mark in a yellow circle indicates that the correlation of EGL Scan Measurement to the displayed lead offset is low. If the displayed EGL Scan measurement is applied, the leads will be re-aligned with respect to the center of the Lead Group and displayed in the Leads Placement panel. Precision Spectra System Programming Manual REV A 32 of 296

34 Precision Spectra System Programming Manual en Figure 20: EGL Scan with X An x in a yellow circle indicates that EGL Scan was unable to provide meaningful result and will display the lead configuration that was manually specified by user. Applying this EGL Scan result will not result in any lead orientation changes. Precision Spectra System Programming Manual REV A 33 of 296

35 Configuring the CP and Stimulator Measuring Impedances Impedance values can be measured at each contact. From the Configuration - Leads screen, select the Impedances button to measure impedances and display the Configuration - Impedances screen. en Figure 21: Impedances Screen The results of the Impedance measurement at each contact are displayed in terms of the stimulator port connections as seen in Figure 21. If desired, you can select the Measure button again to perform another Impedance measurement. A green circle indicates that the impedance measurement is less than 8000 ohms. An orange circle indicates that the measurement is above 8000 ohms with reduced accuracy. In Figure 21, Contacts C1, C2, and D1-8 are displaying impedances above 8000 ohms. Note: High impedance values starting from Contact 1 on the A, B, C, or D ports may indicate that a lead is not properly seated in the OR Cable or IPG header. In Figure 21, the results for Port C and D may indicate that the lead was not fully inserted into the IPG header. To print the impedance measurements, select the Print button on the Configuration-Impedances screen. Precision Spectra System Programming Manual REV A 34 of 296