RestoreAdvanced for Spinal Cord Stimulation

Leads & Extensions

Percutaneous Leads for the RestoreAdvanced Neurostimulator Model 37713

Medtronic provides a broad family of percutaneous leads with the electrode lengths and spacings needed to tailor stimulation patterns.

Percutaneous Leads for the RestoreAdvanced Neurostimulator Model 37713

Specifications
 
ELECTRODE
Number 4 4 4 8 8 8
Length (mm) 3 3 6 3 3 3
Individual Surface Area (mm) 12 12 24 12 12 12
Inter-Electrode Spacing: Edge to Edge (mm) 6 4 12 6 4 1.5
Inter-Electrode Spacing: Center to Center (mm) 9 7 18 9 7 4.5
Array Length (mm) 30 24 60 66 52 35
LEAD
Length (cm) 28
33
45
56		 28
33
45
56		 28
33
45
56		 45
60
75		 45
60
75		 45
60
75
Diameter (mm) 1.27 1.27 1.27 1.32 1.32 1.32

Octad Leads

A percutaneous octad lead with 8 electrodes at the distal end is used for single and dual lead placement and configuration.

Octad leads cover 2 or more vertebral segments, helping to optimize pain coverage. They also provide electronic “repositioning” to manage changes in stimulation coverage due to vertical lead movement. Finally, they provide the longest electrode span and most spacing options on the market.

Percutaneous leads may be configured to create simple or complex electrode arrays, utilizing up to 4 leads. Use the TargetStim® programming tools to transition between electrode configurations and quickly steer stimulation.

Related Manuals & Technical Resources

This technical manual includes the instructions for use for the 1×4 Pisces Quad® 3487A, Pisces Quad CompactTM 3887, and Pisces Quad PlusTM 3888 Lead Kit.

This technical manual includes the instructions for use for the 1x8 Standard, Compact and Sub-Compact Lead Kits.

Surgical Leads for the RestoreAdvanced Neurostimulator Model 37713

The surgical lead family includes a range of sizes, electrode configurations, and anchoring options.

Surgical Leads for the RestoreAdvanced Neurostimulator Model 37713

Specifications
 
PADDLE
Length (mm) 44 44 44 44 (excl. mesh) 45 41 64.2
Width (mm) 8.0 6.6 10.0 6.6 (excl. mesh) 7.9 9.9 10
Thickness (mm) 1.8 1.4 1.8 1.4 1.8 1.8 2.0
ELECTRODE
Number 4 4 4 4 8 8 16
Shape
Length (mm) 4.1 4.1 6.7 4.1 3.8 3.8 4
Width (mm) 4.1 4.1 2.0 4.1 2.4 2.4 1.5
Longitudinal Spacing: Edge to Edge (mm) 6.0 6.0 6.1 6.0 5.5 3.3 4.5
Longitudinal Spacing: Center to Center (mm) 10.1 10.1 12.8 10.1 9.3 7.1 9.0
Lateral Spacing: Edge to Edge (mm) NA NA 3.0 NA 1.5 3.5 1.0
Array Length (mm) 34.5 34.5 32.5 34.5 33.2 28.2 49.0
Array Width (mm) NA NA 12.7 NA 6.3 8.3 7.5
LEAD
Length (cm) 25 25 25 25 20 30
45
60		 30
Diameter (mm) 1.3 1.3 1.3 1.3 1.3 1.3 1.3

Benefits

Benefits of choosing surgical leads over percutaneous leads include: 1, 2

  • Lower stimulation amplitudes (and longer battery life), since electrodes are insulated on one side and the electric field is directed towards the spinal column
  • Computer modeling predicts reduced recruitment of lateral structures (dorsal roots)
  • Lead migration is reduced due to the lead's shape combined with encapsulation in fibrous tissue
  • Studies show that low-back coverage ratings are higher


Above: Directed electric field

As a result, surgical leads provide:

  • Ability to use our low-profile extension to maximize patient comfort
  • Simplified screening through direct connection of the screening cable to the lead
  • 100% compatibility with our full line of 4-contact extensions


Above: Lead connected to a low-profile extension

Related Manuals & Technical Resources

This technical manual includes the instructions for use for the 2x4 Hinged Specify Lead Kit.

This is the instructions for use for the Resume II® Model 3587A, Resume TL® Model 3986A, SymMix® Model 3982A and On-Point® Model 3987A Lead Kits.

This technical manual includes the instructions for use for the SpecifyTM Model 3998 Lead Kit.

References

  1. North RB, Kidd DH, Olin JC, Sieracki JM. Spinal cord electrode design: prospective, randomized, controlled trial comparing percutaneous and laminectomy electrodes- part I: technical outcomes. Neurosurgery. August 2002;51(2):381-389.
  2. Holsheimer J, Struijk JJ. How do geometric factors influence epidural spinal cord stimulation? A quantitative analysis by computer modeling. Stereotact Funct Neurosurg. 1991;56(4):234-249.

Specify 5-6-5 Surgical Lead

The Specify™ 5-6-5 surgical lead with DuraLoc™ electrode technology offers exclusive advantages, including:

  • Anatomically shaped paddle is designed to better fit within the epidural space and provide more consistent electrode contact with the dura, increasing stability and optimizing stimulation
  • Paddle is more than 20% narrower in width than the ANS Lamitrode® Tripole 16C
  • Greater longitudinal electrode span for additional programming and coverage range
  • 16 independently programmable electrodes can be quickly programmed using TargetStim to achieve optimal settings

The Specify™ 5-6-5 surgical lead is compatible with the entire Medtronic family of 16-electrode implantable neurostimulators (both rechargeable and non-rechargeable).

Specify 5-6-5 Surgical Lead

Specifications

PADDLE
Length (mm) 64.2
Width (mm) 10
Thickness (mm) 2.0
ELECTRODE
Number 16
Shape Rectangle
Length (mm) 4
Width (mm) 1.5
Longitudinal Spacing: Edge to Edge (mm) 4.5
Longitudinal Spacing: Center to Center (mm) 9.0
Lateral Spacing: Edge to Edge (mm) 1.0
Array Length (mm) 49.0
Array Width (mm) 7.5
LEAD
Length (cm) 30
Diameter (mm) 1.3

Related Manuals & Technical Resources

This summary was designed to provide detail about how and why the Specify 5-6-5 Surgical Lead was made.

This technical manual includes the instructions for use for the Specify 5-6-5 Model 39565 Lead Kit.

Extensions

RestoreAdvanced Neurostimulator Model 37713 uses the following extensions:

  • 1 x 8 Extension Model 37081
  • Stretch-Coil™ Single Extension 37083
  • Stretch-Coil™ Bifurcated Extension 37082
Extensions

Related Manuals & Technical Resources

This programming guide is for programming four-lead systems using model 37082 extensions.

This technical manual includes the instructions for use for the Stretch-Coil Bifurcated Extension Kit, model 37082.

This technical manual includes the instructions for use for the Stretch-Coil Single Extension Kit, model 37083.