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Deep Brain Stimulation for Movement Disorders

  • Education and Training
  • Efficacy
  • Products and Procedures
  • Reimbursement and Practice Management
  • Indications, Safety, and Warnings
  • dbs-family-md-lg

    Products and Procedures

    Medtronic was named one of the “50 most innovative companies” by MIT Technology Review for our leadership in the development and introduction of deep brain stimulation (DBS) therapy. Since 1995, more than 100,000 patients worldwide have received Medtronic Deep Brain Stimulation Therapy for Parkinson's disease, essential tremor, and dystonia.* 1 Only Medtronic offers deep brain stimulation systems that have FDA-approved labeling for MRI head scans under specific conditions of use.

    Our deep brain stimulation systems include the following components:

    Procedural content for our deep brain stimulation system includes:

    Products for Deep Brain Stimulation

    Neurostimulators

    Activa PC Neurostimulator for Deep Brain Stimulation View larger

    Activa PC Neurostimulator

    Model 37601

    Indications: Parkinson's disease, essential tremor, dystonia

    • BATTERY TYPE : Primary cell
    • WEIGHT : 67 g (2.4 oz)
    • HEIGHT : 65 mm (2.6 in)
    • LENGTH : 49 mm (1.9 in)
    • CHANNELS : 2
    • Activa PC Implant Manual
    Product Details
    Activa RC Neurostimulator for Deep Brain Stimulation View larger

    Activa RC Neurostimulator

    Model 37612

    Indications: Parkinson's disease, essential tremor

    • BATTERY TYPE : Rechargeable
    • WEIGHT : 40 g (1.6 oz)
    • HEIGHT : 54 mm (2.2 in)
    • LENGTH : 54 mm (2.2 in)
    • CHANNELS : 2
    • Activa RC Implant Manual
    Product Details
    Activa SC Neurostimulator for Deep Brain Stimulation View larger

    Activa SC Neurostimulator

    Models 37602 and 37603

    Indications: Parkinson's disease, essential tremor, dystonia

    Product Details

    Discontinued Products

    What does this mean?

    Kinetra Neurostimulator

    Model 7428

    Product Details

    Soletra Neurostimulator

    Model 7426

    Product Details

    Leads

    Lead Model 3387 for Deep Brain Stimulation View larger

    DBS Lead

    Model 3387

    Product Details
    Lead Model 3389 for Deep Brain Stimulation View larger

    DBS Lead

    Model 3389

    Product Details

    Extensions

    Lead Extension Model 37085 for Deep Brain Stimulation View larger

    DBS Extension

    Model 37086

    Product Details
    Lead Extension Model 7482 for Deep Brain Stimulation View larger

    DBS Extension

    Model 7483

    Product Details

    Accessories

    Programmers

    N'Vision Clinician Programmer for Deep Brain Stimulation View larger

    N'Vision Clinician Programmer

    Model 8840

    Product Details
    DBS Patient Programmer Model 37642 View larger

    DBS Patient Programmer

    Model 37642

    • COMPATIBLE WITH : Activa SC, Activa PC, Activa RC neurostimulators
    • SIZE : 3.7 x 2.2 x 1.1 in (9.4 x 5.6 x 2.8 cm)
    • POWER SOURCE : 2 AAA alkaline batteries (non-rechargeable, LR03)
    • DBS Patient Programmer Manual
    Product Details

    Discontinued Products

    What does this mean?

    Access Therapy Controller

    Model 7436

    Product Details

    Access Review Therapy Controller

    Model 7438

    Product Details

    Procedure Solutions

    Procedure Solutions for Deep Brain Stimulation View larger

    Procedure Solutions

    for Deep Brain Stimulation

    Product Details

    Procedure Videos

    Medtronic offers the following procedure videos to qualified healthcare professionals. Please register or Log In to view these videos.

     

    Deep Brain Stimulation Therapy: A Systematic, Accurate, and Predictable Approach

    This series of videos explains the implantation of a DBS Therapy system. Detailed procedural instructions are provided in the product implant manual and must be reviewed before use.

    dbs-pd-imp-th
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    Chapter 1: Introduction

    (2:40, 17.6 MB)

    Explains that the video series will show two different techniques, in two different practices, for implanting the DBS system.

    Chapter 2: Preoperative Imaging, Planning

    (:54, 4.5 MB)

    Shows how imaging software is used to approximate placement of the lead in the target site.

    Chapter 3: Preoperative Stereotactic Frame Placement

    (2:51, 15.2 MB)

    Presents the process of using a stereotactic head frame for MRI imaging, path planning, and marking the planned location of burr holes.

    Chapter 4: Preoperative Patient Preparation

    (1:09, 6 MB)

    Describes preparation for the operative part of the procedure when a frame is used.

    Chapter 5: Making Burr Holes

    (1:44, 9.3 MB)

    Describes preparation for making the burr holes, then shows the procedure for making the holes.

    Chapter 6: Preoperative Preparation, Nexframe® System

    (1:10, 6.2 MB)

    Describes preparation for the operative part of the procedure when the Nexframe system is used, in contrast to the frame-based procedure described in Chapter 4.

    Chapter 7: Placing Fiducials

    (1:57, 10.3 MB)

    Explains when fiducials can be placed and describes the process of placing fiducials.

    Chapter 8: Stereotactic Guidance with the Nexframe System

    (2:35, 13.5 MB)

    Shows stereotactic guidance using the Nexframe system.

    Chapter 9: Microelectrode Recordings

    (2:00, 10.3 MB)

    Presents the process of making microelectrode recordings for localizing the precise physiological target for DBS placement.

    Chapter 10: DBS Lead Placement

    (2:01, 10.6 MB)

    Shows how a DBS lead is placed into the target location, then fixed into place.

    Chapter 11: Comprehensive Physician Support

    (1:34, 8.3 MB)

    Discusses the expert technical support for the procedure solution for deep brain stimulation systems from Medtronic.

     

    Prescribing and Pre-implant Manuals

    Medtronic DBS Therapy Information for Prescribers

    This guide provides precautions, patient selection, clinical study, and patient counseling information.

    Medtronic DBS Therapy Information for Prescribers – Addendum for Movement Disorders

    This addendum to the Medtronic DBS Therapy Information for Prescribers provides information that is specific to Parkinson’s disease and essential tremor.

    Medtronic DBS Therapy for Parkinson's Disease and for Tremor – Indications Insert

    This insert states the indications for Medtronic DBS Therapy for Parkinson's Disease and for Tremor and lists the system components.

    Medtronic DBS Therapy Information for Prescribers – Addendum for Dystonia*

    This addendum to the Medtronic DBS Therapy Information for Prescribers provides information that is specific to dystonia.

    Indications Insert – DBS Therapy for Dystonia

    This insert presents the indications for Medtronic DBS Therapy for dystonia.

    System Eligibility Battery Longevity

    This manual provides information on test stimulation, screening for patient eligibility, battery recharging frequency, and battery longevity.

    Implant Manuals

    External Neurostimulator System Technical Manual

    This manual provides instructions for using the external neurostimulator model 37022, a temporary screening system used intraoperatively during lead placement or test stimulation.

    Activa PC Neurostimulator Implant Manual

    This manual provides instructions for implanting the Activa® PC neurostimulator model 37601.

    Activa RC Neurostimulator Implant Manual

    This manual provides instructions for implanting the Activa RC neurostimulator model 37612.

    Activa SC Neurostimulator Model 37602 Implant Manual

    This manual provides instructions for implanting the Activa SC neurostimulator model 37602.

    Activa SC Neurostimulator Model 37603 Implant Manual

    This manual provides instructions for implanting the Activa SC neurostimulator model 37603.

    Kinetra Neurostimulator Implant Manual

    This manual provides instructions for implanting the Kinetra® neurostimulator model 7428.

    Soletra Neurostimulator Implant Manual

    This manual provides instructions for implanting the Soletra® neurostimulator model 7426.

    DBS for Movement Disorders Lead Kits Implant Manual

    This manual provides instructions for implanting the lead kits models 3387 and 3389 for Medtronic deep brain stimulation for movement disorders.

    DBS Extension Model 7483 Implant Manual

    This manual provides instructions for implanting the Medtronic deep brain stimulation extension model 7483.

    DBS Extension Model 37086 Implant Manual

    This manual provides instructions for implanting the Medtronic deep brain stimulation extension model 37086.

    DBS Tunneling Tool Accessory Kit Model 3755 Instructions for Use

    This technical manual includes instructions for assembling the tunneling tool and tunneling the extension(s).

    Nexframe Stereotactic System Manual

    This manual provides instructions for using the Nexframe® stereotactic system, plus the Nexdrive® micropositioner and the Stimloc lead anchoring device.

    Clinician Programming Manuals

    N'Vision Clinician Programmer Technical Manual

    This manual presents information for users of the N'Vision® clinician programmer model 8840, including an overview and description, as well as the use, maintenance, troubleshooting, and specifications of the programmer.

    Activa RC, Activa PC, and Activa SC Software Programming Manual

    This manual provides programming instructions for the Activa RC, Activa PC, and Activa SC deep brain stimulation system, using the N'Vision clinician programmer and software application card model 8870 software version A. The manual supplements information provided in the neurostimulator technical manual.

    Kinetra, Soletra, and Itrel II Software Programming Guide

    This is the programming guide for software application card 8870 for the Kinetra, Soletra, and Itrel® II neurostimulators for deep brain stimulation.

    Patient Manuals

    Medtronic DBS Therapy Patient Therapy Guide

    This manual provides information for patients about their Medtronic deep brain stimulation system.

    Medtronic DBS Therapy for Movement Disorders – Patient Booklet

    This booklet provides patients with DBS Therapy information specific to movement disorders.

    Medtronic DBS Therapy for Dystonia* – Patient Booklet

    This booklet provides patients with DBS Therapy information specific to dystonia.

    Medtronic DBS Patient Programmer Patient Manual

    This manual provides information for patients about the DBS patient programmer model 37642 that is used with the Activa family of neurostimulators.

    Access Therapy Controller Patient Manual

    This manual provides information for patients about the Access® therapy controller model 7436 that is used with the Kinetra neurostimulator.

    Access Review Therapy Controller Patient Manual

    This manual provides information for patients about the Access Review® therapy controller model 7438 that is used with the Soletra neurostimulator.

    Medtronic DBS Patient Programmer Quick Reference Guide

    This pocket guide shows the basic steps for turning the neurostimulator on and off, and checking the battery status. This guide does not replace the product technical manuals.

    Access Therapy Controller Programming Quick Reference Patient Guide

    This guide gives patients quick programming instructions for the Access Therapy controller model 7436.

    Dystonia Indications Guide for Patients

    This guide, intended for patients, describes the purpose of deep brain stimulation therapy for dystonia, including benefits, risks, and possible device complications.

    MRI Guidelines

    MRI Guidelines for Deep Brain Stimulation Systems

    This manual provides comprehensive safety information and instructions for MRI head scans with patients implanted with DBS systems.

    Technical Resources

    N'Vision Clinician Programmer Technical Manual

    This manual presents information for users of the N'Vision® clinician programmer model 8840, including an overview and description, as well as the use, maintenance, troubleshooting, and specifications of the programmer.

    Activa RC, Activa PC, and Activa SC Software Programming Manual

    This manual provides programming instructions for the Activa RC, Activa PC, and Activa SC deep brain stimulation system, using the N'Vision clinician programmer and software application card model 8870 software version A. The manual supplements information provided in the neurostimulator technical manual.

    Kinetra, Soletra, and Itrel II Software Programming Guide

    This is the programming guide for software application card 8870 for the Kinetra, Soletra, and Itrel® II neurostimulators for deep brain stimulation.

     

    * Humanitarian Device: The effectiveness of this device for this use has not been demonstrated. Learn more about HDE.

    References
    1. Data on file, Medtronic Inc.

    United States