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Creating Or Modifying A Program; Selecting Stimulation Areas; Selecting Contacts - Boston Scientific Vercise Instrucciones De Uso

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#
Feature
Description
Visual indicator of the orientation of the radiopaque Directional Marker band on the Directional Lead. The orange line and dot
Directional
correlate to the center of the radiopaque Directional Marker.
28
Indicator
Note: Only applies to DB2202‑Directional Lead.
STIMVIEW™ View
Adjust the view of the SFM using Zoom, Rotate, Panning Control, or Reset to the original view. Both the Lateral and Axial views of
29
Controls
the SFM will adjust in unison using these controls when in 3D Split View, but must be adjusted in the Lateral view.
Dotted ring illustrating the axial location of stimulation along the Lead. The arrow indicator illustrates the rotational orientation of
30 Virtual Contact
stimulation around the Lead. The dotted ring and arrow indicator together form the Virtual Contact.

Creating or Modifying a Program

To create a new Program or modify an existing Program, select the Program button and choose one of the four Programs from the drop‑down arrow. The system
allows you to configure up to four Programs on a Stimulator.
For a given Program, you can view and/or adjust several options via the Program Options button. The Program Options include the following:
#
Feature
Description
For a non‑rechargeable Stimulator, the Energy Use Index for the current Program is displayed. This value is used to provide an
estimate of battery longevity for the non‑rechargeable Stimulator on the current Program. See the "Energy Use Index" section of
this manual for more information.
1
Battery
For a rechargeable Stimulator, an Estimated Charge Time for the current Program is displayed. This value provides an estimate of
the duration and frequency of charging necessary to maintain stimulation.
Time to gradually increase the stimulation from zero to the programmed Amplitude when stimulation is turned ON.
2
Ramp
Default
ON
The cycled on and off duration of stimulation delivery.
3
Cycle
Default
OFF
4
Copy to
Copy the current Program settings to another Program.
5
Delete
Delete the settings for the current Program.

Selecting Stimulation Areas

For a given Program, you may configure up to four Areas. With a new Program, an Area will be automatically assigned to each Lead Port and named based on
the defined Target and side of the brain selected in the Configure Tab. You may add an additional Area by selecting an empty Area (+) and choosing a Lead Port
configuration (e.g. Left STN). You may reassign an Area by first selecting Options for that Area and then choosing Delete Area. You may then select a different Lead
Port configuration.
Note: Predefined simulations may be imported from Elements by selecting Load Simulation from the Area Options button.

Selecting Contacts

You can manually assign anodes and cathodes in Custom Mode or incrementally steer a stimulation field along the Lead in the Steering Mode. Steering Mode is
limited to a monopolar configuration of either a single cathode or adjacent cathodes. You may assign the Stimulator Case and all the Contacts as anode or cathode
individually in Custom Mode. The External Trial Stimulator (ETS) is limited to Custom Mode since the Stimulator Case cannot be assigned as a cathode or anode.
Note: Switching from Custom Mode to Steering Mode will clear the Contact and Stimulator Case assignments.
Note: Stimulation using multiple independent current control and the DB‑2202 Directional Lead is referred to as Cartesia 3D.
Steering Mode
Steering Mode is a simplified programming mode where the Contact(s) act as the cathode(s) and the Stimulator Case acts as the anode. This mode allows you to
steer a monopolar cathode along the Lead, eliminating the need to turn ON and OFF individual Contacts. Steering Mode incrementally shifts a percentage of the
cathodic current to the adjacent Contact(s) using current steering technology to create smooth transitions between Contacts.
The DB2201‑Standard Lead has eight Contacts per Lead, labeled 1 through 8 on each Lead.
To Steer along the DB2201‑Standard Lead:
1. Select Steering Mode.
Table 4: Description of the Program Tab
Table 5: Program Options
Options
Range
ON/OFF
1 sec to 10 sec
Options
Range
ON/OFF
1 sec to 90 min
Programming the Stimulator
Vercise™ Neural Navigator 3 Programming Manual
92348958‑06 7 of 477

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