Clinician Programmer Need To Know's Flashcards
What 3 measurements does Flurosync take into account?
Rostrocaudal positioning, medial-lateral positioning, and dorsal ventral positioning of lead
T or F: Pulse width does not change the shape of the field
True
What recruits more fibers to the SAME stimulation area and is often perceived as an increase in coverage area?
Pulse width
What changes time field shape and adjusts relative distance of anodes and cathodes?
Focus
What is important to find before adjusting pulse width?
Good CPS, fine tuned already with good coverage
What does a higher density of nerves indicate regarding dermatome?
More sensitivity
Higher in the spinal cord (north) are the nerves more lateral or medial? What is true of the south?
Lateral = north Medial = south
T or F: BSC uses bipoles in the CP for programming?
False
When there is an anode on both sides of the cathode, what is that called?
Equal guarding
When the patient feels tingling , what kind of threshold is this?
Perception threshold
When nerves are turned on, activated, what kind of threshold is this?
Activation threshold
What is the area between activation threshold and the tingling feeling?
Subperception threshold
Are caudal fibers pushed medially or laterally into the cord by the rostral fibers?
Medially
What does it mean to disassociate on the CP?
To wipe the ETS clean, clear the previous patient
What is the cell phone tower Analogy for LeadSync ?
The leads can talk to each other to ping where they are relative to each other
A capability that when activated, integrates the rostrocaudal positional data of the leads as measured but the EGL Scan during programming.
LeadSync technology
What is the difference between flurosync and LeadSync?
Flurosync is the drag and drop interface that allows the clinician to place the leads according to the fluoroscopy placement. LeadSync is the software/technology that calculates the position of the leads and if they’ve migrated. Both are under the configuration tab.
What are the three tabs on the CP and what are their colors?
Orange is Patient ( their profile)
Purple is Configuration (Flurosync, LeadSync, impedance check, EGL scan)
Blue is Programming and Mapping
This thing takes measurements that are incorporated into programming and creating contact configurations
EGL scan
Aka LeadSync
What are the first few things to say you to the patient before programming?
You will feel some tingling, I need to know where and how intense the feeling is. When you first feel it just barely, we consider that a 1, when it’s high we consider that an 8, and uncomfortable is a 10.. so tell me when it’s a 2.
When we decrease the focus (-) what happens to the CPS?
The field becomes more narrow, more pin-pointing a certain area
What happens when we increase the focus? (+)
The CPS becomes wider and expands the area of coverage
What will show up in LeadSync if it’s unable to compute the correct alignment?
Yellow X
Min and max amplitude adjustments=
0-25.5 mA
Min-max pulse width=
20-1000 milliseconds
Min/max frequency adjustments=
2-1000 Hz
Number of programs:
Number of active areas:
Number of temp areas:
16
4
26
What happens to focus when steering CPS in Navigate mode?
It adjusts on its own
What does it mean if the remote icon is grayed out or colored in?
Therapy for that area/program is off or on
When in manual mode, what does the equalize button do?
When you have two contacts selected as cathodes, the equalize button will split the current between the two 50/50, same with anodes
Which mode would you NOT have a CPS selected?
Manual
