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Technology Snapshot Stimulators, Electrical, Spinal Cord,

Description

Spinal cord electrical stimulators that apply stimuli to relieve (analgesia). Analgesic spinal cord stimulators are used to treat acute and/or chronic intractable pain for which is undesirable or no longer effective. These devices are also called: spinal cord stimulators, electrostimulating analgesia units, analgesic stimulators, or electroanalgesic stimulators.

Popular Manufacturers and Products Key Considerations Member Interest Top Manufacturers  Rechargeable batteries - Devices must be July 2019 - June 2020 explanted for replacement when batteries die. Rechargeable batteries have a longer expected life before replacement is needed. Abbott $53,002,270 Neuromodulation  Stimulation type - Tonic (traditional low frequency) stimulation has been around the longest and is still widely used. High Boston Sci Neuro $48,621,101 frequency units can also stimulate at low frequencies, so they provide more flexibility to the patient. High frequency has some Medtronic $41,724,843 favorable benefits including no tingling Neuromodulation sensation and it sometimes provides pain relief when tonic does not work.

Nuvectra $584,459  MR Safe whole body scan - Most vendors offer models that are MR conditionally safe (MRI- CS) within specified requirements. Whole body scan safe is the least restrictive design.

Member Interest  Number of IPG output contacts - For Top Products implantable pulse generators (IPGs) each July 2019 - June 2020 contact provides stimulation at a unique location on leads. The location impacts what Medtronic Neuromodulation - 97715 - DEVICE NEUROSTIMULATOR W1.9XH2.2IN 29.1GM $39,321,215 pain signal is blocked. 13.9ML RECHARGEABLE IMPROVED…

Abbott Neuromodulation - 3660 - GENERATOR NEUROSTIMULATOR 5.3AH THK1.34CM $36,338,252 W4.95XH5.55CM 48.9GM RECHARGE FREE…

Boston Sci Neuro - SC1160 - DEVICE Key Questions Answered NEUROSTIMULATOR 2-1200HZ STIMULATION $32,630,981 FREQUENCY COMBINATION THERAPY…  Who are the major players in this market? Boston Sci Neuro - SC1200 - KIT NEUROSTIMULATOR 2-1200HZ GENERATOR $11,989,941  What are the top products among ECRI IMPLANTABLE PRECISION MONTAGE MRI Members? Abbott Neuromodulation - 3662 - GENERATOR NEUROSTIMULATOR 7.5AH THK1.35CM $9,152,096  What were the product and pricing trends W5.02XH6.68CM 58.3GM RECHARGE FREE… between 2016 and 2020?

*Market data charts are based solely upon price points submitted to ECRI by our members. This data is not validated market share and is time sensitive.

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Boston Scientific Medtronic Abbott Neuromodulation Div Abbott Neuromodulation Div Neuromodulation Corp Neuromodulation Div Abbott Laboratories Inc Abbott Laboratories Inc DEVICE NEUROSTIMULATOR Boston Scientific Medtronic Inc GENERATOR GENERATOR 2-1200HZ STIMULATION Neuromodulation Corp DEVICE NEUROSTIMULATOR 5.3AH NEUROSTIMULATOR 7.5AH Manufacturer FREQUENCY COMBINATION Precision Montage MRI NEUROSTIMULATOR THK1.34CM W4.95XH5.55CM THK1.35CM W5.02XH6.68CM THERAPY WAVEFORM Implantable Pulse W1.9XH2.2IN 29.1GM 48.9GM RECHARGE FREE 58.3GM RECHARGE FREE AUTOMATION STERILE Generator Kit 13.9ML RECHARGEABLE IMPLANTABLE PROCLAIM IMPLANTABLE PROCLAIM IMPLANTABLE SPECTRA IMPROVED BATTERY ELITE ELITE WAVEWRITER PERFORMANCE INTELLIS

CATALOG NUMBER 3660 3662 SC1160 SC1200 97715 Stimulators, Electrical, Spinal Stimulators, Electrical, Spinal Stimulators, Electrical, Spinal Stimulators, Electrical, Spinal Stimulators, Electrical, Spinal UMDNS DESCRIPTION Cord, Analgesic Cord, Analgesic Cord, Analgesic Cord, Analgesic Cord, Analgesic VERTEBRAL LEVEL Not specified Not specified 3 Not specified Not specified PATIENT CONTROL smartphone app smartphone app external battery remote external battery remote Not specified IMPLANTED DEVICE SIZE, cm 4.95 x 5.55 5.02 x 6.68 Not specified Not specified 4.72 x 5.71 IMPLANTED DEVICE VOLUME, cc 30.4 38.6 Not specified 19.8 13.9 MINIMUM DAILY CHARGE TIME, min Not applicable Not applicable Not specified Not specified 60 EXPECTED LIFE OF BATTERY 3 - 6 3 - 6 5 5 9 STIMULATION FREQUENCY Not specified Not specified 2 - 1200 2 - 1200 10 - 1200 PULSE SHAPE Not specified Not specified Not specified Not specified Not specified CONSTANT CURRENT PULSE GENERATOR Not specified Not specified Not specified Yes (at each contact) Not specified MRI-CONDITIONALLY SAFE MAGNET STRENGTH Not specified Not specified 1.5 1.5 Not specified NUMBER OF STORED TREATMENT PROGRAMS Not specified Not specified 16 16 12 INTENSITY ADJUSTMENT WITH POSTURAL CHANGES Not specified Not specified No No Yes COMPATIBLE WITH PERCUTANEOUS LEADS Not specified Not specified Yes Yes Not specified COMPATIBLE WITH SURGICAL (PADDLE) LEADS Not specified Not specified Yes Yes Not specified MAXIMUM SPATIAL FIELD GRADIENT, gauss/cm 3000 3000 4000 4000 1900 MAXIMUM SLEW RATE, t/m/s 200 200 200 200 Not specified MAXIMUM SPECIFIC ABSORPTION RATE (SAR), Not specified Not specified 3.2 2 Not specified w/kg RECHARGEABLE BATTERY No No Yes Yes Yes STIMULATION TYPE: TONIC (TRADITIONAL LOW Yes Yes Yes No Yes FREQUENCY) STIMULATION TYPE: HIGH FREQUENCY No No Yes Yes No MR SAFE WHOLE BODY SCAN Yes Yes No Yes Yes NUMBER OF IPG OUTPUT CONTACTS 16 16 32 16 16 STIMULATION TYPE: BURST Yes Yes Yes No No NUMBER OF LEADS THAT CAN BE CONNECTED TO 2 2 4 2 2 THE IPG MR SAFE HEAD/EXTREMITY SCAN No No Yes - head scan Yes No WIRELESS POWER No No No No No CLOSED-LOOP STIMULATION No No No No No Price Trend

Median Price EA 2016 - 2020

$20,000

$18,000

$16,000

$14,000

$12,000

$10,000

$8,000

$6,000

$4,000

$2,000

$0 2016 2017 2018 2019 2020 Median Price $17,000 $17,282 $17,250 $17,100 $16,995

* 2020 YTD

The information provided in this report may be derived from a number of sources, including manufacturers, clinical users, and member facilities. We make every reasonable effort to ensure that it is up-to-date and verify it with the most knowledgeable sources. The contents of this document should not be regarded as a guarantee of the safety, performance, or cost- effectiveness of any equipment, device, or system. This document was created for ECRI member organizations and is copyrighted. It may not be shared with manufacturers or any third party without written permission from ECRI.

©2020 ECRI. All Rights Reserved. This material is confidential, and use of the copyright notice is not intended to suggest or imply that the material has been published or is available for public dissemination. This report was created for ECRI members and should not be reproduced or transmitted to third parties without written permission from ECRI.

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