EffectiveDecember 10, 2019, Horizon BCBSNJ will change the way we consider certain professional claims based on revisions to our medical policy, Spinal Cord and Implantable Peripheral Nerve Stimulators. Access our Medical Policy Manual to review this medical policy content. Indications. The Nalu Neurostimulation System is currently FDA cleared for SCS and PNS indications. Spinal Cord Stimulation (SCS) This system is indicated as the sole mitigating agent, or as an adjunct to other modes of therapy used in a multidisciplinary approach for chronic, intractable pain of the trunk and/or limbs, including unilateral or bilateral pain. Background: Cross-sectional studies of wheelchair repair rates among individuals with spinal cord injury (SCI) have shown increases in the last decade with the most recent report in 2016 describing rates as high as 62% over a 6-month period. These breakdowns have demonstrated effects on participation as well as poor health outcomes including hospitalization and pressure injury development. Learn how Medtronic spinal cord stimulation (neurostimulation therapy) or drug delivery therapy may help you manage chronic pain. Size inches (mm)/CTC UC199400538d EN xxx release Dene as desired MEDTRONIC CONFIDENTIAL MEDVITLDSCATHR00 Implant manual v 196133005 Table of contents M Continue reading >> Spinal cord stimulation is a therapeutic tool used to treat certain chronic pain conditions especially related to neuropathic pain caused by trauma or postoperative sequelae and sensory nerve damage [1,2,3]. The idea was to deliver electric current pulses to the spinal cord through an electrode inserted into the fat layer of the spine [4]. Materials and Methods: The current state of neuromodulation can be viewed in a classical dynamic control framework: the nervous system is the classical "plant," the neural stimulator is the actuator, tools to collect clinical data are the sensors, and the physician's judgment is the state estimator and mechanism for closing the therapy feedback loop. 1. Introduction. Stephen of Antioch is generally credited with translating the Arabic alumm al-galidah/jafiyah or hard mother into the Latin dura mater as it is now known [1,2].The spinal dura mater, mesodermal in origin and arising from the meninx primitive, is a tightly woven, tubular membrane that encases the spinal cord along its length and partitions the central and peripheral nervous So in the 1980s Medtronic came out with its first spinal cord stimulation (SCS) system, in which a pulse generator is implanted in the abdomen or above the buttock and leads are routed to the Another possibility is that the spinal cord stimulators could help with other problems of paralysis, such as low blood pressure, which can cause fainting. Harkema is beginning a randomized "this device will be customized for the needs of individuals with spinal cord injury, which will require less manual interaction and lead to more positive outcomes in both locomotion and bladder Advancements for Spinal Cord Injury Community. This research is based on two distinct treatments: epidural stimulation of the spinal cord and locomotor training. Epidural stimulation is the application of continuous electrical current at varying frequencies and intensities to specific locations on the lumbosacral spinal cord. The device is implanted near the spinal column and functions s