Electrode Programming - Boston Scientific Bionic Navigator 3D 4.0 Manuel De Programmation

Electrode Programming

You may program the patient using programming modes: Electronic Trolling (E-Troll), Navigate,
FAST™ I3D, Dorsal Horn Modulation (DHM), Contour, and Manual. In Manual mode, you manually
select anodes and cathodes. E-Troll and Navigate are both automated programming modes that
perform current steering along the electrode array. The difference between the two is the resolution.
E-Troll quickly sweeps the electrode array by moving the cathode in a bipolar fashion. Navigate
mode uses more electrode combinations than E-Troll to fine tune the coverage. The recommended
stimulation settings are calculated using a mathematical model of field potentials
on average values of tissue properties such as CSF thickness
not be accurate for a given individual subject, and thus, the physician should not solely depend on this
program to optimize stimulation settings.
FAST I3D is another automated programming mode that can perform current steering along an
electrode array. FAST I3D mode allows for steering of dual CPSs. The programmer can adjust the
anode/cathode rostral/caudal configuration and the distance between the two CPSs using the Focus
feature.
DHM mode uses a proprietary algorithm, Multiple Independent Current Control (MICC), and threshold
inputs to create a field shape characterized by an even distribution of current over the area of interest.
Contour is another automated programming mode that uses a different algorithm as compared to
E-Troll, Navigate and FAST I3D mode. This proprietary algorithm creates a unique field shape that is
characterized by a broad electric field. A uniform distribution of the electric field is achieved by applying
threshold calibrations that are specific to a patient's anatomy and lead position. Contour mode displays
a blue rectangle indicating the Contour target field. Using Contour mode, this unique field shape can be
steered to different target locations on the electrode array and its size can be modified using the Focus
feature.
Note: Manual mode is not available when only the Parameters Tab is expanded.
Cathode
Anode
High Impedance. Upon entering the Programs screen, high impedance contacts
are highlighted in red.
Note: The IPG case can also be selected as a cathode or anode.
Table of Possible Contact Displays
Programming the Patient
1,2,6,7
, that are based
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and tissue resistivity values
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