User Manual

Physician Implant Manual

Indications for Use

The Precision is indicated for the management of chronic intractable

pain of the trunk and limbs utilizing spinal cord stimulation.

Patient Selection

The therapy is generally most effective in patients who suffer neuro-

pathic pain. Careful patient selection, therefore, is an important factor

in achieving efficacious outcomes. It is recommended that patients be

screened for psychological factors that could reduce the likelihood of

therapeutic success. (Specific information regarding patient selection

is included in the Physician Systems Handbook.) Most successful out-

comes occur with the following:

• Identifiable pathology

• Pain of neuropathic origin

• Psychological screening

• Patient understanding of risks, benefits and limitations,

and a commitment to a successful therapy

• Successful externalized stimulation trial prior to accep-

tance of permanent IPG implantation

Contraindications

Patients contraindicated for permanent SCS therapy are those who:

• do not meet psychological selection criteria

• have failed trial stimulation

• are poor surgical risks

• are pregnant