Name of the Procedure:

Electronic Analysis of Implanted Neurostimulator Pulse Generator/Transmitter

Summary

This procedure involves evaluating and adjusting the settings of an implanted neurostimulator, which is a device used to manage chronic pain or neurological conditions by delivering electrical pulses to specific nerves or regions in the brain.

Purpose

The primary goal of this procedure is to ensure that the neurostimulator is functioning optimally to provide effective symptom relief. Adjustments may be made to parameters such as amplitude, pulse width, and frequency to tailor the therapy to the patient's needs.

Indications

• Chronic pain conditions unresponsive to conventional treatments
• Neurological disorders such as Parkinson's Disease, epilepsy, and dystonia
• Specific criteria include patients with a previously implanted neurostimulator that requires review and adjustment to maintain efficacy

Preparation

• Patients may be advised to avoid certain medications before the procedure
• No specific fasting is typically required
• A review of the patient’s medical history and current medications
• Assessment of current neurostimulator settings

Procedure Description

1. The clinician will use a specialized programmer device to communicate with the implanted neurostimulator.
2. Parameters such as contact groups, interleaving, amplitude, pulse width, frequency, on/off cycling, burst mode, magnet mode, dose lockout, and patient-selectable parameters will be evaluated and adjusted based on the patient's feedback and clinical objectives.
3. Responsive neurostimulation settings may be reviewed and customized to the patient's condition.

No anesthesia or sedation is usually necessary for this non-invasive procedure.

Duration

The procedure typically takes about 30 to 60 minutes, depending on the complexity of the adjustments needed.

Setting

This procedure is usually performed in an outpatient clinic or specialized medical center.

Personnel

• A neurologist or pain specialist experienced in neurostimulation therapy
• Trained nursing staff or medical technicians may assist

Risks and Complications

• Minimal risks as the procedure is non-invasive
• Rare complications may include temporary discomfort or changes in symptom patterns

Benefits

• Improved symptom management and quality of life
• Immediate adjustments can lead to quick relief of inappropriate stimulation patterns or ineffectiveness

Recovery

• Patients can usually resume normal activities immediately after the procedure
• No specific recovery time required
• Follow-up appointments may be scheduled to monitor and further adjust settings as needed

Alternatives

• Medication management
• Physical therapy
• Surgical interventions for specific conditions
• Pros and cons of each alternative depend on the condition treated and the individual patient's response to previous therapies

Patient Experience

• Patients may feel mild, temporary discomfort during parameter adjustments
• Generally well-tolerated with immediate feedback on symptom relief or improvement
• Pain management and comfort measures are readily available if needed

This completes the standard markdown template for the electronic analysis of an implanted neurostimulator pulse generator/transmitter.