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The primary objective of this study is to evaluate the acute and chronic efficacy of spinal cord stimulation using the Precision implantable neurostimulation device with the Artisan paddle electrode in patients with Failed Back Surgery Syndrome (FBSS) and associated primary or secondary back or lower extremity pain. There are significant numbers of patients with FBSS who have moderate to severe drug refractory pain. An optimal outcome will demonstrate that the Precision SCS device has significant effectiveness in reducing this pain resulting in improved quality of life and functional capacity.
The conventional implantation of the spinal cord stimulator calls for dual percutaneous leads placed in parallel at T8-T9 vertebral levels. A common problem after surgery is the migration of leads from the initial implanted site, the consequence of which is inadequate pain relief. Anecdotal reports suggest that the paddle electrode can eliminate some of the problems associated with lead migration by providing a constant distance between the parallel electrodes. Furthermore, it has been reported to provide superior pain relief and paresthesia coverage.
This study aims to evaluate pain and paresthesia coverage by placing a paddle lead. Patients invited to participate in this study will be eligible for SCS therapy and will have already selected therapy with the Advanced Bionics Precision system, independent of possible inclusion in this study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Precision Spinal Cord Stimulation | Experimental | Single arm Precision Spinal Cord Stimulation System with Artisan Surgical Lead |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Precision Spinal Cord Stimulation System | Device | Precision System aids in the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with the following: failed back surgery syndrome, intractable back pain, and leg pain. |
| Measure | Description | Time Frame |
|---|---|---|
| Reduction in Baseline Back Pain Severity as Measured at 3 Months Post-activation | 3 months post-activation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Roshini Jain | Boston Scientific Neuromodulation Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University of South Carolina | Charleston | South Carolina | 29425 | United States | ||
| Neurosurgical Specialist |
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| ID | Title | Description |
|---|---|---|
| FG000 | Precision Spinal Cord Stimulation | Single arm Precision Spinal Cord Stimulation System with Artisan Surgical Lead Precision Spinal Cord Stimulation System: Precision System aids in the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with the following: failed back surgery syndrome, intractable back pain, and leg pain. Artisan Surgical Lead: Artisan paddle electrode is a 2 x 8 surgical lead approved for use as part of the Precision System. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Precision Spinal Cord Stimulation | Single arm Precision Spinal Cord Stimulation System with Artisan Surgical Lead Precision Spinal Cord Stimulation System: Precision System aids in the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with the following: failed back surgery syndrome, intractable back pain, and leg pain. Artisan Surgical Lead: Artisan paddle electrode is a 2 x 8 surgical lead approved for use as part of the Precision System. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Reduction in Baseline Back Pain Severity as Measured at 3 Months Post-activation | The study was terminated and efforts were made to locate data. No study data are available. | Posted | 3 months post-activation |
|
Adverse events were collected from enrollment through completion of study data collection (12 months post-activation or withdrawal)
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Precision Spinal Cord Stimulation | Single arm Precision Spinal Cord Stimulation System with Artisan Surgical Lead Precision Spinal Cord Stimulation System: Precision System aids in the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with the following: failed back surgery syndrome, intractable back pain, and leg pain. Artisan Surgical Lead: Artisan paddle electrode is a 2 x 8 surgical lead approved for use as part of the Precision System. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Shoulder pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, Clinical Research Sciences | Boston Scientific | 6619494350 | roshini.jain@bsci.com |
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| ID | Term |
|---|---|
| D001416 | Back Pain |
| D059350 | Chronic Pain |
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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|
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| Artisan Surgical Lead | Device | Artisan paddle electrode is a 2 x 8 surgical lead approved for use as part of the Precision System. |
|
|
| Norfolk |
| Virginia |
| 23510 |
| United States |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Units |
|---|
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| Participants |
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| 0 |
| 8 |
| 0 |
| 8 |
| 1 |
| 8 |
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