In Vitro MRI Evalua;on of the Open-‐Coil Lead Used for ...

In  Vitro  MRI  Evalua*on  of  the  Open-­‐Coil  Lead  Used  for  Percutaneous   Peripheral  Nerve  S*mula*on   Frank  G.  Shellock1,  John  Chae2,  Brian  M.  Ilfeld3,  Robert  B.  Strother4  

1Keck  School  of  Medicine,  University  of  Southern  California,  Los  Angeles,  CA;  2MetroHealth  Medical  Center,  Cleveland,  OH;  

 3University  of  California-­‐San  Diego,  La  Jolla,  CA;  4SPR  TherapeuPcs,  Cleveland,  OH  

OBJECTIVE  

METHODS:  In  vitro  MRI  Evalua*on  

To  evaluate  MRI-­‐related  issues  for  various  fragments  of  an  open-­‐coil   lead  used  for  percutaneous  peripheral  nerve  sPmulaPon  (PNS).  

BACKGROUND  

treat  shoulder  pain.  

12.7  cm  

Open-­‐coil  MicroLead  (SPR  TherapeuPcs,  Cleveland,  OH)  loaded  inside  20-­‐gauge   introducer  needle.  Maximum  possible  length  of  lead  fragment  is  12.7-­‐cm  

Lead  is  insulated  along  its  length  except  for  the  15-­‐mm  distal  Pp,  the  last  5-­‐mm  of   which  is  bent  to  form  an  anchor  designed  to  resist  migraPon  within  the  Pssue.     Table  1.  Different  lengths  of  lead  fragments  that  were  much  longer  than  most  reported   fragment  lengths  (approximately