Contact configuration and energy consumption in spinal cord stimulation

C.C. de Vos; M.P. Hilgerink; H.P.J. Buschman; J. Holsheimer

doi:10.1007/978-3-540-89208-3_600

Contact configuration and energy consumption in spinal cord stimulation

C.C. de Vos^*, M.P. Hilgerink, H.P.J. Buschman, J. Holsheimer

^*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceeding › Chapter › Academic

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Abstract

Objective: To test the hypothesis that, in contrast to an increase of the number of anodes which reduces energy consumption per pulse, an increase of the number of cathodes raises the energy consumption.

Materials and Methods: Patients with an Itrel 3 Pulse Generator and a Pisces Quad quadripolar lead have been selected for this study. A set of 7 standard contact configurations was used in each patient. Resistor network models mimicking these configurations were made. The UT-SCS volume conductor modeling software has been used to simulate the effect of these contact configurations on spinal nerve fibers. To allow a comparison of the measured and modeled energy/pulse, all values were normalized.

Results: Both the empirical and the modeling results showed an increase of energy consumption with an increasing number of cathodes. Although the patient data with 1 and 2 cathodes did not differ significantly, energy consumption was significantly higher when 3 cathodes were used instead of 1 cathode or 2 cathodes. The average energy consumption was significantly higher when bipolar stimulation was used instead of monopolar cathodal stimulation. An increasing number of anodes caused a decrease of energy consumption.

Conclusion: When the paresthesia area can be covered with several configurations, it will be beneficial for the patient to program a configuration with 1 cathode and either none or multiple anodes.

Original language	English
Title of host publication	4th European Conference of the International Federation for Medical and Biological Engineering
Subtitle of host publication	ECIFMBE 2008 23–27 November 2008 Antwerp, Belgium
Editors	Jos Vander Sloten, Pascal Verdonck, Marc Nyssen, Jens Haueisen
Place of Publication	Berlin, Heidelberg
Publisher	Springer
Pages	2503-2506
ISBN (Electronic)	978-3-540-89208-3
ISBN (Print)	978-3-540-89207-6
DOIs	https://doi.org/10.1007/978-3-540-89208-3_600
Publication status	Published - 2009
Event	4th European Conference of the International Federation for Medical and Biological Engineering, ECIFMBE 2008 - Antwerp, Belgium Duration: 23 Nov 2008 → 27 Nov 2008 Conference number: 4

Publication series

Name	IFMBE proceedings
Publisher	Springer
Volume	22
ISSN (Print)	1680-0737

Conference

Conference	4th European Conference of the International Federation for Medical and Biological Engineering, ECIFMBE 2008
Abbreviated title	ECIFMBE 2008
Country/Territory	Belgium
City	Antwerp
Period	23/11/08 → 27/11/08

Keywords

IR-85800

Access to Document

10.1007/978-3-540-89208-3_600

1 Article

Electrode contact configuration and energy consumption in spinal cord stimulation
de Vos, C. C., Hilgerink, M. P., Buschman, H. P. J. & Holsheimer, J., 1 Dec 2009, In: Neurosurgery. 65, 6, p. ons210-ons217 8 p.
Research output: Contribution to journal › Article › Academic › peer-review
11 Citations (Scopus)

16 Downloads (Pure)

Cite this

de Vos, C. C., Hilgerink, M. P., Buschman, H. P. J., & Holsheimer, J. (2009). Contact configuration and energy consumption in spinal cord stimulation. In J. Vander Sloten, P. Verdonck, M. Nyssen, & J. Haueisen (Eds.), 4th European Conference of the International Federation for Medical and Biological Engineering: ECIFMBE 2008 23–27 November 2008 Antwerp, Belgium (pp. 2503-2506). (IFMBE proceedings; Vol. 22). Springer. https://doi.org/10.1007/978-3-540-89208-3_600

de Vos, C.C. ; Hilgerink, M.P. ; Buschman, H.P.J. et al. / Contact configuration and energy consumption in spinal cord stimulation. 4th European Conference of the International Federation for Medical and Biological Engineering: ECIFMBE 2008 23–27 November 2008 Antwerp, Belgium. editor / Jos Vander Sloten ; Pascal Verdonck ; Marc Nyssen ; Jens Haueisen. Berlin, Heidelberg : Springer, 2009. pp. 2503-2506 (IFMBE proceedings).

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title = "Contact configuration and energy consumption in spinal cord stimulation",

abstract = "Objective: To test the hypothesis that, in contrast to an increase of the number of anodes which reduces energy consumption per pulse, an increase of the number of cathodes raises the energy consumption.Materials and Methods: Patients with an Itrel 3 Pulse Generator and a Pisces Quad quadripolar lead have been selected for this study. A set of 7 standard contact configurations was used in each patient. Resistor network models mimicking these configurations were made. The UT-SCS volume conductor modeling software has been used to simulate the effect of these contact configurations on spinal nerve fibers. To allow a comparison of the measured and modeled energy/pulse, all values were normalized.Results: Both the empirical and the modeling results showed an increase of energy consumption with an increasing number of cathodes. Although the patient data with 1 and 2 cathodes did not differ significantly, energy consumption was significantly higher when 3 cathodes were used instead of 1 cathode or 2 cathodes. The average energy consumption was significantly higher when bipolar stimulation was used instead of monopolar cathodal stimulation. An increasing number of anodes caused a decrease of energy consumption.Conclusion: When the paresthesia area can be covered with several configurations, it will be beneficial for the patient to program a configuration with 1 cathode and either none or multiple anodes.",

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author = "{de Vos}, C.C. and M.P. Hilgerink and H.P.J. Buschman and J. Holsheimer",

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de Vos, CC, Hilgerink, MP, Buschman, HPJ & Holsheimer, J 2009, Contact configuration and energy consumption in spinal cord stimulation. in J Vander Sloten, P Verdonck, M Nyssen & J Haueisen (eds), 4th European Conference of the International Federation for Medical and Biological Engineering: ECIFMBE 2008 23–27 November 2008 Antwerp, Belgium. IFMBE proceedings, vol. 22, Springer, Berlin, Heidelberg, pp. 2503-2506, 4th European Conference of the International Federation for Medical and Biological Engineering, ECIFMBE 2008, Antwerp, Belgium, 23/11/08. https://doi.org/10.1007/978-3-540-89208-3_600

Contact configuration and energy consumption in spinal cord stimulation. / de Vos, C.C.; Hilgerink, M.P.; Buschman, H.P.J. et al.
4th European Conference of the International Federation for Medical and Biological Engineering: ECIFMBE 2008 23–27 November 2008 Antwerp, Belgium. ed. / Jos Vander Sloten; Pascal Verdonck; Marc Nyssen; Jens Haueisen. Berlin, Heidelberg: Springer, 2009. p. 2503-2506 (IFMBE proceedings; Vol. 22).

Research output: Chapter in Book/Report/Conference proceeding › Chapter › Academic

TY - CHAP

T1 - Contact configuration and energy consumption in spinal cord stimulation

AU - de Vos, C.C.

AU - Hilgerink, M.P.

AU - Buschman, H.P.J.

AU - Holsheimer, J.

N1 - Conference code: 4

PY - 2009

Y1 - 2009

N2 - Objective: To test the hypothesis that, in contrast to an increase of the number of anodes which reduces energy consumption per pulse, an increase of the number of cathodes raises the energy consumption.Materials and Methods: Patients with an Itrel 3 Pulse Generator and a Pisces Quad quadripolar lead have been selected for this study. A set of 7 standard contact configurations was used in each patient. Resistor network models mimicking these configurations were made. The UT-SCS volume conductor modeling software has been used to simulate the effect of these contact configurations on spinal nerve fibers. To allow a comparison of the measured and modeled energy/pulse, all values were normalized.Results: Both the empirical and the modeling results showed an increase of energy consumption with an increasing number of cathodes. Although the patient data with 1 and 2 cathodes did not differ significantly, energy consumption was significantly higher when 3 cathodes were used instead of 1 cathode or 2 cathodes. The average energy consumption was significantly higher when bipolar stimulation was used instead of monopolar cathodal stimulation. An increasing number of anodes caused a decrease of energy consumption.Conclusion: When the paresthesia area can be covered with several configurations, it will be beneficial for the patient to program a configuration with 1 cathode and either none or multiple anodes.

AB - Objective: To test the hypothesis that, in contrast to an increase of the number of anodes which reduces energy consumption per pulse, an increase of the number of cathodes raises the energy consumption.Materials and Methods: Patients with an Itrel 3 Pulse Generator and a Pisces Quad quadripolar lead have been selected for this study. A set of 7 standard contact configurations was used in each patient. Resistor network models mimicking these configurations were made. The UT-SCS volume conductor modeling software has been used to simulate the effect of these contact configurations on spinal nerve fibers. To allow a comparison of the measured and modeled energy/pulse, all values were normalized.Results: Both the empirical and the modeling results showed an increase of energy consumption with an increasing number of cathodes. Although the patient data with 1 and 2 cathodes did not differ significantly, energy consumption was significantly higher when 3 cathodes were used instead of 1 cathode or 2 cathodes. The average energy consumption was significantly higher when bipolar stimulation was used instead of monopolar cathodal stimulation. An increasing number of anodes caused a decrease of energy consumption.Conclusion: When the paresthesia area can be covered with several configurations, it will be beneficial for the patient to program a configuration with 1 cathode and either none or multiple anodes.

KW - IR-85800

U2 - 10.1007/978-3-540-89208-3_600

DO - 10.1007/978-3-540-89208-3_600

M3 - Chapter

SN - 978-3-540-89207-6

T3 - IFMBE proceedings

SP - 2503

EP - 2506

BT - 4th European Conference of the International Federation for Medical and Biological Engineering

A2 - Vander Sloten, Jos

A2 - Verdonck, Pascal

A2 - Nyssen, Marc

A2 - Haueisen, Jens

PB - Springer

CY - Berlin, Heidelberg

T2 - 4th European Conference of the International Federation for Medical and Biological Engineering, ECIFMBE 2008

Y2 - 23 November 2008 through 27 November 2008

ER -

de Vos CC, Hilgerink MP, Buschman HPJ, Holsheimer J. Contact configuration and energy consumption in spinal cord stimulation. In Vander Sloten J, Verdonck P, Nyssen M, Haueisen J, editors, 4th European Conference of the International Federation for Medical and Biological Engineering: ECIFMBE 2008 23–27 November 2008 Antwerp, Belgium. Berlin, Heidelberg: Springer. 2009. p. 2503-2506. (IFMBE proceedings). doi: 10.1007/978-3-540-89208-3_600

Contact configuration and energy consumption in spinal cord stimulation

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Electrode contact configuration and energy consumption in spinal cord stimulation

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