Why Choose Boston Scientific?

Boston Scientific is a leader in the field of SCS — dedicated to helping patients manage pain.

It all started with the launch of the Precision™ Spinal Cord Stimulator (SCS) System. As the world's first system with a dedicated power source for each contact, a rechargeable battery, and innovative programming software, we advanced the world of SCS. While Precision was ahead of its time, we knew we were just getting started.

Boston Scientific Clinical Data

Recent clinical data show sustained and highly significant reduction in overall pain and low back pain 24 months post-implant with the Boston Scientific Precision Spectra™ SCS System.

Additionally LUMINA data demonstrates 70% greater low back pain relief with the Precision Spectra System than with the previous generation Precision Plus™ SCS System.

See the data

Data

Frey et al., Long-Term Reduction in Back Pain and Disability with Anatomically-Guided Neural Targeting: Final Results of the Multicenter LUMINA Study, Presented at the North American Neuromodulation Society 19th Annual Meeting, Las Vegas, NV 2015.
Note: Clinical study results may not necessarily be indicative of clinical performance. Results in other studies may vary.

The Boston Scientific Difference

Difference

Our vision was to define the future of SCS by providing more pain relief to a broader spectrum of patients. That was the guiding principle in the development of our next-generation system.

The world's first SCS system with 32 contacts and 32 dedicated power sources, the Precision Spectra™ SCS System is designed to provide unprecedented pain coverage, an entirely new level of flexibility, and advanced control for delivering stimulation in ways never before possible.

 

Seamless coverage for precise targeting and more Central Points of Stimulation (CPS)

When you control movement of the CPS along the spinal cord in increments as small as a human hair, you can target the area of pain for unparalleled accuracy. Only Boston Scientific offers this level of control. Single-source systems do not.

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  • Systems with only two widely-spaced 8-contact leads and a single power source gives only 24 CPS
  • Systems with two 16-contact leads and only a single power source gives only 45 CPS
  • Systems with two 16-contact leads and 16 dedicated power sources gives 70,000 CPS
  • With 32 contacts and 32 dedicated power sources, the Precision Spectra System lets you cover more of the spinal cord than ever before. Two Infinion™ Leads driven by 32 dedicated power sources provide seamless mediolateral and rostrocaudal coverage over 3 vertebral levels.1,2,3 Precision Spectra provides a monumental 150,000 CPS

  1. Lee D, Bradley K, Syed ZA, Gillespie E, Esterly D. Improved Stimulation Targeting with a Novel 16-Contact Percutaneous SCS Lead: A Computational Model. Abstracts of the 15th Annual Meeting of the North American Neuromodulation Society (NANS) Meeting, Las Vegas, NV, December 2011.
  2. Lee D, Gillespie E. Dorsal Column Steerability with Dual Parallel Leads using Dedicated Power Sources: A Computational Model. Abstract of the 35th Annual Regional Anesthesia Meeting and Workshops (ASRA), Toronto, Canada, April 22-25, 2010.
  3. Panjabi M, et al. Thoracic Human Vertebrae: Qualitative Three-Dimensional Anatomy. Spine 1991;16(8):888-901.

    A Central Point of Stimulation (CPS) is the focal point of the stimulation field on the dorsal column. Fractionalizing current in 1% increments between two tightly-spaced contacts provides 100 CPS. Single source systems or widely-spaced contacts provide three CPS between adjacent contacts.
    CPS Calculations:
    8 CPS x 3 CPS = 24 CPS.
    15 CPS x 3 CPS = 45 CPS.
    700 CPS x 100 CPS = 70,000 CPS.
    1,500 CPS x 100 CPS = 150,000 CPS
    COMPUTATIONAL MODELING METHODS
    A volume conductor model of the low-thoracic spinal cord was created, and electric fields were calculated using ANSYS, a finite-element modeling tool. The volume of activation (VOA) and the central point of the VOA were computed and are depicted in these figures. Only cathodes applied on single or adjacent contacts were used in these models. Computational modeling may not necessarily be indicative of clinical performance.

Flexibility for now and the future

Designed for a new level of flexibility. Four ports and an unrivaled percutaneous lead portfolio for unmatched flexibility, now and in the future.

The Precision Spectra System gives you an entirely new level of flexibility. Unprecedented lead configurations provide more choices to manage your patients' unique pain patterns.

See full lead portfolio

Leads

Advanced control

Guided by our next-generation 3D programming algorithm, Precision Spectra SCS is engineered to provide advanced control for delivering stimulation in ways never before possible. Illumina 3D generates advanced anode/cathode configurations to best target the selected central points of stimulation, allowing you to create a customized stimulation field.

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Illumina 3D™ Programming Algorithm

Leads exist in a complex 3-dimensional environment. The Illumina 3D Algorithm is the first and only programming software that takes this into account.

  • Incorporates 3-dimensional lead location
  • Simple "point and click" targeting
  • Creates a customized stimulation field
  • Designed to improve pain targeting

FluoroSync™ Interface

Visually intuitive and elegantly simple user interface.

  • Select and place leads with drag-and-drop simplicity
  • Programming software mirrors fluoro image
  • Inputs the 3-dimensional lead location into the Illumina 3D Programming Algorithm

LeadSync™ Technology

The only programming software to account for lead offset.

  • Use programming software to detect relative lead location
  • Adjusts for lead offset by synchronizing contacts on parallel leads
  • Ability to refocus the stimulation field
  • Designed to account for relative lead movement during the trial, after the permanent implant, or during the procedure

See full product portfolio

Jump

Compare Boston Scientific to Other Systems

We invite you to compare Boston Scientific to other manufacturers' SCS systems. Below are just a few reasons to consider Boston Scientific SCS for your patients:

  • Precise pain-targeting technology and up to 32 dedicated power sources — Boston Scientific Systems are designed to provide greater stimulation control and flexibility to manage patients' specific pain needs. With Boston Scientific Systems, each and every contact has its own dedicated power source, allowing the stimulation field to be moved as pain changes. Compare this to other systems, which only have one power source that drives all 16 stimulation points.
  • Completely wireless systems — Boston Scientific SCS Systems offer wireless remotes and chargers. The remotes are easy to use and designed to put control at patients' fingertips — allowing them to adjust stimulation to fit their varying needs. Our systems also have a wireless on-the-go charger. Without any wires or cords, this discreet charger fits under clothing and will allow patients to charge at their convenience. From functionality to aesthetics, the Boston Scientific CSC Systems are designed to bring the patient experience to a whole new level.
  • Unlimited battery depletion — Boston Scientific SCS Systems are designed to last and are the only SCS systems that can be completely depleted and then recharged without harm to the battery. We are so confident in our battery technology, we offer a warranty that is not voided by over-discharge of the battery.
  • The ultimate trial system — With two Infinion™ 16 Leads and two 1x16 OR Cables, the Precision Spectra System is designed to give patients the best chance for a successful trial. This provides twice the coverage of the spinal cord with the same number of needle sticks. Our LeadSync™ Technology provides the ability to refocus the stimulation field in the event of relative lead migration.

Side-by-side comparison

All SCS systems are not the same. See for yourself by comparing the Boston Scientific SCS Systems against other SCS systems. (Click any image below to enlarge)

System

Boston Scientific

Medtronic

St. Jude

Precision Spectra™

Precision Montage™ MRI

RestoreSensor™

St. Jude
Protégé™ (Eon Mini™)

System Type
3D Finite Element Model, Constant Current at Each Contact (MICC) Constant Current at Each Contact (MICC) Constant Voltage (Single Source) Constant Current (Single Source)
# of Power Sources
32 16 1 1
# of Contacts
32 16 16 16
16 Contact Percutaneous Lead
Yes (Infinion™ 16 Lead) Yes (Infinion 16 Lead) No No
Max Pulse Width
1000μsa 1000μsl 1000μsb 500μsc
Max Voltage
15 Va 15 Vl 10.5 Vb 12 Vc
Max Frequency
1200 Hza 1200 Hzl 1200 Hzb 1200 Hzc
# of Lead Ports
4 2 2 2
Reserve Lead Ports (with 2x8 Contact Implant)
2 0 0 0
Percutaneous Lead Options (≥ 8 Contacts)
5 Avista™ MRI Lead with Heat Canceling Technology 5 2
MRI Conditionality
Head Conditionald Full Body Conditional l Full Body Conditionale Head, Lower Extremity Except Hip, and Wrist Conditionalf

Programming

Boston Scientific

Medtronic

St. Jude

Precision Spectra™

Precision Montage™ MRI

RestoreSensor™

St. Jude
Protégé™ (Eon Mini™)

3D Programming Algorithm
Yesg (Illumina 3D™ Programming) Yesi (Illumina 3D™ Programming) No No
Contact Synchronization
Yesg (LeadSync™ Technology) Yesi (LeadSync™ Technology) No No
Drag-and-Drop Programming Interface
Yesg (FluoroSync™ Technology) Yesi (FluoroSync™ Technology) No No
Automated Anode /Cathode Focusing
Yesg (Focus Feature) Yesi (Focus Feature) No No
Ability to Detect Relative Lead Position
Yesg (EGL Scan™ Technology) Yesi (EGL Scan™ Technology) No No
Upgradeable
Yes Yes Yes Yes
Fractionalized Can
Yesg (Prism™ Technology) Yesi (Prism™ Technology) No No
Move Electric Field in 1% Increments
Yes Yes No No
Tightly Spaced Contacts
Yes (1mm) Yes (1mm) Yes (1.5mm) No
Joystick Control
Yes Yes No No
Auto Impedance Adjust at Each Contact
Yes Yes No No

Charger

Boston Scientific

Medtronic

St. Jude

Precision Spectra™

Precision Montage™ MRI

RestoreSensor™

St. Jude
Protégé™ (Eon Mini™)

Wireless Charger
Yesg (FreeLink™ Technology) Yesi (FreeLink™ Technology) Noh Noc

Remote

Boston Scientific

Medtronic

St. Jude

Precision Spectra™

Precision Montage™ MRI

RestoreSensor™

St. Jude
Protégé™ (Eon Mini™)

Wireless Remote
Yesg Yes Noh Noc
Range
3 Feet 3 Feet 0 inches(Must hold directly over implanted IPG) 0 inches(Must hold directly over implanted IPG)

Implantable Pulse Generator (IPG)

Boston Scientific

Medtronic

St. Jude

Precision Spectra™

Precision Montage™ MRI

RestoreSensor™

St. Jude
Protégé™ (Eon Mini™)

eonmini
Battery with Contoured Oval Shape
Yes Yes No No
Volume
22cca 19.8ccl 22ccb 18ccc
Thickness (Maximum)
11mm (battery)a 10.8mm (battery)l 11mm (connector)b 11mm (connector)c
Warranty
5 yearsj 5 yearsl 5 yearsk 1 yearc (7 yearsf)
Battery Warranty Voided by Over-Discharge
Noj Nob Yesk Yesc

References

  1. Boston Scientific Precision Spectra™ Implantable Pulse Generator Directions for Use, 90655621-04RevA, 2012, p 6–7.
  2. Medtronic RestoreSensor® Implant Manual, M934840A001, 2011, p 6–7, 9.
  3. St. Jude Eon Mini™ Neurostimulation System Clinician's Manual, 37-1 004-01 E Mar 08, p 17–18, 79–80, 89–90, 96–107.
  4. Boston Scientific Precision Spectra ImageReady™ MRI Guidelines, 90829497-02 Rev B, 2014.
  5. Medtronic RestoreSensor SureScan® Implant Manual, M940100A004, 2013 p 12.
  6. http://professional.sjm.com/products/neuro/scs/generators 18 MAY 2014.
  7. Boston Scientific Precision Spectra Programming Manual, 90668528-07 REV B, 2013, p 51, 68–72.
  8. Medtronic Patient Programmer Manual, M948430A001, 2012 p 28–9.
  9. Boston Scientific calculations. Data on file.
  10. Boston Scientific Limited Warranty, 90668557-03RevB, 2012, p 3.
  11. Medtronic Limited Warranty Statement, M930458A006, 2010.
  12. Boston Scientific Precision Montage Programming Manual

* FDA approved rename of Eon Mini to Protégé™. PMA P010032 Supplement Number S074.

† The Precision Montage™ MRI SCS System provides safe access to full-body MRI scans only when used with the Avista MRI Leads and exposed to the MRI environment under the specific conditions defined in the ImageReady MRI Full Body Guidelines for Precision Montage™ MRI Spinal Cord Stimulator System.

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The History of SCS & Boston Scientific Innovation

SCS was originally based on pacemaker technology. Other SCS systems are still built on this technology today. Boston Scientific SCS Systems were based on more advanced technology — the cochlear implant. Compared to pacemakers that had one power source for stimulation, cochlear implant technology had dedicated power sources for each contact to allow independent control of stimulation, which is substantially more precise than a pacemaker.

See the technology timeline

Timeline

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866.360.4747

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Download the Illumina 3D Family Brochure to learn about the leading-edge technology of Illumina 3D programming and what that means for you and your patients.

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