EasyManua.ls Logo

Abbott Eterna 32400 - User Manual

Abbott Eterna 32400
28 pages
Print Icon
To Next Page IconTo Next Page
To Next Page IconTo Next Page
Loading...
Eterna™ Implantable Pulse Generator
Model 32400
Clinician's Manual
Question and Answer IconNeed help?

Do you have a question about the Abbott Eterna 32400 and is the answer not in the manual?

Summary

Prescription and Safety Information

Intended Use, Indications, and Contraindications

Defines system purpose, approved medical uses, and patient conditions for which it is not recommended.

MRI Safety Information

Details safety precautions and requirements for MRI scans with the system.

Warnings

Lists crucial warnings related to the neurostimulation system's use and potential risks.

Electrosurgery Precautions

Electrosurgery Precautions

Provides guidelines and precautions for using electrosurgery with the system.

Device Interference and Safety

Covers interference from other devices and safety precautions for gases.

Device Handling and Modification

Device Handling and Modification

Advises on handling, modification restrictions, and case damage for the device.

General Precautions

Lists general precautions for system use, including clinician training and patient selection.

Implant Precautions

Implant Precautions

Details precautions related to lead implantation, spacing, and potential heating.

Electromagnetic Interference (EMI)

Lists sources of EMI and how to avoid them to protect the system.

Consumer Device Interference

Explains potential interference from common electronic devices like mobile phones.

Lead Movement and Patient Training

Lead Movement and Patient Training

Advises patients on avoiding actions causing lead movement and stresses patient training.

Sterilization, Storage, and Handling

Sterilization, Storage, and Handling Guidelines

Covers sterilization methods, storage, and component handling requirements.

Hospital and Medical Environments

Medical Device Interactions

Warns about potential damage from medical devices like lithotripsy and radiation.

Home and Occupational Environments

Environmental Interference and Safety

Discusses interference from security devices and wireless use restrictions.

Scuba Diving and Hyperbaric Chambers

Provides guidance and restrictions for diving and hyperbaric chambers.

Adverse Effects

System-Related Adverse Effects

Lists risks associated with using the neurostimulation system, beyond surgical risks.

System Overview

System Components Overview

Outlines the main components of the neurostimulation system.

Product Description

System Features and Compatibility

Details software upgrade capabilities and compatibility with other leads.

Package Contents

Generator Kit Components

Lists the items included in the generator kit.

Identifying the Generator

Generator Identification Methods

Describes ways to identify the generator, including model number and radiopaque tag.

Directions for Use

Pre-Surgical Setup and Activation

Instructions for pre-surgical setup, communication, and generator activation.

Creating a Generator Pocket

Outlines the suggested procedure for creating the generator implant pocket.

Connecting Leads or Extensions

Connecting Leads or Extensions

Provides guidelines for connecting leads or extensions to the generator header.

Lead;Extension Insertion Verification

Details visual indicators and testing to confirm correct lead/extension insertion.

Securing Lead Connections

Securing Lead Connections

Instructions on tightening setscrews and inserting port plugs for secure connections.

Implanting the Generator

Generator Pocket Placement and Stabilization

Details generator pocket depth and stabilization within the pocket.

Pre-Implantation System Checks

Instructions for checking lead positioning and performing intraoperative testing.

Final Implant Steps and Checks

Final Implant Steps and Checks

Final steps for closing the incision and ensuring surgery mode is off.

Replacing the Generator

Generator Replacement Procedure

Steps for turning off stimulation, opening the site, and removing leads.

Disposing of Explanted Components

Explanted Component Disposal Instructions

Procedures for returning explanted components for proper disposal.

Checking the Status of the Generator Battery

Battery Status Monitoring and Alerts

Explains how to check battery status and interpret alerts.

Technical Support

Contact Information for Support

Provides contact phone numbers for technical questions and support.

Appendix A: Product Specifications

Temperature and Storage Specifications

Details recommended storage and excursion temperature conditions for components.

Generator Material Composition

Lists the materials used for generator kit components that contact tissue.

Generator Physical Specifications

Details physical specifications like height, weight, and volume of the generator.

Generator Operating Parameters

Generator Operating Parameters

Lists operating parameters like pulse width, frequency, and amplitude for the generator.

Compatibility with Non-Abbott Leads

Lists compatible adapters and extensions for connecting non-Abbott leads.

Appendix B: System Components and Accessories

Generator and Accessories

Lists the generator model and its associated accessories.

Charging System Components

Lists the charging system and its accessories.

Programmer and Controller Components

Lists programmers, controllers, and their accessories.

Leads and Extensions

Leads and Extensions

Lists various types of leads and extensions available for the system.

Lead and Extension Accessories

Lists accessories for leads and extensions.

Adapters and Extensions for Connectivity

Lists adapters and extensions for connecting compatible leads and extensions.

Appendix C: Generator Battery Information

Battery Life and Charging

Details battery longevity, charging requirements, and ERI alerts.

BurstDR Nominal Settings

Lists the nominal stimulation settings for BurstDR™ programs.

Appendix D: Regulatory Statements

Battery Disposal Guidelines

Provides guidelines for disposing of battery-powered devices according to EU directives.

FCC Compliance Statement

Details the FCC compliance statement for the device and potential interference.

Product Identification and Registration

Product Identification and Registration

Information regarding product identifiers for registration purposes.

Bluetooth Low Energy Specifications

Summarizes technical details of the Bluetooth® Low Energy implementation in the device.

Wireless Communication Quality

Wireless Communication Quality

Describes the quality of service for wireless communication and factors affecting it.

Wireless Security Measures

Details the security measures implemented for wireless communication.

Troubleshooting for Wireless and Coexistence Issues

Wireless Connectivity Troubleshooting Steps

Provides steps to resolve issues with wireless communication between devices.

Appendix E: Symbols and Definitions

Universal Symbols and Definitions

Explains common symbols found on the product or label, including MR conditional and safety symbols.

Overview

The Eterna™ Implantable Pulse Generator (IPG), Model 32400, is a rechargeable electronic device designed to deliver low-intensity electrical impulses to nerve structures for therapeutic stimulation. It is intended for use with compatible leads and extensions as an aid in managing chronic, intractable pain of the trunk and/or limbs, including pain associated with failed back surgery syndrome and intractable low back and leg pain.

Function Description:

The IPG delivers constant-current electrical stimulation through leads connected to electrodes near selected nerve fibers. It supports both single and multiple programs, with each program capable of stimulating single or multiple anatomical areas. The generator communicates wirelessly with a clinician programmer and a patient controller using Bluetooth® wireless technology. It receives radio frequency energy from an external charger to recharge its internal lithium-ion battery. The patient magnet can be used to turn the generator on and off if this functionality is enabled by the physician.

Important Technical Specifications:

  • Model: 32400
  • MR Conditional: Yes, allowing safe MRI scans under specific conditions.
  • Upgradeable Features: Yes, enabling software upgrades for additional features.
  • BurstDR™ Stimulation Capable: Yes.
  • Dimensions:
    • Height: 3.87 cm (1.52 in.)
    • Length: 4.81 cm (1.89 in.)
    • Thickness: 0.90 cm (0.36 in.)
  • Weight: 26.4 g (0.93 oz)
  • Volume: 13.79 cm³ (0.84 in.³)
  • Power Source: Rechargeable lithium-ion cell battery.
  • Connector Specifications: Two 8-channel connectors, in-line, 2.54 mm (0.1 in.) spacing, with a connector strength of 5N.
  • Program Storage Capacity: 16 programs with 8 stim sets each.
  • Operating Parameters (Tonic Range):
    • Pulse Width: 20–1000 µs (steps of 10 µs for 20–500 µs range, 50 µs for 500–1000 µs range)
    • Frequency: 2–200 Hz (steps of 2 Hz), 200–500 Hz (steps of 10 Hz), 500–1200 Hz (steps of 20 Hz)
    • Amplitude: 0–25.5 mA (steps of 0.1–1.0 mA) or 0–12.75 mA (steps of 0.05–0.50 mA)
  • Operating Parameters (Burst Range):*
    • Pulse Width: 50–1000 µs (steps of 50 µs)
    • Burst Frequency: 10–60 Hz (steps of 10 Hz)
    • Intra-burst Rate: 250–500 Hz (steps of 10 Hz), 500–1000 Hz (steps of 20 Hz)
    • Amplitude: 0–12.75 mA (steps of 0.05–0.50 mA)
  • Wireless Technology (Bluetooth® Low Energy):
    • Antenna Type: Modified monopole
    • Antenna Dimensions: 10.7 mm x 4.3 mm x 3.0 mm
    • Modulation: GFSK
    • Output Power (EIRP*): 2 mW (+3 dBm) typical
    • Duty Cycle: 14.1% or less over 6 min period
    • Range: Up to 2 m typical
    • Center Frequency: 2.44 GHz
    • Channel Frequency Range: 2.402 GHz to 2.480 GHz
    • Channels: 40 logical channels using AFH
    • Bandwidth per Channel: 2 MHz
    • Data Flow: Bi-directional
    • Protocol: Bluetooth® Low Energy
    • Semi-duplex Capability: Yes
  • Product Materials (in contact with tissue): Titanium, silicone rubber, epoxy resin.
  • Storage Temperature: 23°C or 73°F.
  • Excursion Temperature Limits: -20°C (-4°F) to 60°C (140°F), with excursions below 15°C (59°F) or above 30°C (86°F) limited to <24 hours.

Usage Features:

  • Implantation: The generator is implanted in a pocket created parallel to the skin surface, at a depth of 0.5 cm (0.20 in.) to 2.5 cm (0.98 in.). Proper pocket depth is crucial for effective communication with the clinician programmer, generator charger, and patient magnet.
  • Lead/Extension Connection: The generator header is designed to connect to one or more extensions or leads (up to 16 electrodes total). A torque wrench is used to secure connections. Compatible adapters (e.g., A127™ Extension, 8-Channel Adapter) are available for connecting to select Medtronic leads and extensions. Direct insertion of non-Abbott leads into the generator header is not recommended.
  • System Testing: The system should be tested during the implant procedure, before closing the neurostimulator pocket, and before the patient leaves the surgery suite to ensure correct operation and lead insertion.
  • Surgery Mode: The generator should be placed in "Surgery mode" using the clinician programmer during electrosurgery procedures and intraoperative testing (turned off for testing) to prevent harm to the patient or damage to the system. It must be turned off after the surgical procedure is completed.
  • Patient Control: Patients use a patient controller app to manage prescribed programs, monitor battery status, and adjust charger settings.
  • Clinician Programming: Clinicians use a programmer app to create and modify programs, view log files, and access generator/charger information.
  • MRI Safety: The system is MR Conditional, meaning patients can undergo MRI scans if specific conditions for implanted components and scanning are met.
  • Wireless Communication: Utilizes Bluetooth® Low Energy for secure communication between the generator, clinician programmer, and patient controller. Wireless security measures include encryption, unique pairing keys, proprietary authentication, and whitelisting methods.
  • Battery Longevity: The rechargeable lithium-ion battery is designed to provide at least 10 years of service before replacement is recommended. Nominal stimulation settings allow for 3 weeks or more of therapy with 1 hour of daily charging. An Elective Replacement Indicator (ERI) message will appear when the battery approaches its end of service.

Maintenance Features:

  • Recharging: The generator battery is rechargeable via an external charger. It should be fully charged before implantation and can be charged through its sterile packaging.
  • Battery Status Monitoring: The clinician programmer app and patient controller app display generator battery status. Alert messages indicate low or depleted battery and when charging is required.
  • Disposal: Explanted generators and battery-powered devices should be returned to Abbott Medical for proper disposal due to the presence of batteries and potentially hazardous materials.
  • Sterilization: The implanted components are single-use and sterile, sterilized using ethylene oxide (EtO) gas. Re-sterilization or re-implantation of explanted systems is prohibited.
  • Troubleshooting Wireless Issues: If wireless communication issues arise, users are advised to decrease distance between devices, ensure line of sight, move away from interfering devices, restart apps/devices, wait a few minutes, and avoid operating other wireless devices simultaneously.

Abbott Eterna 32400 Specifications

General IconGeneral
BrandAbbott
ModelEterna 32400
CategoryPulse Generator
LanguageEnglish

Related product manuals