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Neuropace RNS System User Manual

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Rev Date: 2019-01 DN 1017309 Rev 4
RNS
®
System User Manual
© 2019 NeuroPace, Inc.

Table of Contents

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Neuropace RNS System Specifications

General IconGeneral
Age18 years and older
IndicationTreatment of drug-resistant epilepsy
Seizure TypePartial onset seizures
TherapyElectrical stimulation
ProgrammingCustomizable
Stimulation ParametersVariable frequency, amplitude, and duration
Data CollectionStores seizure data for review
ApprovalFDA-approved

Summary

Introduction to the RNS System

Contact NeuroPace Support

Provides contact information for NeuroPace, Inc., including phone, fax, and website.

About the RNS System User Manual

Outlines the manual's purpose, intended audience, and its contents.

RNS System Overview

RNS System Indications and Contraindications

Lists patient criteria, seizure types, and conditions contraindicated for RNS System use.

RNS System Warnings and Precautions

Covers critical safety information, warnings, and precautions for clinical use and surgical procedures.

RNS System Description and Components

Describes the RNS System's function and lists its implantable and external products.

RNS System Sterilization, Storage, and Handling

Provides guidelines for handling, sterilization, storage, and disposal of RNS System products.

RNS System Battery Longevity

Explains neurostimulator battery life estimation and factors affecting it.

Clinical Use of the RNS System

Identifying RNS System Therapy Candidates

Describes the patient population and seizure types suitable for RNS System therapy.

Seizure Focus Localization and Lead Placement Planning

Explains methods for precise seizure focus localization and planning lead placement.

RNS System Patient Training Guidelines

Outlines essential training for patients and caregivers on device use and magnet operation.

RNS System Implantation and Initial Programming Overview

Provides a high-level view of the implantation process and initial programmer setup.

Initial Detection and ECoG Storage Settings

Details the recommended initial settings for detecting ECoG activity and storing data.

Initial Responsive Therapy Settings

Specifies recommended initial parameters for responsive stimulation therapy.

Surgical Procedures

Surgical Pre-Implant Procedures

Covers patient information, pre-surgical antibiotics, and product preparation before surgery.

Recommended RNS System Implant Procedure Flow Chart

Visual guide outlining the steps for implanting depth leads, strip leads, and neurostimulator.

Depth Lead Implantation and Fixation Procedure

Detailed steps for implanting and securing NeuroPace Depth Leads.

Cortical Strip Lead Implantation and Fixation

Detailed steps for implanting and stabilizing NeuroPace Cortical Strip Leads.

Neurostimulator Implantation Procedure

Steps for placing the ferrule and securing the neurostimulator within the craniectomy.

Connecting Neurostimulator to Implanted Leads

Instructions for tunneling leads and connecting them to the neurostimulator's connector cover.

Replacing or Explanting the RNS System

Guidelines for explanting system components and replacing the neurostimulator.

Programming Instructions

Logging into the NeuroPace Programmer

Steps to access and log into the NeuroPace Programmer software interface.

Interrogating the RNS Neurostimulator

Explains how to retrieve programmed settings and stored data from the neurostimulator.

Measuring Lead Impedance

Details how to measure electrode impedance to verify lead integrity.

Measuring Neurostimulator Battery Voltage

Describes how to measure battery voltage and recommendations for replacement.

Capturing Real-Time ECoG Data

Instructions for capturing, viewing, and storing real-time electrocorticogram data.

Assigning Lead Labels and Creating Montage

Guides on labeling implanted leads and configuring electrode assignments for sensing.

Setting Up Detection Parameters

Explains how to configure neurostimulator settings to recognize epileptiform activity.

Setting Up Responsive Therapy

Details how to configure stimulation sequences delivered in response to detected activity.

Reviewing Programmer Reports

Instructions for displaying and reviewing programmed settings, event history, and ECoGs.

Using the NeuroPace Magnet

Patient Follow-Up Activities

Follow-up Visit: Interrogate Neurostimulator

Recommended step to interrogate the RNS Neurostimulator during follow-up visits.

Follow-up Visit: Review System Data

Review stored ECoGs, test system integrity, and check battery voltage.

Follow-up Visit: Therapy and Detection Adjustments

Adjust stimulation or detection parameters as needed based on patient response.

Troubleshooting

Troubleshooting Damaged Products

Instructions for inspecting and handling damaged NeuroPace products.

Troubleshooting Abnormal Lead Impedance

Procedures for diagnosing and resolving abnormal lead impedance measurements.

Troubleshooting Insufficient Charge

Addresses issues where the neurostimulator cannot fully deliver programmed therapy.

Troubleshooting Signal and Communication Issues

Steps to resolve ECoG signal quality, noise, artifacts, and programmer communication problems.

Troubleshooting Measurement and Reset Issues

Addresses rejected measurements, test requests, and neurostimulator resets.

Specifications and Characteristics

RNS Neurostimulator Specifications

Lists technical specifications for the RNS Neurostimulator device.

RNS System Wireless and Leads Specifications

Details wireless functions and specifications for leads and system components.

NeuroPace Programmer and Wand Specifications

Lists the specifications for the NeuroPace Programmer and Wand Model W-02.

Electromagnetic Emissions and Immunity Information

Covers EMI considerations, guidance for medical and public environments.

System Products, Components, Accessories, and Tools

RNS Neurostimulator Kit and Components

Lists items included in the NeuroPace RNS Neurostimulator Kit.

NeuroPace Lead Kits and Accessories

Details NeuroPace Depth Lead and Cortical Strip Lead Kits and accessories.

NeuroPace Programmer and Remote Monitor Kits

Lists items included in the NeuroPace Programmer and Remote Monitor Kits.

NeuroPace Surgical Procedure Kits

Details kits for craniectomy, cranial prosthesis, connector cover, and ferrule.

Glossary of RNS System Terms

Index of RNS System Topics