Neuropace RNS System - Recommended Initial Responsive Therapy Settings

Programming Instructions 77
RNS
®
System User Manual
settings will now be reflected on the THERAPY tab or select CANCEL CHANGES to return to the
T
HERAPY tab with the original settings.
10. Select R
ESPONSIVE THERAPY to be ENABLED.
Recommended Initial Responsive Therapy Settings
Stimulation may be programmed ON when appropriate detection settings have been established.
Stimulation should be tested to ensure patient tolerability before enabling responsive stimulation.
• Test stimulation
• Stimulation may evoke visual, olfactory, auditory, taste, sensory or motor responses.
• Test stimulations should be delivered to each electrode individually (electrode to can) to
determine whether there are acute side effects from stimulation.
• Habituation to side effects resulting from stimulation has been observed; however it is not
advised to program settings that cause patient discomfort.
• Avoid stimulation settings that cause an electrographic afterdischarge.
Note: Test stimulation can be performed from the T
EST STIMULATION screen or by selecting the
T
HERAPY TESTING button from within the RESPONSIVE THERAPY screens. The latter method allows
the user to copy the tested settings back to the R
ESPONSIVE THERAPY screens for easier
programming.
Precaution: Afterdischarge Activity
If evidence of afterdischarge activity resulting from stimulation is seen either on
stored ECoGs or during test stimulation delivery, stimulation parameters should be
adjusted to prevent such occurrence.