Engineering Principles of Spinal Cord Stimulation and Deep Brain Stimulation for Clinicians Featured

8:00 AM - 5:00 PM Thursday, January 23

The exciting workshop will present engineering principles relevant to Spinal Cord Stimulation (SCS) and Deep Brain Stimulation (DBS). The target audience is clinicians that currently utilize or are interested in incorporating SCS and/or DBS technologies into their clinical practice. The field of neuromodulation is rapidly evolving and several technologies are now clinically available. These systems have diverse lead and stimulator designs. It is not always clear how different designs or waveform parameters affect the neural response and corresponding efficacy of the stimulation. Therefore, the goal of this course is to provide clinicians with an overview of the engineering principles and biophysics relevant to SCS and DBS. This course will also present the current understanding of the physiological effects and mechanisms of action of standard and emerging forms of SCS and DBS. Furthermore, this course will describe safety and regulatory issues that are critical to electrode design and stimulation parameters. At the end of the course, attendees will have a better understanding of the physiological and technical factors that determine the neural response to SCS and DBS. The ultimate goal of this course is to provide attendees with knowledge that will aid in their clinical implementation of SCS and DBS technologies.

CME Credit

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Congress of Neurological Surgeons (CNS) and the North American Neuromodulation Society. The CNS is accredited by ACCME to provide continuing medical education for physicians.

The CNS designates this live activity for a maximum of 6.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Learning Objectives

Upon completion of this educational activity, participants should be able to:

  • Discuss the biophysics of neural stimulation.
  • Indicate how lead design and placement and waveform parameters affect the neural response to extracellular stimulation.
  • Describe safety and regulatory issues related to electrode design and waveform parameters.
  • Outline the engineering principles relevant to SCS and DBS.
  • Explain the physiological effects and corresponding mechanisms of action of standard and emerging forms of SCS and DBS.

Registration Rates:

Registration on or Before November 4, 2019:
Member: $125
Non-Member: $175

Registration After November 4, 2019:
Member: $150
Non-Member: $200

Agenda

Introduction

Marom Bikson, PhD; Scott F. Lempka, PhD

Understanding How Electrical Stimulation Affects Neurons Part I: Membrane Polarization

Marom Bikson, PhD

Understanding How Electrical Stimulation Affects Neurons Part II: Role of Electrode Position and Waveform Parameters

Cameron McIntyre, PhD

How Current Flow Models Inform Lead Placement and Parameter Selection

Scott F. Lempka, PhD

What Are Electrodes?

Dan Merrill, PhD

How Tissue Safety Constrains What Waveforms Can Be Applied

Dan Merrill, PhD

Electrodes: Regulatory Issues

Doe Kumsa, PhD

Faculty Panel Q&A Discussion

Marom Bikson, PhD; Scott F. Lempka, PhD; Doe Kumsa, PhD; Cameron McIntyre, PhD; Dan Merrill, PhD

Spinal Cord Stimulation: Background and Relevant Engineering Principles

Scott F. Lempka, PhD

Spinal Cord Stimulation: New Waveforms and Mechanisms of Action

Scott F. Lempka, PhD

Spinal Cord Stimulation: Subthreshold Mechanisms and Heating

Marom Bikson, PhD

Deep Brain Stimulation: Background and Relevant Engineering Principles

Svjetlana Miocinovic, MD PhD

Deep Brain Stimulation: New Waveforms and Lead Designs

Svjetlana Miocinovic, MD PhD

Deep Brain Stimulation: StimVision Interactive Software Demonstration

Cameron McIntyre, PhD

Faculty Panel Q&A Discussion

Marom Bikson, PhD; Scott F. Lempka, PhD; Cameron McIntyre, PhD; Svjetlana Miocinovic, MD PhD

Faculty and Presentations subject to change.