Chronic Pain
Conditions
Brief summary
A post market study evaluating the safety of the Prodigy MRI and Proclaim Elite MR conditional Spinal Cord Stimulator (SCS) systems.
Detailed description
The study will be performed as an international, multicenter, prospective and single-arm design. The study will be conducted as a Post Market Clinical Follow Up (PMCF) study and the results will be submitted to the Notified Body: BSI Group (BSI).
Interventions
MRI scan
Sponsors
Study design
Intervention model description
International, multicenter, prospective, and single-arm design
Eligibility
Inclusion criteria
* Patient has been implanted with a Prodigy MRI or Proclaim Elite MR conditional SCS system * Patient will receive an MRI scan in compliance with the Instructions For Use (IFU) for the implanted MR conditional SCS system * Patient is ≥ 18 years of age * Patient must be willing and able to comply with study requirements * Patient must indicate his/her understanding of the study and willingness to participate by signing an appropriate Informed Consent Form
Exclusion criteria
* Patient has another implanted device (active or passive) that prohibits safe scanning * Patient has previously experienced an MRI scan-related adverse event * Patient is currently enrolled in another Abbott study that collects MRI safety data * Patient is incapacitated, is unable to read or write, or is pregnant or breastfeeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Rate of the MRI Scan-related Adverse Events | 1 month post MRI scan | The rate of the MRI scan-related adverse events will be assessed at 1-month follow-up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of Successful MRI Mode 'Turn Off' Functionality | Immediately after MRI Scan | The rate of successful MRI mode 'turn off' functionality will be assessed during Post-MRI Scan. |
| Rate of Successful 'Turn Off' Functionality for the Stimulation | Immediately before MRI Scan | The rate of successful 'turn off' functionality for the stimulation will be assessed immediately before MRI Scan. |
| Rate of Successful 'Turn on' Functionality for the Stimulation | Immediately after MRI Scan | The rate of successful 'turn on' functionality for the stimulation will be assessed immediately after MRI Scan. |
| Rate of Successful MRI Mode 'Turn on' Functionality | Immediately before MRI Scan | The rate of successful MRI mode 'turn on' functionality will be assessed during pre-MRI scan. |
| Rate of Successful Adjustments to the Program | Immediately before MRI Scan | The rate of successful adjustments to the program will be assessed. This includes adjustments to stimulation amplitude and switch between stimulation programs. |
| Rate of Successful Interrogations and Uploads/Downloads of the Implantable Generators (IPG) Parameters | Immediately before MRI Scan | The rate of interrogations and uploads/downloads of the IPG parameters will be assessed immediately before MRI Scan. This includes establishing a link with the IPG or patient programmer and uploading and downloading of the subject's current program. |
| Rate of Successful Interrogations and Uploads/Downloads of theImplantable Generators (IPG) Parameters | Immediately after MRI Scan | The rate of interrogations and uploads/downloads of the IPG parameters will be assessed immediately after MRI Scan. This includes establishing a link with the IPG or patient programmer and uploading and downloading of the subject's current program |
| Rate of Successful 'Turn on/Off' Functionality for the Stimulation | At 1 month follow-up | The rate of successful 'turn on/off' functionality for the stimulation at 1-month follow-up will be assessed. |
Countries
Austria, Belgium, Germany, Italy, Spain, United Kingdom, United States
Participant flow
Recruitment details
A total of 56 subjects were enrolled at 10 investigational sites in Europe and the United States (US). The first subject was enrolled on 21 October 2016 and the last subject on 22 September 2020. Completion of follow-up occurred on 02 December 2020.
Participants by arm
| Arm | Count |
|---|---|
| Prodigy MRI or Proclaim Elite MR The Prodigy MRI system is only MR conditional for scans of the head and extremities (upper except shoulder, lower except hip).
The Proclaim Elite system is MR conditional for scans of the head, extremities or any other body part.
MRI scan: MRI scan | 56 |
| Total | 56 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Lost to Follow-up | 1 |
| Overall Study | MRI Scan not Performed | 5 |
| Overall Study | Subject Did not Meet Screening Inclusion/Exclusion Criteria | 1 |
| Overall Study | Subject Participation Terminated by Investigator | 1 |
Baseline characteristics
| Characteristic | Prodigy MRI or Proclaim Elite MR | — |
|---|---|---|
| Age, Continuous | 58.4 years STANDARD_DEVIATION 14.4 | — |
| IPG type Proclaim | 29 Participants | — |
| IPG type Prodigy MRI | 26 Participants | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Region of Enrollment Austria | 1 participants | — |
| Region of Enrollment Belgium | 6 participants | — |
| Region of Enrollment Germany | 7 participants | — |
| Region of Enrollment Italy | 8 participants | — |
| Region of Enrollment Spain | 6 participants | — |
| Region of Enrollment United Kingdom | 5 participants | — |
| Region of Enrollment United States | 23 participants | — |
| Sex: Female, Male Female | 36 Participants | — |
| Sex: Female, Male Male | 19 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 55 |
| other Total, other adverse events | 0 / 55 |
| serious Total, serious adverse events | 0 / 55 |
Outcome results
The Rate of the MRI Scan-related Adverse Events
The rate of the MRI scan-related adverse events will be assessed at 1-month follow-up.
Time frame: 1 month post MRI scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Prodigy MRI or Proclaim Elite MR | The Rate of the MRI Scan-related Adverse Events | 0 participants |
Rate of Successful Adjustments to the Program
The rate of successful adjustments to the program will be assessed. This includes adjustments to stimulation amplitude and switch between stimulation programs.
Time frame: Immediately before MRI Scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Adjustments to the Program | Successful adjustments to stimulation amplitude | 100 percentage of participants |
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Adjustments to the Program | Successful switch between stimulation programs | 100 percentage of participants |
Rate of Successful Adjustments to the Program
The rate of successful adjustments to the program will be assessed. This includes adjustments to stimulation amplitude and switch between stimulation programs.
Time frame: Immediately after MRI Scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Adjustments to the Program | Successful adjustments to stimulation amplitude | 100 percentage of participants |
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Adjustments to the Program | Successful switch between stimulation programs | 100 percentage of participants |
Rate of Successful Adjustments to the Program
The rate of successful adjustments to the program will be assessed. This includes adjustments to stimulation amplitude and switch between stimulation programs.
Time frame: At 1-month follow-up
Population: The number of participants analyzed includes subjects who were available at that time of analysis
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Adjustments to the Program | Successful adjustments to stimulation amplitude | 100 percentage of participants |
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Adjustments to the Program | Successful switch between stimulation programs | 100 percentage of participants |
Rate of Successful Interrogations and Uploads/Downloads of the Implantable Generators (IPG) Parameters
The rate of interrogations and uploads/downloads of the IPG parameters will be assessed immediately before MRI Scan. This includes establishing a link with the IPG or patient programmer and uploading and downloading of the subject's current program.
Time frame: Immediately before MRI Scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Interrogations and Uploads/Downloads of the Implantable Generators (IPG) Parameters | Successful upload of subject's current program | 100 percentage of participants |
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Interrogations and Uploads/Downloads of the Implantable Generators (IPG) Parameters | Successful download of subject's current program | 100 percentage of participants |
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Interrogations and Uploads/Downloads of the Implantable Generators (IPG) Parameters | Link successfully established with IPG or Patient Programmer | 100 percentage of participants |
Rate of Successful Interrogations and Uploads/Downloads of theImplantable Generators (IPG) Parameters
The rate of interrogations and uploads/downloads of the IPG parameters will be assessed immediately after MRI Scan. This includes establishing a link with the IPG or patient programmer and uploading and downloading of the subject's current program
Time frame: Immediately after MRI Scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Interrogations and Uploads/Downloads of theImplantable Generators (IPG) Parameters | Link successfully established with IPG or Patient Programmer | 100 percentage of participants |
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Interrogations and Uploads/Downloads of theImplantable Generators (IPG) Parameters | Successful upload of subject's current program | 100 percentage of participants |
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Interrogations and Uploads/Downloads of theImplantable Generators (IPG) Parameters | Successful download of subject's current program | 100 percentage of participants |
Rate of Successful Interrogations and Uploads/Downloads of theImplantable Generators (IPG) Parameters
The rate of interrogations and uploads/downloads of the IPG parameters will be assessed at 1-month follow-up. This includes establishing a link with the IPG or patient programmer and uploading and downloading of the subject's current program
Time frame: At 1-month follow-up
Population: The number of participants analyzed includes subjects who were available at that time of analysis
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Interrogations and Uploads/Downloads of theImplantable Generators (IPG) Parameters | Link successfully established with IPG or Patient Programmer | 100 percentage of participants |
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Interrogations and Uploads/Downloads of theImplantable Generators (IPG) Parameters | Successful upload of subject's current program | 100 percentage of participants |
| Prodigy MRI or Proclaim Elite MR | Rate of Successful Interrogations and Uploads/Downloads of theImplantable Generators (IPG) Parameters | Successful download of subject's current program | 100 percentage of participants |
Rate of Successful MRI Mode 'Turn Off' Functionality
The rate of successful MRI mode 'turn off' functionality will be assessed during Post-MRI Scan.
Time frame: Immediately after MRI Scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Prodigy MRI or Proclaim Elite MR | Rate of Successful MRI Mode 'Turn Off' Functionality | 100 percentage of participants |
Rate of Successful MRI Mode 'Turn on' Functionality
The rate of successful MRI mode 'turn on' functionality will be assessed during pre-MRI scan.
Time frame: Immediately before MRI Scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Prodigy MRI or Proclaim Elite MR | Rate of Successful MRI Mode 'Turn on' Functionality | MRI Mode successfully turned on | 98.0 percentage of participants |
| Prodigy MRI or Proclaim Elite MR | Rate of Successful MRI Mode 'Turn on' Functionality | MRI Mode not successfully turned on | 2.0 percentage of participants |
Rate of Successful 'Turn Off' Functionality for the Stimulation
The rate of successful 'turn off' functionality for the stimulation will be assessed immediately before MRI Scan.
Time frame: Immediately before MRI Scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Prodigy MRI or Proclaim Elite MR | Rate of Successful 'Turn Off' Functionality for the Stimulation | 100 percentage of participants |
Rate of Successful 'Turn on' Functionality for the Stimulation
The rate of successful 'turn on' functionality for the stimulation will be assessed immediately after MRI Scan.
Time frame: Immediately after MRI Scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Prodigy MRI or Proclaim Elite MR | Rate of Successful 'Turn on' Functionality for the Stimulation | 100 percentage of participants |
Rate of Successful 'Turn on/Off' Functionality for the Stimulation
The rate of successful 'turn on/off' functionality for the stimulation at 1-month follow-up will be assessed.
Time frame: At 1 month follow-up
Population: The number of participants analyzed includes subjects who were available at that time of analysis
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Prodigy MRI or Proclaim Elite MR | Rate of Successful 'Turn on/Off' Functionality for the Stimulation | Stimulation successfully turned off | 100 percentage of participants |
| Prodigy MRI or Proclaim Elite MR | Rate of Successful 'Turn on/Off' Functionality for the Stimulation | Stimulation successfully turned on | 100 percentage of participants |