Clinical monograph upper cervical lead placement
?
1 like?144 views
This document provides an example portfolio item for Kaemmerer Group, LLC. It summarizes a technical concept paper authored by Dr. Charles Dean Ray on surgically implanting a spinal cord stimulation lead in the cervical spine to control upper body and arm pain. Kaemmerer Group assisted in developing the paper by conducting telephone interviews with Dr. Ray and cross-editing drafts. The paper includes pictures and medical language describing the surgical procedure to implant a stimulating lead in the difficult cervical spine region.
![K AEMMERER GRO U P, LLC PORTFOLIO EXAMPLE
Kaemmerer Group, LLC ? www.kaemmerergroup.com ? info@kaemmerergroup.com ? 612.293.5448 ? www.linkedin.com/in/carolkaemmerer
Client: Medtronic, Inc.
Project: Technical Concept Paper: ＾Cervical
Spinal Cord Stimulation for Pain
Control Using a Surgically Implanted
Lead System,￣ by Charles Dean Ray,
M.D., FACS
Objectives: To provide educational material from
a well-recognized specialist regarding
clinical techniques for implantation
of a stimulation lead in a particularly
difficult area (the cervical spine) for
control of pain in the upper body or
arms.
Process: This paper was developed through
telephone interviews and the cross-
editing of drafts with the physician
author.
Show and tell
A picture efficiently communicates the pain locations that
can be addressed with the implantation of a stimulating lead
in the cervical spine (Figure 1) and the surgical approach to
implantation in difficult region of the spine (Figure 2).
Copy close-up
Note that the language and tone are appropriate for a teaching
physician to use when explaining the surgical procedure to other
physicians who do have not performed this procedure. Use of
the word ＾inferior￣ to mean lower on the spine is a tip-off that
this is not breezy marketing copy.
＾The electrode portion of a typical surgically-placed lead
with four electrodes is approximately 3 cm long and usually
overlies at least two cervical spinal segments. The surgical
exposure should traverse at least one segment inferior to the
entry point of epidural insertion to permit anchoring the
lead neck into the soft tissues. Therefore, the incision should
begin approximately three segments below the anticipated
final position of the uppermost (cephalad) tip of the lead (see
Figure 1).￣
＾´Palpating over the prominent C7 dorsal spinal process
will ordinarily provide the surgeon with a good landmark. If
this is not particularly palpable, it is wise to locate the level
by fluoroscopy or a cross-table x-ray and mark the skin´￣
[End of excerpt.]](https://image.slidesharecdn.com/c527f7bd-2c65-4b24-905a-349d20e9c150-160926224546/85/Clinical-monograph-upper-cervical-lead-placement-1-320.jpg)
Clinical monograph upper cervical lead placement
- 1. K AEMMERER GRO U P, LLC PORTFOLIO EXAMPLE Kaemmerer Group, LLC ? www.kaemmerergroup.com ? info@kaemmerergroup.com ? 612.293.5448 ? www.linkedin.com/in/carolkaemmerer Client: Medtronic, Inc. Project: Technical Concept Paper: ＾Cervical Spinal Cord Stimulation for Pain Control Using a Surgically Implanted Lead System,￣ by Charles Dean Ray, M.D., FACS Objectives: To provide educational material from a well-recognized specialist regarding clinical techniques for implantation of a stimulation lead in a particularly difficult area (the cervical spine) for control of pain in the upper body or arms. Process: This paper was developed through telephone interviews and the cross- editing of drafts with the physician author. Show and tell A picture efficiently communicates the pain locations that can be addressed with the implantation of a stimulating lead in the cervical spine (Figure 1) and the surgical approach to implantation in difficult region of the spine (Figure 2). Copy close-up Note that the language and tone are appropriate for a teaching physician to use when explaining the surgical procedure to other physicians who do have not performed this procedure. Use of the word ＾inferior￣ to mean lower on the spine is a tip-off that this is not breezy marketing copy. ＾The electrode portion of a typical surgically-placed lead with four electrodes is approximately 3 cm long and usually overlies at least two cervical spinal segments. The surgical exposure should traverse at least one segment inferior to the entry point of epidural insertion to permit anchoring the lead neck into the soft tissues. Therefore, the incision should begin approximately three segments below the anticipated final position of the uppermost (cephalad) tip of the lead (see Figure 1).￣ ＾´Palpating over the prominent C7 dorsal spinal process will ordinarily provide the surgeon with a good landmark. If this is not particularly palpable, it is wise to locate the level by fluoroscopy or a cross-table x-ray and mark the skin´￣ [End of excerpt.]