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Discover Your Path to Pain Relief. When We Fight Pain, We Make It Personal.

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Page 1: When We Fight Pain, We Make It Personal. · of different sensations and allow you to switch back and forth between them. You can even target different areas of your body with different

Discover Your Path to Pain Relief.

When We Fight Pain, We MakeIt Personal.

Page 2: When We Fight Pain, We Make It Personal. · of different sensations and allow you to switch back and forth between them. You can even target different areas of your body with different

SCS PATIENTS (CLOCKWISE FROM TOP): Karen M., Mary M., Kira T., Neil D., Chris B., Gregory G.

Chronic pain can affect you in profoundly

personal ways. From abandoned hobbies

to strained relationships to career-ending

limitations, it can steal much of what makes

you you. On top of that, many common

pain treatments are “one-size-fits-all”

solutions — therapies that routinely fail

to provide deep and lasting relief.

At Boston Scientific, we offer something

different. In fact, it’s different for every

patient. We provide a proven, drug-free

pain management therapy called Spinal

Cord Stimulation that can be personalized

to treat your unique pain.

Page 3: When We Fight Pain, We Make It Personal. · of different sensations and allow you to switch back and forth between them. You can even target different areas of your body with different

What Makes SCS Unique?

Spinal Cord Stimulation (or SCS) is a safe,

drug-free, FDA-approved pain management

treatment that’s been used by hundreds of

thousands of people worldwide.

Boston Scientific’s SCS systems have

been clinically proven to help reduce

chronic pain — in part because they’re

so personalized to your unique needs.

After all, no two people feel pain in the

same way. So it’s no surprise that the more

we customize SCS therapy, the more likely you

are to experience lasting pain relief.

Before SCS, Karen’s pain kept her bound to a recliner. See how she reclaimed her life –and

her passion for cooking– at ControlYourPain.com.

“To be able to live life again and

not be stopped by pain, I truly

feel is a miracle. And I don’t use

that word lightly.”

Page 4: When We Fight Pain, We Make It Personal. · of different sensations and allow you to switch back and forth between them. You can even target different areas of your body with different

How Does SCS Work?

You feel pain when nerves send pain signals

through your spinal cord to your brain. SCS is

designed to interrupt these signals so you

don’t perceive them as pain.

View our “How SCS Works” video at ControlYourPain.com/SCS.

StimulatorA small device called a stimulator

is implanted under the skin.

LeadsThin, flexible “leads” are connected to

the stimulator and placed near specific

nerves along the spinal cord.

PulsesThe stimulator sends mild pulses

through the leads to the nerves.

PainThe pulses interrupt the pain signals

en route to the brain.

Page 5: When We Fight Pain, We Make It Personal. · of different sensations and allow you to switch back and forth between them. You can even target different areas of your body with different

What Does SCS Feel Like?

Most SCS systems replace the feeling of

pain with a soothing, massage-like sensation

called “paresthesia.” Some SCS systems

treat pain without paresthesia, using a type

of stimulation you can’t feel. There’s no way

to know which type of stimulation will work

best for you without trying them — which is

why Boston Scientific gives you both

options in a single device.*

In fact, our SCS systems offer a wide range

of different sensations and allow you to switch

back and forth between them. You can even

target different areas of your body with different

sensations at the same time. This flexibility

gives you the best chance of finding the right

therapy for your pain.

*Paresthesia-free stimulation has been demonstrated to be safe and effective in patients who have been treated successfully with conventional, paresthesia-inducing stimulation for at least six months.

A bone-shattering fall brought an end to Gregory’s

home improvement hobby. See what he’s up to today at

ControlYourPain.com.

“I like that there are a lot of

adjustments I can make on my own.

I don’t use the paresthesia setting

much in the daytime, but I do at

night when I’m lying down.”

Page 6: When We Fight Pain, We Make It Personal. · of different sensations and allow you to switch back and forth between them. You can even target different areas of your body with different

Will SCS Work for Me?

There’s an easy way to find out. Before

making a commitment, you can “test-drive”

Boston Scientific’s SCS therapy with a

temporary trial system. During this time,

a Boston Scientific representative will work

with you and your doctor to personalize

your therapy. By the end, you’ll know how

SCS works for you.

THE TRIAL PROCESSTHE TRIAL PROCESS

Your doctor places the leads with a simple

procedure similar to an epidural injection.1

The leads are connected to an external trial

stimulator that’s usually worn on your waist.2

For the next 3-7 days, you can go about your

life experiencing the benefits of SCS.3

Gardening is just one of the activities Mary got back with SCS. Hear her tell her story at ControlYourPain.com.

“After the second day of

my trial, we stopped and scheduled

the implant. My success was

that phenomenal.”

Page 7: When We Fight Pain, We Make It Personal. · of different sensations and allow you to switch back and forth between them. You can even target different areas of your body with different

Why Choose Boston Scientific? Personalized Therapy.

*Paresthesia-free stimulation has been demonstrated to be safe and effective in patients who have been treated successfully with conventional, paresthesia-inducing stimulation for at least six months.

MULTIPLE THERAPIES. ONE DEVICE.The first SCS systems to be FDA-approved to deliver both

paresthesia and paresthesia-free therapy at the same time.

Paresthesia

Paresthesia-free

Both combined

SCS Therapy

If you have pain in more than one part of your body,

Boston Scientific’s SCS systems can deliver different

types of stimulation to different areas all at once.

RELIEF WHERE YOU NEED IT

While some other SCS systems rely on a single type

of stimulation, Boston Scientific lets you choose your

stimulation by providing multiple therapies in one device. In

fact, our SCS systems are the first to be FDA-approved to

deliver both paresthesia and paresthesia-free therapy

at the same time.* Clinical research shows that patients

who have this choice achieve better overall pain

relief.1 And with multiple therapy options, your treatment

can adapt to changes in your pain over time.

Page 8: When We Fight Pain, We Make It Personal. · of different sensations and allow you to switch back and forth between them. You can even target different areas of your body with different

Why Choose Boston Scientific? Proven Results.

WORLDWIDE USETens of thousands of patients across

the globe rely on Boston Scientific’s SCS

systems for long-term pain relief.

In a major clinical study, back pain patients reported a

nearly 6-point drop in pain score, even after two years.3

SUCCESSFUL TRIALSMore than 90% of Boston Scientific

SCS patients reported a successful trial

experience and chose to have the

permanent implant.2

PATIENT SATISFACTIONIn a clinical study, more than 96% of

Boston Scientific SCS patients said they

were satisfied with their therapy and

that they would recommend it to others

with chronic pain.2

96%

2.96

8.6

PAIN

SCO

RE

(0-1

0)

PRE-SCS AFTER 2 YEARS

DRAMATIC LONG-TERM RELIEF

Page 9: When We Fight Pain, We Make It Personal. · of different sensations and allow you to switch back and forth between them. You can even target different areas of your body with different

The Trial Worked. Now What?

After a successful trial, the next step is to

have a full (or “permanent”) implant. This is

when the stimulator is implanted under the

skin — usually near your buttocks or low back.

The procedure is completely reversible

and much less invasive than traditional

back surgeries. Generally, patients go home

a few hours after surgery and report only minor

discomfort that goes away in a couple of days.

Of course, as with any surgical procedure,

there are risks with Spinal Cord Stimulation.

Talk to your doctor to make sure you fully

understand both the risks and the benefits.

Thanks to SCS, Chris is more active than ever. See how he conquered his severe pain at ControlYourPain.com.

“People sometimes are looking

for a magic pill, and I don’t know

that there is such a thing. But SCS

is the closest thing I have found

to a magic switch.”

Page 10: When We Fight Pain, We Make It Personal. · of different sensations and allow you to switch back and forth between them. You can even target different areas of your body with different

How Do I Control My Relief?

After the implant, you’ll be able to control

your device using a small, wireless remote.

It’s easy to operate; your doctor and your

Boston Scientific rep will show you how.

Your doctor will also help you choose between

our rechargeable and non-rechargeable stimulators.

In general, rechargeable stimulators last longer

and so provide more therapy options. Charging

the device is a simple process and can be done

while reading, watching TV, or even walking

around the block.

Neil’s pain robbed him of his active life. See how SCS helped him get it back at ControlYourPain.com.

“The pain in my left foot

is much worse than my right.

The beauty of my Boston Scientific

stimulator is that I can have more

stimulation in my left foot.”

Page 11: When We Fight Pain, We Make It Personal. · of different sensations and allow you to switch back and forth between them. You can even target different areas of your body with different

Frequently Asked Questions

Kira Trexler, RN & Clinical Specialist Hear Kira’s professional (and personal) responses to common SCS questions. Watch her video at ControlYourPain.com/SCS.

Is SCS a cure?

SCS is not a cure, but rather a long-term pain management solution

that can allow you to cut back on medication and resume some of

the activities you used to enjoy.

Is SCS covered by insurance?

Yes, SCS is covered by Medicare and most commercial insurance

and workers’ compensation plans. Your doctor can help you collect

the necessary documentation.

Are there travel or other restrictions?

Our SCS systems won’t prevent you from going through airport security or

getting X-rays, CT scans, PET scans, or ultrasounds.

Can I get an MRI with a stimulator?

Yes, Boston Scientific offers stimulators that allow for full-body MRIs.

Talk to your doctor about which device is right for you.

Is the implant procedure reversible?

Yes. Both the trial system and the implant are reversible.

Where can I learn more?

Visit ControlYourPain.com for informational videos and stories

or to locate a Pain Management Specialist near you.

If you already have a specialist, make an appointment to discuss

Spinal Cord Stimulation.

You can also talk to a volunteer Patient Ambassador about their personal

experience with SCS. Call 1-800-819-4727 to schedule a conversation

with one of these patients. Or speak to a Boston Scientific Care

Specialist at 1-833-724-7311.

Page 12: When We Fight Pain, We Make It Personal. · of different sensations and allow you to switch back and forth between them. You can even target different areas of your body with different

Helpful Terms

External Trial Stimulator (ETS): A temporary SCS stimulator worn

outside of the body during the trial.

Implant: The full (or “permanent”) SCS procedure, during which the

stimulator is placed under the skin.

Leads: The part of the SCS system that connects to the stimulator

and carries pulses to spinal cord nerves.

Multiple Therapies: The ability to deliver multiple types of

stimulation– including paresthesia and paresthesia-free.*

Pain Management Physician: A doctor who specializes in

treating chronic pain.

Pain Score: The amount of pain you feel on a scale of 0 to 10.

Paresthesia: A soothing sensation created by many SCS systems to

mask pain.

Paresthesia-free: A type of stimulation that produces no sensation,

also known as “sub-perception.”

SCS System: All of the SCS treatment components, including the

stimulator, leads, remote control, and any charging accessories.

Stimulator: The part of the SCS system that generates electrical

pulses, also known as an Implantable Pulse Generator, or IPG.

Trial System: A temporary SCS system that allows patients to try

out the therapy.

* Paresthesia-free stimulation has been demonstrated to be safe and effective in

patients who have been treated successfully with conventional, paresthesia-inducing

stimulation for at least six months.

Page 13: When We Fight Pain, We Make It Personal. · of different sensations and allow you to switch back and forth between them. You can even target different areas of your body with different

ControlYourPain.com

References:1 North, James, MD. WHISPER: A Multicenter, Prospective Randomized Controlled Trial Evaluating Subperception SCS at ≤ 1.2 kHz. Presentation at North American Neuromodulation Society (NANS), Las Vegas, NV, January 11-14, 2018.

2 Thomson, S. J., Kruglov, D. and Duarte, R. V. (2017), A Spinal Cord Stimulation Service Review From a Single Centre Using a Single Manufacturer Over a 7.5 Year Follow-Up Period. Neuromodulation: Technology at the Neural Interface, 20: 589-599. doi:10.1111/ner.12587.

3 Elias Veizi, MD, PhD, et al. “Spinal Cord Stimulation (SCS) with Anatomically Guided (3D) Neural Targeting Shows Superior Chronic Axial Low Back Pain Relief Compared to Traditional SCS --LUMINA Study.” Pain Medicine 2017; 0: 1-15.

Indications for Use: The Boston Scientific Spinal Cord Stimulator Systems are indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs including unilateral or bilateral pain associated with the following: failed back surgery syndrome, Complex Regional Pain Syndrome (CRPS) Types I and II, intractable low back pain and leg pain. Associated conditions and etiologies may be: radicular pain syndrome, radiculopathies resulting in pain secondary to failed back syndrome or herniated disc, epidural fibrosis, degenerative disc disease (herniated disc pain refractory to conservative and surgical interventions), arachnoiditis, multiple back surgeries.

Contraindications: The Spinal Cord Stimulator systems are not for patients who are unable to operate the system, have failed trial stimulation by failing to receive effective pain relief, are poor surgical risks, or are pregnant.

Patients implanted with the Precision Montage™ MRI, Precision Spectra™, or Spectra WaveWriter™ Spinal Cord Stimulator System with ImageReady™ MRI Technology are “MR Conditional” only when exposed to the MRI environment under the specific conditions defined in the ImageReady MRI Full Body Guidelines for Precision Montage MRI Spinal Cord Stimulator System and ImageReady MRI Guidelines for Precision Spectra or Spectra WaveWriter Spinal Cord Stimulator System Manuals (Head Only MRI scans). The Precision Montage MRI SCS System provides safe access to Full-Body MRI Scans only when used with the Avista MRI Leads and exposed to the MRI environment under the specific conditions defined in the ImageReady MRI Full Body Guidelines for Precision Montage MRI Spinal Cord Stimulator System.

Warnings: Patients implanted with Boston Scientific Spinal Cord Stimulator Systems without ImageReady MRI Technology should not be exposed to Magnetic Resonance Imaging (MRI). Exposure to MRI may result in dislodgement of the stimulator or leads, heating of the stimulator, severe damage to the stimulator electronics and an uncomfortable or jolting sensation. As a Spinal Cord Stimulation patient, you should not have diathermy as either a treatment for a medical condition or as part of a surgical procedure. Strong electromagnetic fields, such as power generators or theft detection systems, can potentially turn the stimulator off, or cause uncomfortable jolting stimulation. The system should not be charged while sleeping. The Spinal Cord Stimulator system may interfere with the operation of implanted sensing stimulators such as pacemakers or implanted cardiac defibrillators. Advise your physician that you have a Spinal Cord Stimulator before going through with other implantable device therapies so that medical decisions can be made and appropriate safety measures taken. Patients should not operate motorized vehicles or potentially dangerous machinery with therapeutic stimulation switched “on.” Your doctor may be able to provide additional information on the Boston Scientific Spinal Cord Stimulator systems. For complete indications for use, contraindications, warnings, precautions, and side effects, call 866.360.4747 or visit ControlYourPain.com.

Caution: U.S. Federal law restricts this device to sale by or on the order of a physician.

All trademarks are the property of their respective owners.

Learn more about SCS at ControlYourPain.com, and make an appointment to talk to your doctor. The only thing you have to lose is your pain.

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Copyright ©2018 by Boston Scientific Corporation or its affiliates. All rights reserved.

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