The Evoke® System Powered by SmartLoopTM Technology Redefines Spinal Cord Stimulation

SmartLoop technology can automatically adjust stimulation 4+ million times a day to deliver precise and consistent neural activation.1
SmartLoop Technology Enables Clinicians to Directly Measure and Prescribe an Optimized Dose of Stimulation Based on ECAPs Unique to Every Patient
Saluda MedicalTM pioneered the ability to directly measure Evoked Compound Action Potentials (ECAPs) in the spinal cord after more than a decade of advanced research and development.
- ECAPs are an objective measure of neural activation and the spinal cord’s response to stimulation
- Neural activation drives pain inhibition
- Consistent and precise neural activation delivers more consistent pain relief

SmartLoop Technology
Pain Relief With Spinal Cord Stimulation Starts With
Neural Activation
An Evoked Compound Action Potential (ECAP) is a direct, physiologic measure of aß-fiber activation within the dorsal column of the spinal cord

Redefines Spinal Cord Stimulation Therapy
That Was Then

Fixed-Output SCS:
Cannot auto-adjust for movement and physiological changes throughout the day
Unknown and Inconsistent Activation

This Is Now

Evoke SmartSCSTM:
Known and Consistent Activation
Automatically adjusts in real time to maintain consistent activation across activities

The Evoke System Difference
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The Evoke System
Fixed-Output SCS

Objective Measurement of
Neural Activation
Evoked Compound Action Potentials (ECAPs) measured from the spinal cord after stimulation on every pulse
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Precise and Consistent
Neural Activation
Automatically adjusts 4+ million
times a day
Fixed output

Tailored to Patient’s Unique
Neural Signature
Precise stimulation dose based on measured ECAP amplitude and patient’s unique dose response curve
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Accuracy of Neural Activation
Over Time
Rolling plot of measured vs. target neural activation through ECAPs
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Changes in Measured Neural Activation Levels with Neurophysiologic Changes
Ability to correlate changes of neural activation level with neurophysiologic changes throughout the day
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