Targeting the Conus Medullaris With ECAP-Controlled Closed-Loop SCS for Treatment of Chronic Pelvic Pain: HOPE Trial

Inclusion Criteria:

1. Subject is 18 years of age or older at the time of enrollment.

2. Subject has a minimum Visual Analog Scale (VAS) score of 60 mm or higher (where 100mm pain) at baseline.

3. Subject has been diagnosed with chronic intractable pain of the trunk and/or limbsspecifically related to pelvic/genital/perineal/anorectal pain, which has beenrefractory to conservative therapy for a minimum of 6 months.

4. Subject has pain resulting from a known injury (surgery or trauma).

5. Subject has been clinically diagnosed with chronic pelvic pain (pain that occurs inthe region of the pelvis), including diagnoses such as, but not limited to, complexregional pain syndrome (CRPS types 1 and 2), postsurgical pain, post-traumaticinjury pain, interstitial cystitis/painful bladder syndrome, post-hysterectomy pain,post-prostatectomy pain, vulvodynia, chronic ovarian pain, and pudendal neuralgia ofa known cause.

6. Subject is an appropriate candidate for the surgical procedures required in thisstudy based on the clinical judgment of the implanting physician.

7. Subject is willing and capable of giving informed consent.

8. Subject is willing and able to comply with study-related requirements, procedures,and visits.

Exclusion Criteria:

1. Subject is pregnant or nursing.

2. Subject is involved in a malignancy or injury claim under current litigation or haspending/approved worker's compensation claim.

3. Subject's mechanism of pain is unknown.

4. Suspected cause and onset of pain are more than 30 days apart.

5. Subject has history of small fiber neuropathy, mitochondrial disease, fibromyalgia,addiction, CRPS in secondary pain area, and/or atypical facial pain.

6. Subject has been diagnosed with Crohn's Disease, Irritable Bowel Syndrome, ulcerouscolitis, or any other inflammatory disease that is ongoing.

7. Subject has a medical condition or pain in other area(s), not intended to be treatedwith SCS, that could interfere with study procedures, as determined by theInvestigator.

8. Subject has a history of sexual abuse and/or sexual trauma.

9. Subject has a history of unmanaged depression or anxiety that pre-dates the onset ofsymptoms.

10. Subject is using greater than 100 MME (morphine milligram equivalents) of opioids atbaseline.

11. Subject shows evidence of an active, disruptive psychological or psychiatricdisorder or other known condition significant enough to impact perception of pain,compliance of intervention, and/or ability to evaluate treatment outcomes.

12. Subject has previous neuromodulation experience including SCS (Spinal CordStimulator) and/or DRG (Dorsal Root Ganglion).

13. Subject has an existing drug pump and/or SCS system, or another active implantabledevice such as a pacemaker, deep brain stimulator, or sacral nerve stimulator.

14. Subject is concomitantly participating in another clinical study.