Otis Singleton
Osteogenesis stimulators are medical devices that promote bone healing in difficult-to-heal fractures or fusions by applying electrical or ultrasonic currents to the affected site. These devices can be rented or purchased, with Medicare policy supporting their use for non-spinal electrical stimulation under certain conditions. The stimulators can be non-invasive, with external power sources, or invasive, with implanted devices providing direct current stimulation. Companies like IGEA Medical and Orthofix offer bone growth stimulation devices, with the latter's AccelStim Bone Growth Stimulator being prescribed by doctors for at-home use.
| Characteristics | Values |
|---|---|
| Purpose | Promote bone healing in difficult-to-heal fractures or fusions |
| Mechanism | Applies electrical or ultrasonic current to the fracture/fusion site |
| Types | Direct current electrical bone-growth stimulators, inductive coupling or capacitive coupling non-invasive electrical stimulators, ultrasonic osteogenesis stimulator |
| Treatment Options | Purchase or rent |
| Treatment Providers | Orthofix, IGEA Medical, FDA |
| Treatment Devices | AccelStim, CervicalStim, PhysioStim, SpinalStim |
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What You'll Learn
- Medicare payments for osteogenesis stimulators from 2012-2014 were $286 million
- Osteogenesis stimulators are available to rent or buy
- Electrical osteogenesis stimulators aid bone repair
- Non-invasive electrical stimulators are characterised by an external power source
- Pulsed electromagnetic field (PEMF) bone growth stimulation systems are used for post-operative spinal fusions
Medicare payments for osteogenesis stimulators from 2012-2014 were $286 million
Osteogenesis stimulators, also known as bone growth stimulators, are devices that apply an electric current or ultrasound to the spine or a long bone to promote bone healing. They are used when a fusion or fracture fails to heal or after a multilevel spinal fusion. Medicare payments for osteogenesis stimulators from 2012 to 2014 totalled $286 million.
Osteogenesis stimulators are categorised as "inexpensive and other routinely purchased items", which means that beneficiaries have the option to purchase or rent the devices. Beneficiaries can rent the stimulators over a 13-month period, after which the Medicare payment is capped.
Medicare requires that the nonunion of a long bone fracture be documented by a minimum of two sets of radiographs obtained before treatment with an osteogenesis stimulator. These radiographs must be separated by a minimum of 90 days and include multiple views of the fracture site. A physician must also interpret the radiographs, stating that there has been no clinically significant evidence of fracture healing between the two sets.
Medicare's policy on non-spinal electrical stimulation covers nonunion of a long bone fracture, failed fusion of a joint other than the spine where at least nine months have passed since the last surgery, and congenital pseudarthrosis.
There are two general types of electrical stimulation devices available for spinal fusion: implantable devices and direct current devices. Implantable devices, such as SpF-2, use direct current to stimulate osteogenesis and consist of a battery pack that provides direct current over four cathodes. Direct current electrical bone growth stimulators and inductive or capacitive coupling non-invasive electrical stimulators can be used for non-spinal indications.
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Osteogenesis stimulators are available to rent or buy
Osteogenesis stimulators, also known as bone-growth stimulators, are devices that apply an electric current or ultrasound to the spine or a long bone (e.g., the femur) to promote bone healing. They are used when a fusion or fracture has failed to heal or after a multilevel spinal fusion. These devices can be invasive, such as an implantable device that uses direct current to stimulate osteogenesis, or non-invasive, where an external power source is attached to a coil or electrodes placed on the skin or cast over the fracture or fusion site.
On the other hand, purchasing an osteogenesis stimulator outright may be more cost-effective in the long run, especially for those who require long-term or indefinite use. Companies such as Orthofix offer various types of bone growth stimulation devices, including AccelStim, CervicalStim, PhysioStim, and SpinalStim, which have been prescribed for over 40 years and have helped over 1 million patients with bone healing challenges.
Ultimately, the decision to rent or buy an osteogenesis stimulator will depend on individual circumstances, financial considerations, and treatment needs. It is always advisable to consult with a healthcare professional to determine the most suitable option for your specific situation.
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Electrical osteogenesis stimulators aid bone repair
Electrical osteogenesis stimulators, also known as bone-growth stimulators, are devices that aid bone repair by applying an electric current or ultrasound to the spine or a long bone. They are used when a fusion or fracture has failed to heal or after a multilevel spinal fusion.
There are two general types of electrical stimulation devices available for spinal fusion: non-invasive and invasive. Non-invasive electrical stimulators are characterised by an external power source that is attached to a coil or electrodes placed on the skin or on a cast or brace over a fracture or fusion site. An example of this is the ActaStim, a non-invasive, wearable capacitive coupling bone growth stimulator designed to enhance spinal fusion.
Invasive electrical stimulators, on the other hand, are implantable devices that use direct current to stimulate osteogenesis. An example of this is the SpF-2, which consists of a battery pack that provides direct current over four cathodes.
Osteogenesis stimulators can be purchased or rented. According to the US Department of Health and Human Services, they are categorised as "inexpensive and other routinely purchased items," giving beneficiaries the option to choose between purchasing or renting the stimulators.
Orthofix is a market leader in bone growth stimulation systems, offering various types of bone stimulators for post-operative spinal fusions and treating bone fractures in different parts of the body. Their devices provide a safe, non-invasive treatment that helps promote healing in fractured bones and spinal fusions that have not healed or are difficult to heal.
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Non-invasive electrical stimulators are characterised by an external power source
Osteogenesis stimulators, also known as bone-growth stimulators, are devices that provide electrical stimulation to augment bone repair. They are used to promote bone healing in difficult-to-heal fractures or fusions by applying electrical or ultrasonic current to the fracture/fusion site. These devices stimulate the bone's natural healing process by sending low-level pulses of electromagnetic energy to the injury or fusion site.
There are two general types of electrical stimulation devices available for spinal fusion: implantable devices and external power source devices. An example of an implantable device is SpF-2, which uses direct current to stimulate osteogenesis. It consists of a battery pack that provides direct current over four cathodes. On the other hand, non-invasive electrical stimulators use an external power source to provide a safe, non-invasive treatment that helps promote healing in fractured bones and spinal fusions that have not healed or are difficult to heal.
Ultrasonic osteogenesis stimulators are non-invasive devices that emit low-intensity, pulsed ultrasound. Orthofix, the U.S. market leader, offers PEMF technology bone growth stimulation systems, including various types of bone stimulators for post-operative spinal fusions and treating bone fractures in various body parts. Their devices include AccelStim, CervicalStim, PhysioStim, and SpinalStim.
When considering osteogenesis stimulators, it is worth noting that they are categorised as "inexpensive and other routinely purchased items," giving beneficiaries the option to purchase or rent the stimulators.
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Pulsed electromagnetic field (PEMF) bone growth stimulation systems are used for post-operative spinal fusions
Pulsed electromagnetic field (PEMF) bone growth stimulation systems are used to promote bone healing in difficult-to-heal fractures or fusions by applying electrical or ultrasonic current to the fracture/fusion site. PEMF therapy is a non-invasive post-operative technique that stimulates and facilitates healing by directing magnetic fields through tissue, utilising the movement of electrons to affect the cellular physiology of excitable cells. PEMF therapy has been shown to have a significant effect on excitable and non-excitable cells, leading to osteogenesis and chondrocyte proliferation.
PEMF bone growth stimulation systems are particularly useful for post-operative spinal fusions. Spinal fusion is a surgical procedure that joins two or more vertebrae, and it is typically performed to treat spinal instability, deformity, or pain. The goal of spinal fusion is to fuse the vertebrae into a single solid bone, which stabilises and strengthens the spine. PEMF stimulation has been shown to enhance fusion success in at-risk patients, and it is often used as an adjunct to spinal fusion surgery to increase fusion rates.
There are two general types of electrical stimulation devices available for spinal fusion: implantable devices and external devices. Implantable devices, such as the SpF-2, use direct current to stimulate osteogenesis and consist of a battery pack that provides direct current over four cathodes. External devices, on the other hand, are non-invasive and are characterised by an external power source that is attached to a coil or electrodes placed on the skin or on a cast or brace over the fusion site.
Orthofix is a well-known provider of PEMF technology bone growth stimulation systems, including various types of bone stimulators indicated for post-operative spinal fusions. Their devices, such as the AccelStim, CervicalStim, PhysioStim, and SpinalStim, are designed to improve patient outcomes and enhance the bone's natural healing process by sending low-level pulses of electromagnetic energy to the injury or fusion site.
It is important to note that while PEMF therapy has shown promising results in spinal fusion cases, there are also studies suggesting that combined magnetic field (CMF) stimulation may result in higher fusion rates than PEMF stimulation in certain types of spinal fusions. Additionally, the decision to purchase or rent osteogenesis stimulators depends on various factors, including cost and the duration of required usage.
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Frequently asked questions
You can purchase an osteogenesis stimulator electrical device from IGEA Medical or Orthofix Bone Growth Therapy.
You can either purchase or rent an osteogenesis stimulator electrical device.
Renting an osteogenesis stimulator electrical device may be more cost-effective than purchasing it outright. For example, renting an IGEA device for 13 months is capped at the same price as the Medicare payment for a lump-sum purchase.
