Monopolar Review
A systematic programming procedure that tests each electrode contact individually against a distant reference to identify optimal stimulation sites and assess electrode function.
Full Definition
Monopolar review is a fundamental neuromodulation programming procedure performed during initial device programming and follow-up sessions to systematically evaluate each electrode contact's therapeutic potential and functional status. During monopolar review, each contact is tested individually against a distant reference electrode (typically the device case) while documenting patient responses, stimulation thresholds, and any side effects. This methodical approach allows clinicians to identify which contacts provide the best therapeutic coverage, detect non-functional electrodes, and establish baseline stimulation parameters for subsequent bipolar or multipolar programming. Monopolar review findings guide electrode selection for more complex programming configurations and help optimize overall therapy delivery by excluding poorly positioned or non-functional contacts.
Usage
Usage note: Always performed before complex bipolar or multipolar programming configurations.
In Context
- "Monopolar review identified contacts 3 and 4 as providing optimal therapeutic coverage." — Programming documentation
- "The monopolar review revealed an open circuit on contact 8, requiring lead revision." — Device troubleshooting report