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  <title>Dan Brounstein on how closed loop Spinal Cord Stimulation has better efficacy at Saluda</title>
  <description>Dan Brounstein is Chief Strategy Officer at Saluda Medical where he is using his 15 years of Spinal Chord Stimulator experience to help deliver closed-loop pain relief directly to the spinal cord.  ***This podcast is sponsored by Iris Biomedical, check out their Neurotech Startup Services here*** Top 3 Takeaways:  &amp;amp;nbsp;&amp;quot;We're stimulating with milliamps and we're trying to measure in microvolts, and we always use the analogy trying to listen to a pin drop next to a shotgun shot&amp;quot;  &amp;quot;There's a lot of literature on loss of efficacy? It's just a therapy issue. When you deliver open-loop therapies blind across a neural target, you're ultimately going to create, over-stimulation in a lot of times under stimulation. On top of that, over time things change&amp;quot;  &amp;quot;Patients come in between four and five times a year on average in perpetuity with open loop systems&amp;quot;  0:45 &amp;quot; Do you want to introduce yourself and the company better than I just did?&amp;quot; 6:00 &amp;quot;Your guys' device reprograms on its own? And then what signals does it take in and how does it change the stimulation patterns based on that?&amp;quot;  9:00 Iris Biomedical ad sponsorship 9:45 &amp;quot;What is your input and output for your guys' device?&amp;quot; 11:45 &amp;quot;In February of 2023, you guys got FDA approval for this. Do you wanna talk a little bit about this?&amp;quot; 14:15 &amp;quot;Is it like 5% better than open loop or is that something that's gonna be coming out published later?&amp;quot; 17:00 &amp;quot;Is there another indication?&amp;quot; 18:15 &amp;quot;The last I guess seven years for you has been very exciting. Is there anything on the horizon for the next seven years?&amp;quot; 20:15 &amp;quot;You guys have 300 people and have raised 200 million. What's it like working in such a big company&amp;quot; 22:45 &amp;quot;Is it getting too big for you?&amp;quot; 23:45 &amp;quot;What advice do you have for people in your situation?&amp;quot; 26:00 &amp;quot;Is there anything that we didn't talk about that you wanted to mention?&amp;quot; </description>
  <author_name>Neural Implant podcast - the people behind Brain-Machine Interface revolutions</author_name>
  <author_url>http://neuralimplantpodcast.com</author_url>
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