Medtronic spine implants. The waist belt helps keep the antenna directly over your neurostimulator while recharging. Many people experience less pain and improved quality of life after receiving Medtronic SCS. The procedure is usually done in a Range of Motion with the Prestige LP Cervical Disc System. SELECT YOUR DEVICE TO LEARN MORE ABOUT RECHARGING. Opioid-based painkillers are often necessary for chronic pain. Kyphon™ balloon kyphoplasty is used to treat pathological fractures of the vertebral body due to osteoporosis, cancer, or benign lesions. To browse our full library of educational content, register (opens new window) for Spine Academy. Spine Robotics. The potential uses for spinal cord stimulation include heart-related chest pain, nerve pain, and spine or back pain. The DTM™ SCS 12-month RCT proved sustained superiority compared to conventional stimulation. INDICATIONS. Shunts. 20 Lower Hatch Street Dublin 2, Ireland. 0 spinal system offers a broad range of four band connectors with two band options tailored to help meet various clinical needs. The plaintiffs — Dan Abrams Co. A spinal fusion is the permanent joining of two or more vertebrae so that there is no movement between them. Overall, bone morphogenetic protein technology has a lengthy history of extensive research and study dating back more than 50 years. Ball and trough articulation is designed to allow for a variable center of rotation (COR) that is located within an intended physiological area of the cervical spine. However, it is usually mild and can be managed with over-the-counter pain medications. May 1, 2018 · ARTiC-L(TM) Spinal System Click the thumbnail above for a larger image. Medtronic patients with any of the following devices should have an ID card: CRHF device (pacemaker, defibrillator, and/or leads) Neuromodulation device (drug pump and/or neurostimulators) Endovascular stent. 800-933-2635. During the operation, the surgeon first removes the degenerated disc. Physical therapy considerations and recommendations for patients following spinal cord stimulator implant surgery. – 5 p. The CD Horizon™ Spire™ plate is a posterior, single-level, non-pedicle supplemental fixation device Oblique Lateral Interbody Fusion (OLIF) procedures by Medtronic offer a complete, minimally invasive solution for the correction of degenerative and deformity spinal conditions. AI will increasingly become an essential tool in the pre-operative, intraoperative, and post-operative phases of adult and pediatric spinal deformity surgery. Oct 12, 2020 · This milestone represents the first 3D printed titanium implant, developed in house by Medtronic engineers, that incorporates the Titan nanoLOCK Surface Technology. Avoid activities that put stress on the implanted neurostimulation system components. If you meet ALL of the following criteria, please use this form to update your information, and a new ID Medtronic Continues to Advance Spine Surgery. One of the functions of the protein is to stimulate natural bone formation. Pain at the implant site: This is the most common side effect of Medtronic’s spinal cord stimulator. These devices can be inserted between two lumbar or lumbosacral vertebral bodies to give support and correction during lumbar interbody fusion May 9, 2019 · DUBLIN , June 27, 2019 (GLOBE NEWSWIRE) -- Medtronic plc (NYSE:MDT), a global leader in medical technology, today announced it has completed the acquisition of Titan Spine, a privately-held titanium spine interbody implant and surface technology company. See below for access to educational programs, billing and coding guides, and other resources to assist with coding, coverage, and reimbursement for our products and therapies. LigaPASS™ 2. DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. The leads deliver mild electrical impulses to an The CD Horizon Solera Spinal System consists of rods, hooks, and screws for implantation in the spine to correct the abnormal curvature. The INFINITY™ OCT System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion for the following acute and chronic instabilities of the craniocervical junction, the cervical spine (C1 to C7), and the thoracic spine from T1-T3: Traumatic spinal fractures and/or traumatic dislocations. In 2007, Medtronic purchased Kyphon, a manufacturer and seller of spinal implants necessary for procedures like kyphoplasty. Stimulation System Model #: Serial #: Implant date: 7426 NAXXXX2724H 01 Jan 1997. doi:10. and 28 states — appealed a California district court’s 2019 dismissal of the False Claims Act lawsuit. Decompression is a surgical procedure to relieve pressure and alleviate pain caused by this impingement. Additionally, the SOVEREIGN™ Spinal The CD Horizon™ Spinal System consists of a variety of shapes and sizes of rods, hooks, screws, Crosslink™ Plates, staples, and connecting components, as well as implant components from other Medtronic spinal systems which can be rigidly locked into a variety of configurations, with each construct being tailor-made for the individual case. With a portfolio featuring AI data science, navigation, robotics, spinal access, patient-specific implants and biologics. As robotics in spine surgery has progressed over the past 2 decades, studies have shown mixed results on its clinical outcomes and economic impact. Spine surgery involves creating a single incision and stripping the muscles from the spine. Following a successful trial, you and your doctor will decide if a permanent implant is right for you. Titan Spine, acquired in 2019, pioneered this surface technology, which demonstrates the elements to be considered a nanotechnology for spinal devices as outlined in the FDA The Adaptix™ titanium spinal cage combines the trusted features of the Capstone™ spinal system, with several design enhancements. DTM™ SCS has an 84% back pain responder rate at 12-months. Stimulation is delivered by a neurostimulator — a device similar to a pacemaker — implanted under the skin. 1 The INDICATIONS. It can help a person rely less on stronger pain medications. Vertebroplasty. 0 system is designed to help achieve a well-balanced spine in three planes: coronal, sagittal, and axial when screws, hooks, or wires cannot be placed. Advancements in cranial and spine. , S. 0 Spinal Cord Neurostimulation Systems. Emergency Physician(s): Gabot Raez, M. sdmrfspinalcs@medtronic. Cervical fusion is a common surgical option to treat damaged discs in your neck. The Prestige LP uses streamlined instrumentation designed for a smooth MN 56440. Closed design for. e. Tumor Management. Last Updated February 2020 Restored bladder function is defined as a measurable reduction in urinary frequency and/or urinary incontinence episodes following treatment. Central Time. Over time they heal into a single, solid bone. Toll-free: 800-633-8766 Worldwide: +1 763 514 4000 710 Medtronic Parkway Minneapolis, Minnesota 55432-5604 USA Map/Directions (Google) Sep 30, 2021 · DUBLIN, Sept. The Mazor X™ System is indicated for precise positioning of surgical instruments or spinal implants during general spinal and brain surgery. Safety and effectiveness has not been established for pediatric use, pregnancy, unborn fetus, or delivery. The Adaptix™ titanium spinal cage combines the trusted features of the Capstone™ spinal system, with several design enhancements. Alireza Anissipour performs an oblique lateral interbody fusion case for the L5-S1 space. The procedure is usually done in a hospital or surgery center on an outpatient basis, and takes about one to three hours. Medtronic products for neurological procedures. Sacroplasty. The implant is made of titanium and designed for surgeons to use in transforaminal lumbar interbody fusion (TLIF) spine surgery. The battery life of a recharge-free device Catalyft™ PL. It may take about 6 weeks to recover 6 Tekmyster G, Jonely H, Lee DW, et al. have successfully performed minimally invasive spinal procedures utilizing the newly cleared navigated disc prep, interbodies and The correct handling of the implants is extremely important. Fracture, microfracture, resorption, damage, penetration, and/or retropulsion of any spinal bone, of the autograft, or at the bone graft harvest site at, above, and/or below the level of surgery. The device is intended for use with an interbody fusion cage at the instrumented level and is not intended for stand-alone use. 1111/ner. 13391 and return to an office or sedentary job, but it can take The Procedure. Designed for TLIF, PLIF and MIDLF procedures, the titanium Catalyft™ PL expandable interbody features increased length and continuous adjustment up to 22 o of lordosis. Spinal fusion and artificial disc therapies from Medtronic. Through a series of steps, a cylindrical threaded device will be placed and packed with autograft and/or allograft to promote bone growth. In addition, the neurostimulator will be permanently implanted under your skin. 3D Printing. If you and your physician decide targeted drug delivery is right for you, the pump will be implanted during a surgical procedure. The neurostimulator may need to be replaced if the battery depletes or the device malfunctions. Expand All. These implants are intended for use with supplemental internal fixation systems. Mazor X 3D imaging capabilities provide a processing and conversion of 2D fluoroscopic projections from standard C-Arms INDICATIONS. The surgeon then inserts a spacer and permanently fixes the With the InterStim™ system, you can try the therapy for about a week before you decide whether or not to have a device implanted for long-term care. By utilizing an oblique lateral approach to the spine, OLIF Spine Surgery Services & Solutions Back to Services & Solutions 710 Medtronic Parkway . Peters, K. S. m. It is intended for plate fixation/attachment to spinous processes for the purpose of achieving supplemental fixation in the following Sample content. The Titan Spine Endoskeleton TA Interbody Fusion Device has not been evaluated for safety and compatibility in the MR environment. Your surgeon will make a small incision above the buttock, just below your waist. These components must be used as a system for the prescribed indication described above. by Katie Hobbins. We provide an overview of the history and evolution of The Mazor X™ System is indicated for precise positioning of surgical instruments or spinal implants during general spinal and brain surgery. The Percept™ RC neurostimulator with exclusive BrainSense™ technology † is the first complete rechargeable DBS system with sensing, directionality, and advanced programming capabilities. Intellis™ is the world’s smallest implantable neurostimulator. Designed to minimize the stress load onto the endplates compared to an open spinal cage design. This rechargeable device gives you an advantage over pain by offering unrivaled battery chemistry with >95% battery capacity at 9 years, personalized programming and unmatched MRI access. The incision will be slightly to the left or right of your spine, depending on the area to be treated. In a randomized control trial (RCT) at 12 months, DTM™ SCS provided superior, sustained pain relief compared to conventional stimulation. Indications, Safety, and Warnings. Oct 7, 2020 · Interbody implants are spacers that surgeons may insert between the vertebrae during spinal fusion surgery to help relieve pressure on nerves and hold the vertebrae in place while fusion occurs. 800-933-2635 (Toll free) Monday–Friday, 7:00 a. Please select from the categories below. Infuse Bone Graft results indicate it heals patients as well as autograft. Learn more about underlying conditions that may result in a pinched nerve. Nov 28, 2023. CD Horizon™ ModuLeX™ 5. Medtronic is the only company that delivers it all under one roof. Oct 22, 2023. Backed by 20+ years of proven CD Horizon™ technology, the ModuLeX™ 5. We offer comprehensive, professional services to secure and maintain coverage and payment. 2. DTM™ SCS has a 69% profound back U. Cancer includes multiple myeloma and metastatic lesions, including those arising from breast or lung cancer, or lymphoma. DDD is defined as discogenic back pain with degeneration of the disc The Mazor X Stealth Edition robotic guidance platform combines advanced surgical planning software with 15 years of Mazor robotic guidance and 25 years of Stealth™ Navigation experience. Also known as an anterior cervical discectomy and fusion, this technique relieves pressure on the nerve roots and/or the spinal cord. Infuse™ Bone Graft/Pivox™ Oblique Lateral Spinal System The Infuse™ Bone Graft/Medtronic Interbody Fusion Device is indicated for spinal fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at one level from L2-S1, who may also have up to Grade I spondylolisthesis or Grade 1 retrolisthesis at the involved Apr 7, 2021 · A whistleblower lawsuit accusing Medtronic of fraudulently obtaining FDA clearance for several spinal fusion devices can proceed, the U. Studies THE IMPLANT PROCEDURE. 16th, February 2021. Some patients may require to stay more than a day after the surgery. Read about bone graft options , minimally invasive spinal surgery options, Medtronic RTG Spinal and Biologics Customer Service. Call 800-510-6735 toll free, Monday–Friday, 8 a. Medtronic Navigated Reusable Instruments are compatible with various Medtronic spinal implant systems. ASI makes spine surgery predictable and repeatable using artificial intelligence — backed by data science. 9th Circuit Court of Appeals has ruled. Mazor X 3D imaging capabilities provide a processing and conversion of 2D fluoroscopic projections from standard C-Arms Adaptive Spine Intelligence (ASI) UNiD. Dr. "Adaptix Interbody System allows me the best chance to meet my patients' needs by confidently placing the implant under navigation and trusting the Improving spine treatment with data and AI. Some neurostimulators have rechargeable batteries, while others have non-rechargable batteries. Navigated surgical instruments are specifically designed for use with the StealthStation™ System, which is indicated for any medical condition in which the use of stereotactic surgery may be appropriate, and where reference to a rigid Spinal cord stimulation systems (SCS) are designed to last for several years before needing to be replaced. Product Details. It may be used in either open or minimally invasive or percutaneous procedures. Hospital recovery after a permanent spinal cord stimulator focuses on managing pain and learning how to use the SCS device. Most implantations are still done as an outpatient procedure, but for those with other health issues, a one-night stay may be needed. It has not been tested for heating, migration, or image artifact in the MR environment. Medtronic Operational Headquarters. Products for surgery, neurostimulation, and drug infusion systems for chronic pain and severe spasticity. Customer service. A small portion of the bone over the nerve root, called lamina, and/or disc material from under the nerve root is removed to give the nerve more space. Adrian Thomas and Dr. The Prestige LP titanium ceramic composite material contains no nickel, cobalt, or chromium and allows for MRI clarity of the spine. The implant procedure is similar to the trial procedure; you will have leads placed near your spinal cord. 2023;26 (1):260-269. Finding a new doctor if you’re traveling or moving. The PASS LP ™ spinal systems are also indicated for pedicle screw fixation for the treatment of severe spondylolisthesis (Grades 3 and 4) of the L5–S1 vertebra in skeletally mature patients receiving fusion by autogenous bone graft having implants attached to the lumbar and sacral spine (L3 to sacrum) with removal of the implants after the Medtronic Principal Executive Office. Mar 5, 2024 · Filed in 2015, the lawsuit claimed fraud around the clearance and marketing of two Medtronic Verte-Stack spinal implant devices for interbody fusion or vertebral body replacement. CT. In some cases, disc material may be replaced with autogenous bone graft . In comparison to a minimally invasive technique, the “open” method offers key benefits that include: Increased access to the spine to remove the damaged bone or intervertebral discs with less likelihood of leaving compressive elements behind Jul 14, 2022 · The FDA’s nod for the updated UNiD platform comes shortly after Medtronic announced another regulatory win for its growing portfolio of spine surgery tech. D. The SynchroMed™ II pump is available in two sizes — 20 ml and 40 ml — to meet your size preference and The CD Horizon™ Spire™ plate is a posterior, single-level, non-pedicle supplemental fixation device intended for use in the non-cervical spine (T1-S1) as an adjunct to fusion in skeletally mature patients. A Look at a New Medical Device Approval (Test) by Omar Ford. Macdiarmid, et al. CT Monday through Friday Phone: 1-800-933-2635 Fax: 1-800-468-9705 Email: rs. to 7:00 p. Medtronic Patient # (800) 510-6735 8am - 5pm CT. Talk to patient services. The antenna is connected to the recharger and establishes communication with your neurostimulator. For people in the United States who have been treated with Medtronic: Spinal implants, such as cervical discs or interspinous process spacers; Biologic products, such as Infuse™ bone graft; Telephone. Allows for more bony surface contact area compared to an open spinal cage design. The Prestige LP™ cervical disc is the first FDA approved one- and two-level arthroplasty device to report 10-year IDE study data. Global medical technology leader, Medtronic plc, has announced that leading spine surgeons across the U. Our evaluation leads are engineered with advanced coil technology that keeps them in place as you Aug 30, 2022 · Spinal cord stimulators are implanted devices that help block pain signals from your brain. A. The procedure involves roughening the bone between two adjacent vertebrae and then placing bone graft between them. Learn more about DTM™ SCS. (888) 765-1230 (888) 234-4589. Join us for hands on experience with the Medtronic Spine and Cranial ecosystem of integrated technologies and products designed to optimize the surgical workflow. Foreign body (allergic) reaction to the implants, debris, corrosion products, including metallosis, staining, tumor formation, and/or autoimmune disease. Spinal Procedure Navigation and Imaging. Contouring of the implants is to be avoided. The O-arm™ O2 Imaging System is a mobile x-ray system designed for 2D fluoroscopic and 3D imaging for adult and pediatric patients weighing 60 lbs or greater and having an abdominal thickness greater than 16cm, and is intended to be used where a physician benefits from 2D and 3D information of anatomic structures and objects with high x-ray Radiofrequency Ablation for Bone Tumors. The CAPSTONE PTC™ Spinal System is indicated for interbody fusion in patients with Degenerative Disc Disease (DDD) at one or two levels from L2 to S1. Spine and biologics. These DDD patients may also have up to Grade 1 Spondylolisthesis or retrolisthesis at the involved levels. The implant procedure is similar to the trial procedure, you will have leads placed near your spinal cord. That was presented to the LigaPass 2. Sep 30, 2021 · DUBLIN, Sept. Oct 20, 2014 · Spinal and Biologics is Medtronic’s second largest business, and Medtronic is the world leader in spinal and musculoskeletal therapies. This device is intended for 1-2 level use in the lumbosacral spine (L2 – S1) in skeletally mature patients. See a technologically advanced robotic guidance platform designed to enable predictable surgical procedures. Keeping your therapy programmer and implanted neurostimulator charged is important. Dec 1, 2023 · 3D Printing. It’s also easy to do. Infuse bone graft is recombinant human bone morphogenetic protein-2 (rhBMP-2) applied to an absorbable collagen sponge carrier (ACS). During the trial, leads are placed near the nerve that communicates with your bladder and bowel. (2009). 5 spinal system offers improved in-situ visualization, intra-operative flexibility, and procedural efficiencies, allowing you to complete posterior lumbar If successful, spinal cord stimulation (SCS) can help you manage certain types of chronic pain that have not responded to other treatments and improve your ability to participate in your usual daily activities. 2 Unique shapes allow optimal positioning and improved anterior rim engagement to minimize the risk of subsidence to aid in neuroforaminal decompression. Spinal Cord Neurostimulation Systems. fracture). The LigaPASS™ 2. 2 Min Read. What Is It? A spacer is a minimally invasive implant that sits between two interspinous processes in your lower spine. Spinal and biologics 7:00 a. DTM™ SCS is a proprietary, multiplexed algorithm coordinating multiple signals at multiple anatomical targets. The system is available in multiple rod diameters and screw sizes so the surgeon can choose the appropriate size for the surgeon condition, anatomy, and activity level. Heart valve, ring, and/or band. We’re revolutionize the standard of care for personalized spine surgery using data science and AI so all spine surgeons can provide predictable and reproducible patient outcomes. When the Low Battery screen appears on your therapy programmer, it’s time to recharge your neurostimulator. Intellis™ Neurostimulator. More DTM™ SCS therapy is a proprietary therapy inspired by science and rooted in pre-clinical research, and adapted to provide superior clinical outcomes. This course is intended for Neurosurgeons, Orthopedic spine surgeons, Senior Neuro and Ortho residents and fellows, as well as hospital administrators. Benign lesions include hemangioma and giant cell tumor. 1. Ralph Rashbauns, M. , the U. Catheter placement. Tumor resection. The StealthStation surgical navigation system offers both optical and EM tracking capabilities, integration with external devices like microscopes and ultrasound, a broad array of instrument offerings, and core software applications for neurosurgery and spine procedures including: Biopsy. The procedure involves the insertion of two inflatable bone tamps (balloons), or IBTs, into the vertebrae. It also saves patients from the pain and complications of the secondary bone harvesting procedure required for autograft. Unfortunately, these medications have many potential side effects and risks. It utilizes an enhanced interface that delivers a fast and seamless access to plan and simulate a variety of planning elements — planning is now more DTM™ SCS therapySpinal cord stimulation. ¡ identifies you as having an implanted ¡ includes a toll-free number to ¡ helps Medtronic maintain current The goal of balloon kyphoplasty surgery is to relieve pain, restore lost vertebral body height, and stabilize the fracture. Targeted Drug Delivery for Chronic Pain. HOW IT WORKS. Online. SCS disrupts the pain signals traveling between the spinal cord and the brain. They’re used to treat many forms of chronic pain, including back pain after failed surgery. PRECAUTIONS. The display screen provides information about your charging system. General questions or feedback From planning your incision to placing your implants; from cervical to iliac; from percutaneous to open; the StealthStation S8 Spine Solution equips you with precise instrument and implant tracking. The device gathers real-time data to offer insights into the patient’s condition, inside and outside the clinic, allowing you to adapt therapy to your Radiofrequency Ablation Products for Nerve Tissue. 30, 2021 /PRNewswire/ -- Medtronic plc (NYSE: MDT), the global leader in medical technology, today announced the latest additions to its minimally invasive spine surgery ecosystem, making it the only company to combine spinal implants, biologics, navigation, robotics, and AI-powered data to surgeons and patients. The SOVEREIGN™ Spinal System is indicated for use with autogenous bone graft in patients with degenerative disc disease (DDD) at one or two contiguous levels from L2 to S1. Honeycomb Structure. 1 The Level 1 Clinical Evidence 1. The most common side effects are temporary and include mild pain or skin inflammation at or near the stimulation site. Stratasys, Siemens Healthineers Partner for Medical Imaging Phantom Research Project. Read about bone graft options and minimally invasive spinal surgery options for your patients. Medtronic is the market leader in minimally invasive spine surgery. The T2 Stratosphere™ System is also intended for patients with advanced stage tumors in whom life expectancy is of The interspinous spacer is a small implant that may relieve the painful symptoms of spinal stenosis. Clinical data compared patients who received Infuse Bone Graft versus autograft for lumbar fusion. Jul 1, 2021 · Abstract. The ARTiC-L™ 3D Ti Spinal System with TiONIC™ technology consists of additive manufactured titanium cages of various widths, lengths, heights, and lordotic angles to accommodate patient anatomy. See details about Grafton Bone Graft, a demineralized bone matrix with high osteoinductivity scores and enhanced osteoconductive scaffolding, used in spine and trauma surgery to aid in bone healing. Neuromodulation: Technology at the Neural Interface. 2,3. The Medtronic patient services team is able to help you with: Programmer or recharger troubleshooting. Surgical Navigation Systems. Skin irritation: Some people experience skin irritation around the implant site. Collecting data is an important collective effort toward improving spine outcomes. The StealthStation S8 system’s compatibility with a variety of intraoperative imaging devices and implant therapies offer you many benefits in The differential target multiplexed™ (DTM) spinal cord stimulation (SCS) randomized control trail (RCT) was a prospective, randomized controlled trial evaluating the efficacy and safety of DTM™ SCS compared to traditional SCS over 12 months. The recharger is a handheld device for charging the battery in your neurostimulator. SpineLine Reimbursement. Spinal Cord Stimulation. These procedures allow access from L2 to S1 from a single position, without repositioning the patient. In this review, we highlight the evolution of robotic technology over the past 30 years, discussing early limitations and failures. A definitive acquisition agreement between the two companies was previously announced on CATALYFT™ PL. Recharging a rechargeable neurostimulator may result in skin irritation or redness near the implant site. The T2 Stratosphere™ Expandable Corpectomy System is used in skeletally mature patients to replace a collapsed, damaged, or unstable vertebral body due to tumor or trauma (i. ARTiC-L is the first implant from Medtronic to be manufactured using the TiONIC Technology 3D printing technique. Clinician Services. This procedure is most often performed in a hospital or outpatient surgery center. Implants are used to facilitate fusion in the lumbar spine using autogenous bone graft and/or allograft bone graft comprised of cancellous and/or corticocancellous bone, and/or demineralized allograft bone with bone marrow aspirate. Surgical Imaging Systems. Sports Surgery. The IBTs are inflated under volumetric control, reducing the fracture and pushing the endplates apart, thereby The Infuse™ Bone Graft/Medtronic Interbody Fusion Device consists of two components containing three parts – a spinal fusion cage, a recombinant human bone morphogenetic protein, and a carrier/scaffold for the bone morphogenetic protein and resulting bone. M. The impulses travel from the device to the spine over thin insulated wires called leads. 3 min read. Designed for TLIF, PLIF and MIDLF procedures, the titanium Catalyft™ PL expandable interbody features increased length and continuous adjustment up to 22 of lordosis. com Surgical navigation including StealthStation Mazor™ planning is a robust preoperative planning software that allows the surgeon to visualize and optimize spinal elements in relation to one another with automatic anatomy recognition. Allows for a maximum of 10 degrees of lateral bending and flexion/extension from neutral, unlimited axial rotation and THORACOLUMBAR (T1-L5) - ALL IMPLANTS. Spinal fusion and artificial disc products from Medtronic. Minneapolis, MN 55432-5604 USA. Kathryn McCarthy discuss how a MIS+ TLIF procedure from Medtronic is revolutionizing spine surgery. Surgical Robotics Technology. 5spinal system Fully-enabled rod and modular screw system for posterior lumbar fixation. The spacer increases height between the processes, relieving the symptoms of spinal stenosis. SpineLine™ reimbursement. eq qf zc ax ra pp ru rv uw tb