Accu-SPINA - The Best Spinal Decompression Table

Provider Information

As more and more people discover it IS possible to avoid back surgery, the demand for high level non-invasive care continues to rise.

So, how does a clinic owner make the choice to expand their services to include non-surgical spinal decompression? The answer requires thoughtful assessment of your clinics’ professional ideology.

Are you looking to add decompression to show your practice is current with the times?
Are you committed to investing in the best techniques so that you can make an even more meaningful difference in your patients’ lives?

If you find yourself in the former category, then you may find you are drawn to inexpensive traction devices re-branded as “decompression”. Such equipment may be acceptable to you if you are satisfied in offering your patients the lower efficacy rates proven for that device brand.

However, if you want the kind of positive patient-provider relationship vital to a thriving, profitable practice, then you need to invest in the science and technology that leads to the best outcomes for your patients. As a clinic owner you are both clinician AND business person; so you know getting the best results, gets you the most referrals.

Only the Accu-SPINA® has independent, neurosurgical studies performed on over 500 patients referred to have surgery but who tried IDD Therapy treatment on the Accu-SPINA first. In that study, the Accu-SPINA proved to be the first and only decompression device demonstrating 92% success- even one full year post treatment. That kind of success requires specific technology possessing critical device features simply not found in ordinary decompression or traction devices.

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The Physics Behind the Science

To stay together and function, the spine requires force. It must maintain this force in the face of massive gravity stresses, as well as the body’s daily impact of thousands of pounds on the spinal structures. These routine influences eventually take their toll on the body, causing many senior citizens to suffer severe height loss as a result. For some individuals, the impact is greater, as external forces, which are sometimes amplified by damage to the discs, can severely limit functions and cause pain.

Forces or pressures are measured in Newtons. A Newton is a force unit defined as the amount of force required to accelerate a mass of 1 kilogram 1 meter per second. Remember, disc pressure is lowest when lying supine. When a person is sitting, spinal pressures can be as high as 400 to 500 Newtons. The load on a single spinal disc in a 70-pound person lifting merely 10 kg with their back bent reaches an incredible 1900 Newtons!

IDD Therapy® advanced spinal decompression on the Accu-SPINA® System negates more than simple gravitational forces. It helps you rehabilitate biomechanical dysfunction and has the potential to create negative pressure within the disc.

Decompression of spine: vertebrae forces pulling like drx9000

When intra-discal pressure is lowered in this way with IDD Therapy® treatment, the internal pressure changes mimic a pumping effect within the spinal structures and the nucleus pulposus of normal lumbar intervertebral discs can reduce or even resolve. Read more.

*Ref: Nachemson, A, MD: Disc Pressure Measurements, Department of Orthopaedic Surgery I, Sahlgren Hospital, Goteborg, Sweden. Sixth Annual Meeting of the International Society for the Study of the Lumbar Spine, June 1, 1979.

More Pain Relief Options for Your Patients

Just Google “Back Pain Relief” and you’ll see there are billions of web pages offering information. As someone interested in the subject, you probably know the number of people suffering with back pain is staggering.

According to the National Institutes for Health, “Low back pain (LBP) is the most common musculoskeletal problem globally.”

The International Association for the Study of Pain reports that Low back pain is the leading cause of global disability. “Disability associated with LBP increased in all age groups between 1990 and 2019 and was greatest in the 50-54 age group in 2019. Approximately 70% of years lost through disability were in working aged people (20-65 years.)”

It is expected that 8 out of 10 Americans will experience back pain in their lifetime, spending upwards of $50 billion on treatments.

Given the statistics above, being able to effectively treat people suffering from chronic low back pain will have patients seeking your help. The Accu-SPINA System is not only proven to relieve neck and back pain, it also enables you to treat more than one patient at a time. While seeing one patient, your team can administer IDD Therapy for another patient.

More IDD Therapy® Provider Benefits

We have the Pieces Needed to Solve the Pain Puzzle

Bring IDD Therapy® treatment to your practice and say “Yes, we can help you” to patients suffering with back and neck pain.

stethoscope on puzzle for idd therapy not drx9000

1. Medical Piece

The Accu-Spina® system, manufactured by North American Medical, is the only system to offer IDD Therapy® protocols, which can be tailored to each specific patient’s needs.

North American Medical’s training specialists certify all registered clinics are properly trained in IDD Therapy® Protocols by undergoing an intensive “hands on” training. In an effort to establish more independent credentialing and continued education, North American Medical continues to work with various physician-based organizations such as the Albert Einstein College of Medicine and Life University.

technology words on puzzle for idd therapy not drx9000

2. Technological Piece

IDD Therapy utilizes a complex interplay of physical and theoretical sciences, advanced computer engineering and highly complex, proprietary, and patented software programs to apply forces and treatment parameters in a way never before achieved.

North American Medical holds many patents from its cervical distraction device, to its secondary waveform technology for using oscillatory signaling in conjunction with its spinal therapy treatment modalities.

marketing typed on puzzle piece for idd therapy not drx9000

3. Marketing Piece

IDD Therapy’s® marketing component is meant to directly address the consumer in order to improve knowledge and awareness of the best treatment alternatives for back pain sufferers.

Regional and national patient awareness grows in tandem with the rapid expansion of our IDD Therapy® equipped facilities and the prestigious practices that advocate for IDD Therapy treatment.

A Technical Review of the Accu-SPINA’s Safety & Precision as Compared to Another Leading Spinal Decompression Device.

Dr. Marshall holds a Ph.D. in Engineering from the prestigious Georgia Institute of Technology (Georgia Tech).

An unbiased review from Matt Marshall, Ph.D.

Findings revealed the Accu-SPINA® system for spinal decompression is both safer and more precise than the leading competitor’s device.

Dr. Marshall explains that a design measure is a way of reducing risk by removing the source of the risk from the design. He found that the Accu-SPINA has an important design measure for safety that the other design does not have. Specifically, the Accu-SPINA uses a motor that is appropriate and, therefore, better suited for safety vs. the motor found in the other design. (Other technology details.)

Superior Engineering

Creating a logarithmic calculation is only one part of the secret sauce. In order to actually produce the optimal waveforms created in a computer model, the mechanical components of a spinal therapy device must be exacting in their design.

It all begins with the gearing. The smaller the movement, the more exact and safer the movement will be. Our Accu-Spina matrix head creates precise spinal mobilization like no other. It does this by utilizing a small, high speed 24-volt DC medical grade motor. It turns 360 times and torques up to create each revolution. This method of force acceleration creates a significantly smoother movement than is possible from decompression devices that rely on an industrial servo-motor that must actually be powered down for use on a human body.

The second unique mechanical feature of the Accu-Spina Matrix Head is its finely crafted German clutch with hundreds of tiny teeth. Like the tiny precision gears of a fine Swiss timepiece, this clutch is capable of miniscule transitions in fractional seconds. While your patient is undergoing an IDD Therapy® session, the treatment strap is directed both forward and backward by the computer- and can actually “lock” the strap in place every 1.8 degrees throughout every 360 revolutions. This precision locking method during treatment, along with the bio-feedback monitoring by the dedicated computers and loadcell, constantly measures and re-measures the accuracy of each calculated force transition, up to 256,000 times per second. This level of extremely accurate dynamic force application is a crucial element in assuring gentle and uniform spinal separation.

In a simulated model*, researchers cited technical criteria akin to that of IDD Therapy technology. After observation and analysis of the distance vertebral bones separated under various tensile forces, researchers concluded that, as a muscle treatment method, this approach is most effective if the muscular strengths of vertebral articulation are equal.

*Ref: Jeong-Hun Shin, et al. Effects of ITT in an Experimental Spinal Column Model, Journal of Acupuncture and Meridian Studies, Volume 7, Issue 2, 2014, Pages 83-91

With the Accu-SPINA, you and your patients can be confident you have the safest & most effective decompression system on the market.

View our Patents

Elevated Above

The Competition

It’s simple: A better product equals better results

When you purchase an Accu-Spina® System, you have invested in the foremost functional system for advanced non-surgical spinal decompression available today. That investment sets off a domino effect of distinguishing strengths in motion as North American Medical applies innovative solutions to strategic challenges.

Our goal is to provide high integrity medical devices that, when utilized by IDD Therapy® certified physicians, effectively preserve and enhance natural anatomy and function for spinal pain sufferers in need of life long solutions.

The Accu-SPINA® System with IDD Therapy® Treatment is truly unmatched by any other non-surgical spinal decompression device in the marketplace. Below are just a few of the key features included with the Accu-SPINA® system & are NOT found in other decompression systems.

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At North American Medical, our dedicated team of engineers has built quality into every hi-tech feature with patient care and safety as their primary concerns. So, when a competitor tries to tell you our motor isn’t powerful enough to pull a 3,000 lb. boat, they’re right. Our medical grade motors are built to gently and effectively treat the human spine. Of course, our motors are exceptionally durable, but more importantly, they’re accurate, smooth and safe.

So how can we assure you of what our engineers and service team already know about every Accu-SPINA® System motor? By letting our integrity do the talking with the first and only Lifetime Motor Guarantee. North American Medical is so sure you will never experience any motor wear or failure, we’re willing to back it up 100% with a full parts and labor guaranteed replacement*- for free. And we stand by that guarantee for as long as you own your Accu-SPINA® System.

*Some restrictions may apply.

Lifetime Motor Warranty

At North American Medical, our dedicated team of engineers has built quality into every hi-tech feature with patient care and safety as their primary concerns. So, when a competitor tries to tell you our motor isn’t powerful enough to pull a 3,000 lb. boat, they’re right. Our medical grade motors are built to gently and effectively treat the human spine. (Of course, our motors are exceptionally durable, but more importantly, they’re accurate, smooth and safe.)

North American Medical is so sure you will never experience motor wear or failure with our device, that we’re willing to back it up 100% with a full parts and labor guaranteed replacement*- for free.

And we stand by that guarantee for as long as you own your Accu-SPINA® System.

*Some restrictions may apply.

Easy Patient Loading

Computer controlled bed-positioning system with full tilt capabilities smoothly reclines your patient from standing to full horizontal recline at the press of a button. Dual synchronized bed columns exert a combined 8,000K force for efficient power- up to a staggering 425lb load. This means the bed can be raised, lowered, and tilted to meet The Americans with Disabilities Act standards and qualifies for tax credit

Constant Biofeedback

Constant Biofeedback with Adjustments up to 256,000 Times Per Second –

Live tracking of actual treatment versus target treatment lets you see the quality of each session as you are administering. Computer readings of force delivery constantly make adjustments to compensate for patient wiggling, etc., during treatment. Internal, medical-grade components use biofeedback to measure and adjust the tension levels at a minimum of 256,000 times per second for unparalleled accuracy.

Network Capability

Take the hassle out of patient scheduling! You can link multiple Accu-Spina’s together so that any patient can be treated on any machine with full access to their treatment history. Built-in patient data backup and restore capability guarantees users the data will be available under any circumstance.

Three Layered Safety System

With the Accu-SPINA® System, you get multiple built in safety layers. First, there is the digital communication which is linked to our software and can shut down a session if the actual tension varies from the target tension by twenty percent for any reason. A second layer of safety engineering is our medical grade motor which will “lock out” before it can create enough force to harm a patient. And the third layer in our design employs the mechanical safety of our electro-magnetic clutch, which disengages to eliminate any sign of excessive force. Since the cervical spine is more delicate, there’s yet another physical safety layer;, our break away safety magnet eliminates any tension force over 60lbs.

hidden

At North American Medical, our dedicated team of engineers has built quality into every hi-tech feature with patient care and safety as their primary concerns. So, when a competitor tries to tell you our motor isn’t powerful enough to pull a 3,000 lb. boat, they’re right. Our medical grade motors are built to gently and effectively treat the human spine. Of course, our motors are exceptionally durable, but more importantly, they’re accurate, smooth and safe.

So how can we assure you of what our engineers and service team already know about every Accu-SPINA® System motor? By letting our integrity do the talking with the first and only Lifetime Motor Guarantee. North American Medical is so sure you will never experience any motor wear or failure, we’re willing to back it up 100% with a full parts and labor guaranteed replacement*- for free. And we stand by that guarantee for as long as you own your Accu-SPINA® System.

*Some restrictions may apply.

Dual Waveforms

With IDD Therapy® treatment you get multiple waveforms to treat your patients with unlimited variability. The primary waveform is directed to a specific dysfunctional spinal segment when the clinician selects the angle of treatment from the tower. The energy represented by this waveform is sinusoidal in nature. So, it is able to gently mobilize a facet joint (posterior facet syndrome), re-educate the para-spinal MSK, relieve pressure on a nerve or nerve root, elongate the supporting spinal structures, as well as promote the imbibition of disc fluid and nutrients where needed for healing. Our “Calculated Knee” modality replaces the progressive and regressive flat line pull seen in ordinary decompression or traction equipment. Our sinusoidal wave form eases into and out of the transitional phase making it the most gentle and sophisticated means of eliciting distractive forces.

Our patented treatment algorithm takes on a whole new dimension with its secondary wave form, which oscillates on the high-tension hold. This waveform helps to further limit, or fool the proprioceptor firing response. Helping to prevent muscle guarding and spasming while working to signal tissue cells, many physicians report that the oscillation feature has helped them treat patients who came in with intractable pain levels. The Accu-SPINA® System is the only equipment with the mechanical, technological, and software sophistication necessary to achieve this advancement. Imaging data indicates oscillation promotes more disc height, while decreasing lateral spread. This Oscillating Logarithmic Curve™ technology is only available with IDD Therapy® treatment on the Accu-SPINA® System.

True-Angle through 30 Degrees

Robotic cervical positioning and full 30 degree lumbar angle sweeps provide optimal treatment profiles for every shape and size patient . The Accu-Spina® is also the only device that can raise or lower the entire bed to compensate for patient girth, thus assuring true angle vectors.

Actual treatment performance within 1-pound variance or less with micro-targeted decompression force (other devices vary in 15-pound increments).

Remote Diagnostics & Service

The Accu-Spina® System is the only remote access spinal treatment device of its kind. Our remote online connection to each device for servicing, diagnostics and regular calibrations means little to no clinic down time and quick cost effective maintenance solutions.

Open Expandable Architecture Flexibility

The Accu-SPINA® System is a component-based device opposed to a static one. This means that if there is an issue with a part, only that part needs to be replaced with minimal down time, if any. With the upgradable design of the Accu-SPINA® System, your device can almost always be updated. New feature introductions and technology advances can be as easy as downloading the newest update from North American Medical.

hidden

At North American Medical, our dedicated team of engineers has built quality into every hi-tech feature with patient care and safety as their primary concerns. So, when a competitor tries to tell you our motor isn’t powerful enough to pull a 3,000 lb. boat, they’re right. Our medical grade motors are built to gently and effectively treat the human spine. Of course, our motors are exceptionally durable, but more importantly, they’re accurate, smooth and safe.

So how can we assure you of what our engineers and service team already know about every Accu-SPINA® System motor? By letting our integrity do the talking with the first and only Lifetime Motor Guarantee. North American Medical is so sure you will never experience any motor wear or failure, we’re willing to back it up 100% with a full parts and labor guaranteed replacement*- for free. And we stand by that guarantee for as long as you own your Accu-SPINA® System.

*Some restrictions may apply.

Lifetime Motor Warranty

At North American Medical, our dedicated team of engineers has built quality into every hi-tech feature with patient care and safety as their primary concerns. So, when a competitor tries to tell you our motor isn’t powerful enough to pull a 3,000 lb. boat, they’re right. Our medical grade motors are built to gently and effectively treat the human spine. (Of course, our motors are exceptionally durable, but more importantly, they’re accurate, smooth and safe.)

North American Medical is so sure you will never experience motor wear or failure with our device, that we’re willing to back it up 100% with a full parts and labor guaranteed replacement*- for free.

And we stand by that guarantee for as long as you own your Accu-SPINA® System.

*Some restrictions may apply.

Dual Waveforms

With IDD Therapy® treatment you get multiple waveforms to treat your patients with unlimited variability. The primary waveform is directed to a specific dysfunctional spinal segment when the clinician selects the angle of treatment from the tower. The energy represented by this waveform is sinusoidal in nature. So, it is able to gently mobilize a facet joint (posterior facet syndrome), re-educate the para-spinal MSK, relieve pressure on a nerve or nerve root, elongate the supporting spinal structures, as well as promote the imbibition of disc fluid and nutrients where needed for healing. Our “Calculated Knee” modality replaces the progressive and regressive flat line pull seen in ordinary decompression or traction equipment. Our sinusoidal wave form eases into and out of the transitional phase making it the most gentle and sophisticated means of eliciting distractive forces.

Our patented treatment algorithm takes on a whole new dimension with its secondary wave form, which oscillates on the high-tension hold. This waveform helps to further limit, or fool the proprioceptor firing response. Helping to prevent muscle guarding and spasming while working to signal tissue cells, many physicians report that the oscillation feature has helped them treat patients who came in with intractable pain levels. The Accu-SPINA® System is the only equipment with the mechanical, technological, and software sophistication necessary to achieve this advancement. Imaging data indicates oscillation promotes more disc height, while decreasing lateral spread. This Oscillating Logarithmic Curve™ technology is only available with IDD Therapy® treatment on the Accu-SPINA® System.

Easy Patient Loading

Computer controlled bed-positioning system with full tilt capabilities smoothly reclines your patient from standing to full horizontal recline at the press of a button. Dual synchronized bed columns exert a combined 8,000K force for efficient power- up to a staggering 425lb load. This means the bed can be raised, lowered, and tilted to meet The Americans with Disabilities Act standards and qualifies for tax credit

True-Angle through 30 Degrees

Robotic cervical positioning and full 30 degree lumbar angle sweeps provide optimal treatment profiles for every shape and size patient . The Accu-Spina® is also the only device that can raise or lower the entire bed to compensate for patient girth, thus assuring true angle vectors.

Actual treatment performance within 1-pound variance or less with micro-targeted decompression force (other devices vary in 15-pound increments).

Constant Biofeedback

Constant Biofeedback with Adjustments up to 256,000 Times Per Second –

Live tracking of actual treatment versus target treatment lets you see the quality of each session as you are administering. Computer readings of force delivery constantly make adjustments to compensate for patient wiggling, etc., during treatment. Internal, medical-grade components use biofeedback to measure and adjust the tension levels at a minimum of 256,000 times per second for unparalleled accuracy.

Remote Diagnostics & Service

The Accu-Spina® System is the only remote access spinal treatment device of its kind. Our remote online connection to each device for servicing, diagnostics and regular calibrations means little to no clinic down time and quick cost effective maintenance solutions.

Network Capability

Take the hassle out of patient scheduling! You can link multiple Accu-Spina’s together so that any patient can be treated on any machine with full access to their treatment history. Built-in patient data backup and restore capability guarantees users the data will be available under any circumstance.

Open Expandable Architecture Flexibility

The Accu-SPINA® System is a component-based device opposed to a static one. This means that if there is an issue with a part, only that part needs to be replaced with minimal down time, if any. With the upgradable design of the Accu-SPINA® System, your device can almost always be updated. New feature introductions and technology advances can be as easy as downloading the newest update from North American Medical.

Three Layered Safety System

With the Accu-SPINA® System, you get multiple built in safety layers. First, there is the digital communication which is linked to our software and can shut down a session if the actual tension varies from the target tension by twenty percent for any reason. A second layer of safety engineering is our medical grade motor which will “lock out” before it can create enough force to harm a patient. And the third layer in our design employs the mechanical safety of our electro-magnetic clutch, which disengages to eliminate any sign of excessive force. Since the cervical spine is more delicate, there’s yet another physical safety layer;, our break away safety magnet eliminates any tension force over 60lbs.

When you purchase an Accu-Spina® System you have invested in the most advanced functional system for non-surgical spinal decompression available today. Your decision to become a certified IDD Therapy® treatment provider sets off a domino effect of distinguishing strengths in motion as North American Medical applies innovative solutions to strategic challenges.

Our goal is to provide high integrity medical devices that, when utilized by IDD Therapy® certified physicians, effectively preserve and enhance natural anatomy and function for spinal pain sufferers in need of life long solutions.

The Expert’s Choice

Dr. Timothy Kremcheck, Sports Medicine Specialist & Orthopaedic Surgeon.

Unsurpassed Quality

As a medical device manufacturer, North American Medical Corporation is dedicated to providing safe, effective, and compliant devices to its customers. To accomplish this goal, each device is manufactured and tested in accordance with FDA, ISO, and UL electrical standards.

In September of 2016 the FDA required class II devices to have the unique device identification (GUDID) to adequately identify devices sold in the U.S.- from manufacturing through distribution to physicians in the marketplace and finally to patient use. It is a system that is being utilized worldwide.

The “Good ID” database is designed to help identify and trace all medical equipment and provides detailed specifications about each device including manufacturer and production information, intended use, safety, and storage and handling requirements.

The database is accessible to regulators, manufacturers, healthcare providers, insurers, patients and the public at large so everyone can be clearly informed about the safety of the equipment. (Lean more about GUDID)

Pre-Owned Decompression Devices

Sometimes, the most cost-effective way to get into a top-quality piece of equipment is getting it used. That’s why North American Medical offers factory refurbished equipment that we have carefully inspected, upgraded and quality tested.

It’s important to note, second-hand resellers that are not a manufacturer or not authorized by the manufacturer are not accountable to FDA or to any quality monitoring system. There is nothing to prevent use of inferior replacement parts or sloppy repairs that could render a medical device unsafe. And because the FDA cannot track these devices, there is no documented service history on devices that have changed hands.

Because of traceability concerns like these, the FDA started GUDID. With this system, FDA is trying for more accurate reporting, analysis, and of course, corrections related to adverse events in the field. This ongoing, long term analysis data also helps manufacturers correct software bugs and improve or prevent other issues for devices in the field.

North American Medical has over twenty years of data and performance analysis that we constantly track from our Accu-Spina’s in the field. No one knows our product like we do.

As used devices get older, the risk of adverse events is of particular importance especially if they are not factory maintained. There are serious challenges and risks unauthorized third-party resellers create when attempting to restore or repair devices to their original specifications having no training, factory support or proprietary knowledge. Therefore, possible public health issues can easily arise from these activities.

When purchasing second-hand decompression tables, who is at risk?

Public health issues obviously put the patient at risk when medical products don’t perform according to specification.

Risk also passes to the healthcare provider when something goes wrong because of possible liability exposure:

• Used equipment re-sellers are not required to carry product liability insurance, so buyers of these second-hand devices are left to shoulder that risk.
• Manufacturers product liability insurance policies become immediately VOID after any unauthorized third-party product tampering, servicing, etc.
• The provider (used equipment owner) must still answer to the FDA, and relevant medical board, should they ever be visited, questioned or audited regarding their equipment safety or practices.

I have owned an Accu-SPINA® System for ten years, providing IDD Therapy® to my patients with disc problems at Mecca Integrated Center in Fairfield, New Jersey.

As a healthcare professional and colleague, I want to tell you about the two most essential items you need to decide before buying a treatment device for your practice:

1. Deciding what device to buy.
2. Deciding who you want to buy it from.

The first was the most difficult. I wanted a machine that had credible medical research done on the machine I was purchasing. This led me to my Accu-SPINA® System, back in 2009; I learned it had traditionally been purchased largely by medical doctors and groups with bigger budgets. For me, though, there was no question as to the science that went into this product and the unparalleled quality of the machine. To this day, I am still performing IDD Therapy® treatments with my Accu-SPINA® system ten years later. With only routine maintenance, I have never experienced a significant breakdown or malfunction. North American Medical has an excellent service department that responds quickly and professionally.

A good decompression table is an investment in your practice and yourself. I’ve bought used cars, but in doing so, I’ve never been able to communicate with the manufacturer directly. And I never thought I would need to until the day my first “troubled” patient came along. Let’s call him “Mr. X.” This man, Mr. X, had no idea what he was talking about, but clearly he’s read something online about injuries that have happened with so-called “decompression” and traction devices. He also read about false claims made by some companies, and I guess he thought a lawyer would get him a big payday at my expense. With my own reputation on the line, I can tell you, I was really glad I chose a product whose manufacturer is of such high integrity.

I’m not saying that every healthcare provider is going to have a case brought against them. But every doctor is at risk of an unfair claim, and that’s when your business and clinical choices will be brought into question later on. In my case, I was able to show I bought the best system, with the best safety record, and genuine medical and peer-reviewed studies on this device. All the accusations thrown at me pertained to other devices- and NAM helped me with the ammunition to show my product, my treatments, and my practice was in another completely separate class – victory.

Dr. Michael Sapienza
Mecca Integrated Medical Center, New Jersey, US

Commitment Of North American Medical

The commitment we have to you the physician as well as the patient, ensures that your device meets current FDA and ISO standards.

All electrical equipment on the Accu-SPINA® System has been tested and is listed with UL and/or equivalent worldwide safety laboratories that meet the standard. Devices that are refurbished by North American Medical qualify for and receive the GUDID label as they are brought up to the current engineering specifications of a new device.