Percutaneous Lead Placement For Scs - Boston Scientific Precision SC-1110 Serie Manual De Uso

Percutaneous Lead
Placement for SCS
1. Position, prep and drape the patient in
the usual accepted manner. Inject a local
anesthetic at the needle insertion site.
2. Under fluoroscopic guidance, place the
insertion needle into the epidural space
with the bevel facing up using an angle of
45° or less.
CAUTION: Use only an insertion needle
provided by Boston Scientific. Other
needles may damage the lead. The
stamped number "14" on the needle
hub (or the triangle on the hub of the
curved Epimed needle, sold separately)
corresponds to the orientation of the
bevel, which must face up. Turning the
bevel ventral (down) may result in lead
damage. An angle of more than 45°
increases the risk of lead damage.

Percutaneous Lead Placement for SCS

WARNING: The angle of the insertion
needle should be 45° or less. Steep
angles increase the insertion force of
the stylet and also present more of an
opportunity for the stylet to pierce the lead
and cause tissue damage.
3. Remove the needle stylet from the
insertion needle and verify entry into
the epidural space using the standard
technique.
4. OPTIONAL. Under fluoroscopic guidance,
insert the lead blank through the insertion
needle and into the epidural space.
Advance the lead blank to verify entry
into the epidural space, then withdraw the
blank.
5. While holding the lead stylet handle, place
the steering cap over the proximal end
of the stylet handle with moderate force
until it is held in place. Then slowly insert
the lead, with stylet, through the insertion
needle. The lead stylet should extend to
the tip of the lead.
6. OPTIONAL. If exchange of the lead stylet
is desired, carefully pull out the existing
stylet and insert the preferred stylet.
While inserting the stylet into the lead, if
resistance is encountered, withdraw the
stylet approximately 3 cm, rotate the lead
and/or stylet, and gently advance the
stylet. If resistance is still encountered,
repeat the above procedure until the stylet
can be fully inserted.
9055959-008 Rev A 17 of 327
Clinician Manual