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

Precision™ System Clinician Manual
WARNING: Do not exchange the lead
stylet while the electrode array of the lead
is in the bevel of the insertion needle. If
the electrode array is in the bevel area,
remove the lead from the insertion needle
before exchanging the stylet. Inserting the
lead stylet in the lead while the electrode
array is in the bevel of the insertion
needle increases the risk of lead and
tissue damage.
WARNING: If the lead stylet is removed
and reinserted, do not use excessive
force when inserting the stylet into the
lead. The use of instruments, such
as forceps, to grasp the stylet during
insertion is not recommended as this
could result in applying excessive force
and could increase the risk of lead and
tissue damage.
7. Advance the lead to the appropriate
vertebral level under fluoroscopic
guidance. A sufficient length of lead
(i.e., at least 10 cm, or approximately
three vertebrae) should reside in the
epidural space to aid in lead stabilization.
Clinician Manual
9055959-008 Rev A 18 of 327
8. If use of a splitter is desired or you are
using the Infinion™ 16 lead, continue
"Lead Connection to Splitter" on page
20 Otherwise, continue to "Connecting
the OR Cable Assembly" on page 23
Percutaneous Lead Placement
for PNS
Do not use the lead's pre-loaded stylet
as it is curved. It is not used during the
"Percutaneous Lead Placement for
Peripheral Nerve Stimulation (PNS)"
procedure and can be discarded. Please
replace with the straight lead stylet prior to
beginning the procedure.
1. Position, prep and drape the patient in
the usual accepted manner. Inject a local
anesthetic at the needle insertion site. Be
careful to avoid anesthetizing the target
nerve(s) (i.e. minimize lateral injections,
minimize injection volume).
2. Insert the needle provided in the
Lead Kit, with stylet inserted, into the
subcutaneous tissue plane. Advance the
needle to the target location. The needle
can be advanced slightly beyond the
target location to allow for more proximal
repositioning during intraoperative testing.
Pinching superficial tissue away from the
fascial layer helps guide the needle within
the subcutaneous fat.