Explanting The Dbs Extensions - Boston Scientific Vercise Manual De Uso

Physician Manual

Explanting the DBS Extensions

1. Turn off the Stimulator.
2. Palpate the region under the scalp to locate the DBS Extension connector.
3. Create an incision to expose the DBS Lead and DBS Extension connector.
Be careful not to damage the implanted components to allow for proper analysis
following explant.
4. Cut the DBS Extension(s) at the tapered (proximal) end of the connector.
5. Loosen the connector Setscrew using the Torque Wrench provided.
CAUTION: Loosen the Setscrew only as much as necessary to remove the
DBS Lead. Loosening the Setscrew too much will cause it to fall out.
Note: To tighten the Setscrew, rotate the Torque Wrench clockwise. To loosen the
Setscrew, rotate the Torque Wrench counterclockwise.
6. Disconnect the DBS Extension connector. Return the DBS Extension connector
to Boston Scientific.
7. Expose and disconnect the DBS Extensions from the Stimulator by following the
procedure in Explanting or Replacing the Stimulator.
8. Gently pull the DBS Extension through the tunnel from the Stimulator site.
WARNING: Avoid pulling towards the ear to reduce the potential for infection of
the DBS Leads.
9. Ship the explanted DBS Extensions to Boston Scientific.
Note: If the DBS Extension has broken, then it may be necessary to make additional
incisions or to pull one end of the DBS Extension out at the Stimulator site and
the other end from the DBS Extension connector site.
Physician Manual
91098825-07 Rev A 36 of 333