Explanting Or Replacing The Stimulator - Boston Scientific Vercise Manual De Uso

Explanting or Replacing the Stimulator

1. Turn off the Stimulator.
2. Palpate the subclavicular area to locate the Stimulator.
3. Surgically open the pocket where the Stimulator is located. Be careful not to
damage the implanted components to allow for proper analysis following explant.
CAUTION: Do not use electrocautery as it will damage the Stimulator.
Note: The incision should be large enough to remove the Stimulator from the pocket.
4. Withdraw the Stimulator from the pocket.
5. Using the Torque Wrench, unscrew the header Setscrews to release the
DBS Extensions.
CAUTION: Loosen the Setscrew only as much as necessary to remove the
DBS Extension. 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. Remove the DBS Extensions from the Stimulator.
7. If the Stimulator is to be replaced, reconnect the new Stimulator by following the
procedures in Connecting the Stimulator.
8. If the DBS Extensions will remain implanted, you may optionally clean the
proximal ends of the DBS Extensions, attach Lead Boots (as described in the
Securing the DBS Lead section), and coil the excess DBS Extension material
in the pocket.
9. Close the incision.
10. Ship the explanted Stimulator to Boston Scientific.
CAUTION: Be careful not to damage any remaining implanted components when
closing the incision.
Vercise™ DBS System Revisions & Explantation
Physician Manual
91098825-07 Rev A 37 of 333