Securing The Base Of The Suretek Burr Hole Cover - Boston Scientific Vercise Manual Del Usuario

Securing the Base of the SureTek Burr Hole Cover

Visually inspect the Burr Hole Cover components to ensure that they are acceptable for implant.
Before securing the base of the Burr Hole Cover, ensure that the 14 mm burr hole is free of
obstructions, such as bone, that will prevent proper insertion of the Burr Hole Cover.
Before securing the Base of the Burr Hole Cover, examine the cranial bone and
Warning:
structure to ensure that disease or damage is not present and that the thickness of
the cranial bone is 5 mm or greater. Failure to adhere to this warning may affect the
following:
Lead Anchoring: Lead migration due to an improperly anchored DBS Lead may
•
diminish the effectiveness of therapy.
• Burr Hole Closure: An unstable burr hole closure may increase the risk of infection and
place the patient at risk for damage to brain tissue, leakage of cerebrospinal fluid, and/or
damage to the dura.
1. Place the Base of the Burr Hole Cover that is attached to the Butterfly Holding Tool over the
burr hole (Figure 7).
Figure 7. Base Attached to the Butterfly Holding Tool with Screwdriver Inserted
2. Using the Screwdriver, gently push the Bone Screws through the Silicone Sleeve.
Note: Optional. To fully visualize and access the screw head position while covering the burr
hole, rotate the Butterfly Holding Tool 90 degrees. Return the Butterfly Holding Tool to
the original position to continue with the procedure.
3. Tighten the two Bone Screws into the skull.
Note: Continue tightening the Bone Screws until the Base of the Burr Hole Cover is flush to
the skull and the screws are flush to the Base. The Base should not move or rock once
secured. Do not use excessive force or overtighten the Screws.
4. Grasp the handles of the Butterfly Holding Tool and remove it by pulling upward at an angle.
Implanting the DBS System
Surgical Implant Manual
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