Tunneling The Lead Extension; Assembling The Tunneling Tool - Boston Scientific Vercise Manual Del Usuario

Vercise™ Deep Brain Stimulation Systems

Tunneling the Lead Extension

Assembling the Tunneling Tool

A Tunneling Tool (Figure 27) and Straw are provided to facilitate tunneling of the Lead Extension.
1. Attach the Tunneling Tool Handle to the Shaft by turning the locking mechanism clockwise:
a. Push the locking mechanism at the base of the Tool Handle onto the Shaft.
b. Grasping the Tool Handle and the tip of the Tunneling Tool, rotate the Shaft back and forth
until the Tool Handle seats onto the Shaft.
c. While firmly grasping the tip of the Tunneling Tool to hold the shaft stationery, turn the
locking mechanism clockwise until it is secure.
Create the IPG Pocket and Tunnel the Lead Extension
1. Create a pocket for the IPG under the skin in a location that is either in the chest or in
the abdomen on the same side of the patient as the DBS Lead(s) and Lead Extension(s)
connection:
a. Mark the location of the IPG pocket.
b. Use the IPG template provided to outline the intended pocket to guide the optimal pocket
sizing.
Note: It is important to keep the pocket small to prevent the IPG from turning over.
c. Non-rechargeable IPGs should be implanted no deeper than 2.5 cm.
Rechargeable IPGs should be implanted no deeper than 2 cm.
Communication, including device programming, could become ineffective at depths
greater than 2.5 cm.
IPG charging could become ineffective at depths shallower than 0.5 cm or greater than
2 cm (rechargeable IPG only).
Note: The 2.5 cm depth restriction does not apply to Vercise PC IPG (DB‑1140). The
depth restriction does apply to all other non‑rechargeable Boston Scientific IPGs.
Note: For fullbody MRI scan eligibility, confirm that the IPG is implanted according to the
instructions contained in the ImageReady
DBS Systems.
Surgical Implant Manual
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Tool Handle
Shaft
Figure 27. Tunneling Tool
MRI Guidelines for Boston Scientific
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