Patient Screening and Preparation
The following table summarizes the WaveWriter Alpha Systems/Patient-related Conditions of Use that
must be met in order for an MR Conditional scan to be performed. For each condition or requirement,
suggested methods to determine eligibility are listed. It is not required to use all suggested methods. Any or
a combination of the suggested methods may be used.
Appendix A, "ImageReady MRI Full Body Patient Eligibility," contains a form that may be used by the
physician managing the patient's SCS system to confirm the patient meets the SCS Implant System
Conditions for MRI Scans as described in this manual.
Table 2. WaveWriter Alpha Systems/Patient Screening and Preparation Conditions
#
Condition for Scanning
1.
The patient is implanted with a WaveWriter Alpha SCS
System composed only of components listed in "Table 1.
Components that are eligible for WaveWriter Alpha System
with ImageReady MRI Full Body Technology" on page 3 of
this manual.
Note: Leads should be connected directly into the IPG.
Patient should not be implanted with Lead Extensions,
Splitters, or Adapters.
2.
The Lead implant location is epidural.
3.
The patient has no abandoned Leads or IPGs (Leads
or IPGs that are not connected to the functioning WaveWriter
Alpha System).
4.
The IPG is implanted in the upper buttock or the lower flank
5.
For rechargeable systems, IPG is fully charged prior to the
MRI scan.
ImageReady™ MRI Full Body Guidelines for WaveWriter Alpha™ and WaveWriter Alpha™ Prime Spinal Cord Stimulator Systems
Patient Screening and Preparation
Suggested Methods to Determine
Eligibility
• Check patient records
• Check the Patient ID card
• Check model numbers in Table 1 of this manual or
by contacting Boston Scientific Neuromodulation
Technical Services.
• Confirm with the physician responsible for
managing the Patient's SCS System.
• Check patient records
• Verify by X-Ray
• Check patient records
• Verify by X-Ray
• Check patient records
• Examine the patient by palpation to determine the
location of the IPG
• Verify by X-Ray
Make sure three bars are displayed
top right of the Home screen on the Remote Control.
at the
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