5. Advance the Lead to the desired location.
6. Once the Paddle Lead is at the appropriate vertebral level, use standard technique to identify Leads
and proceed to the instructions for Connecting to the OR Cable in the appropriate DFU for your SCS
system as listed in your Reference Guide.
Intraoperative Stimulation Testing
Note: The following steps are for procedural reference only. For detailed stimulation testing procedures
and guidelines refer to the appropriate programming manual for your SCS system as listed in the
Reference Guide.
1. After linking the Clinician Programmer to the Trial Stimulator, check impedances to verify that
components are properly connected. Lead impedance is measured and displayed for each of the
IPG's Contacts. Impedances, indicated by an x or an orange circle in your Programming Software, are
considered to be resultant from open or unconnected wires. Refer to your Programming Manual for
additional information.
2. Using test stimulation, enlist patient feedback to verify Lead placement and pain coverage.
Note: If Lead repositioning is necessary, turn stimulation off before proceeding.
3. Repeat steps 1 and 2 if the Lead has been repositioned.
4. When the desired stimulation is achieved:
a) Turn the Trial Stimulator off.
b) Unlock each OR cable connector and disconnect from the Lead(s).
5. Record the Lead position by capturing a fluoroscopic image to be sure the Leads have not moved.
Retest if necessary.
6. Proceed to "Anchoring the Lead."
Note: Before receiving a permanent SCS system, it is recommended that patients undergo a trial
procedure so that they can experience stimulation to evaluate if SCS is effective at treating their
chronic pain.
Anchoring the Lead
Leads can be permanently anchored with a Suture Sleeve or with an anchor. Refer to the Directions for
Use for your Boston Scientific anchor as listed in your Reference Guide, or continue with the following
steps to anchor using a Suture Sleeve.
1. Place a Suture Sleeve over the Lead and down to the supraspinous ligament or deep fascial tissue.
Surgical Leads Directions for Use
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