2. Ligate the Suture Sleeve onto the Lead by tying a 2-0 silk or other nonabsorbable suture around the
center groove of the sleeve to prevent sliding. Circumferential stitches may be tied at the compression
slots.
CAUTION: Do not use polypropylene sutures as they may damage the Suture Sleeve. Do not suture
directly onto the Lead or use a hemostat on the Lead body. This may damage the Lead insulation or
result in Lead fracture.
Note: The 4 cm and 2.3 cm Suture Sleeves each have three (3) compression slots, which are designed
to reduce slippage.
3. Suture the sleeve to the supraspinous ligament or deep fascia through the Suture Sleeve holes.
4. Tie multiple sutures as tightly as possible around the Suture Sleeve to secure it to the Lead.
CAUTION: Tightening sutures directly on the Lead can damage the Lead.
5. For Permanent Trials, proceed to the instructions for "Tunneling the Lead or Lead Extension" on page 7.
6. For Permanent IPG Implantation, proceed to the instructions for "IPG Implantation" in the appropriate
DFU for your SCS system as listed in your Reference Guide.
Example of 4x8 Surgical Lead secured by two anchors:
Tunneling the Lead or Lead Extension
Note: If using a 4x8 Surgical Lead, it is recommended to use the Long Tunneling Tool (35cm).
1. Attach the tunneling tool handle to the shaft by turning the locking mechanism clockwise.
Surgical Leads Directions for Use
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