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3. If desired, a suture may be used to close the wound and stabilize the lead.
4. Place and tape a stress relief loop and dress the wound.
5. If using a splitter, refer to "Lead Connection to Splitter" on page 9.
6. For temporary lead trials, refer to instructions for connecting to the Trial Stimulator or connecting to the
OR Cable Connector, as follows:
SCS System
Precision SCS System
Precision SCS System with
MultiWave Technology
Precision Spectra SCS
System
Precision Novi SCS System
Permanent Lead Anchoring and Tunneling
Removing the Insertion Needle
1. Cut down around the insertion needle to provide access for anchoring the lead.
2. Carefully withdraw the insertion needle from the epidural space by slowly pulling the needle up
towards the proximal end of the lead while holding the lead in place.
3. Once the insertion needle tip is exposed, hold the lead as close to the exit site as possible, then
carefully pull the needle completely from the lead.
Anchoring the Lead
Leads can be permanently anchored with a suture sleeve or with a Clik™ Anchor. Refer to the Clik Anchor
Directions for Use, or continue with the following steps to anchor using a suture sleeve.
1. For percutaneous leads, carefully remove the lead stylet using fluoroscopy to ensure the lead position
does not change.
2. Place a suture sleeve over the lead and down to the supraspinous ligament or deep fascial tissue.
3. 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, splitter, or use a hemostat on the lead body. This may damage the lead
insulation.
Note: The 4 cm and 2.3 cm Suture Sleeves each have three (3) compression slots, which are
designed to reduce slippage.
Reference Document for instructions
Precision Spinal Cord Stimulator Clinician Manual
Precision Spinal Cord Stimulator System with
MultiWave Technology Clinician Manual
Precision Spectra System Clinician Trial Manual
Precision Spectra Systen Clinician Trial Manual
Instructions for Use
Section Title
"Connecting to the Trial Stimulator"
"Connecting to the Trial Stimulator"
"Inserting the Leads into the OR Cable
Connector"
"Inserting the Leads into the OR Cable
Connector"
Percutaneous Leads Directions for Use
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Chapitres
