Securing The Dbs Lead - Boston Scientific Vercise DBS DB-2201-30AC Mode D'emploi

10. Turn off the External Trial Stimulator.
WARNING: A sudden increase in stimulation may occur if External Trial Stimulator is ON
while disconnecting the OR Cables.
11. Disconnect the OR Cable and OR Cable Extension from the proximal end of the Lead.
12. Verify that the Lead has not moved from the desired location.

Securing the DBS Lead

Once a DBS Lead has been placed, it should be secured.
CAUTION: While securing the DBS Lead, use care not to move it.
1. Remove the Lead Stop by unscrewing the screw and detaching the Lead Stop from the DBS
Lead.
2. Slowly retract the cannula to just above the burr hole by sliding it over the proximal portion of
the DBS Lead. Be careful not to move the DBS Lead.
Note: The descriptors "proximal" and "distal" use the Stimulator as the reference throughout this
manual.
3. Fix the Lead in place. The SureTek™ Burr Hole Cover Kit is recommended for use with the
Vercise System. (An appropriate commercially available filler may also be used.
4. Remove the stylet.
CAUTION: Do not reinsert the stylet into the DBS Lead while the DBS Lead is in the brain,
as this may damage the DBS Lead and/or cause patient harm.
5. Remove the stereotactic frame and microdrive system.
6. If the Stimulator will be implanted during a separate surgery, prepare the DBS Lead for the
Stimulator implantation procedure.
(a). Insert proximal end of the DBS Lead into the Lead Boot until it stops.
(b). Place a Suture Sleeve on the left DBS Lead to differentiate the Leads.
Note: Be sure to fully insert the proximal tip of the DBS Lead into the Lead Boot so that the
retention sleeve is located under the Setscrew (Figure 9).
Note: The retention sleeve is easily distinguishable from the contacts by its length (Figure 10).
1 DBS Lead secured and tested utilizing Biomet Mimix QS bone filler; a Stryker 12 mm titanium mini plate, Stryker titanium
screws, and a Boston Scientific 1 cm split suture sleeve. Data on file.
Figure 9: Securing the DBS Lead in the Lead Boot
)
1
Correct
Incorrect
Vercise™ DBS Lead Directions for Use
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