Patient Screening And Preparation - Boston Scientific ImageReady MRI Mode D'emploi

MR Conditional System Description

Patient Screening and Preparation

Table 2 summarizes the DBS Implant System and 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 to determine eligibility. Any
or a combination of the suggested methods to determine eligibility may be used. Appendix A has an MRI
Full Body Patient Eligibility Form that may be used by the physician to confirm the patient meets the DBS
Implant System Conditions for MRI Scans as described in this manual.
Table 2. DBS Implant System/Patient Screening and Preparation Conditions
# Condition for Scanning
1. The patient is implanted with a booted lead
system comprised of Vercise DBS leads listed in
Table 1
2. Leads are capped with Lead Boots on the
proximal ends and excess lead is coiled and
implanted under the scalp on the skull.
3. No evidence can be found of fractured leads
4. No lead extensions are present
5. No Stimulator is present
ImageReady™ MRI Guidelines for Boston Scientific Deep Brain Stimulation Systems
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Suggested Methods to Determine Eligibility
• Check patient records and ensure that the model
numbers of the implanted components match the
model numbers listed in Table 1 of this manual.
• Confirm with the physician responsible for implanting
the patient's DBS system and ensure that the model
numbers of the implanted components match the
model numbers listed in Table 1 of this manual.
• Confirm with the physician responsible for implanting
the Patient's DBS system.
• Verify by X-Ray
• Confirm with the physician responsible for implanting
the Patient's DBS system.
• Review lead integrity records from Intraoperative
testing performed during lead implantation.
• Check patient records and examine the patient by
palpation to determine if extensions are present
• Verify by X-Ray
• Check patient records and examine the patient by
palpation to determine if a Stimulator is present.
• Verify by X-Ray