Anchoring The Lead - Boston Scientific Avista MRI Mode D'emploi

Anchoring the Lead

Leads can be permanently anchored with an included suture sleeve or with a Clik X MRI Anchor.
Refer to the Clik X MRI Anchor Directions for Use, or continue with the following steps to anchor using
a suture sleeve.
5. For percutaneous leads, carefully remove the lead stylet using fluoroscopy to ensure the lead position
does not change.
6. Place a suture sleeve over the lead and down to the supraspinous ligament or deep fascial tissue.
7. 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. In addition, during an MRI
scan, the patient could be at risk of tissue heating, resulting in tissue damage or serious patient injury.
Note: The 2.3 cm Suture Sleeves each have three (3) compression slots, which are designed to reduce slippage.
8. Suture the sleeve to the supraspinous ligament or deep fascia through the suture sleeve holes.
9. 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. In addition, during an MRI scan, the
patient could be at risk of tissue heating, resulting in tissue damage or serious patient injury.
10. For Permanent Trials, proceed to "Tunneling the Lead or Lead Extension".
11. For permanent IPG implantation, refer to instructions for "IPG Implantation" in the IPG Directions For
Use for your SCS system.
Tunneling the Lead or Lead Extension
12. Attach the tunneling tool handle to the shaft by turning the locking mechanism clockwise.
Figure 7: Securing the Suture Sleeve
Tool Handle
Locking Mechanism
Figure 8: Assembled Tunneling Tool
Instructions for Use
Shaft
Avista™ MRI xxcm Contact Lead Kit
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