Assembling The Tunneling Tool; Tunneling The Dbs Lead And Extension - Boston Scientific Vercise Gevia Mode D'emploi

Vercise Gevia™ 16 Contact IPG DFU

Assembling the Tunneling Tool

A Tunneling Tool and Straw are provided to facilitate tunneling of the DBS Extension.
1. Attach the Tunneling Tool Handle to the Shaft by turning the locking mechanism clockwise.
a. Push the locking mechanism at the base of the Tool Handle onto the Shaft.
b. Grasping the Tool Handle and the Tip of the Tunneling Tool, rotate the Shaft back and forth
until the handle seats onto the Shaft.
c. While firmly grasping the Tip of the Tunneling Tool to hold the Shaft stationery, turn the
locking mechanism clockwise until secure.

Tunneling the DBS Lead and Extension

1. Create a pocket for the Stimulator under the skin in a location inferior to the clavicle on the
same side as the DBS Lead and Extensions.
Note: For full body MRI scan eligibility, confirm that the Stimulator is implanted
subclavicularly. Refer to the ImageReady
DBS Systems for DBS System Implant Conditions for Full Body MRI.
a. Mark the location of the pocket.
b. Use the template to outline the intended pocket to guide the optimal pocket sizing.
Note: It is important to keep the pocket small to prevent the Stimulator from turning over.
c. Make the pocket no deeper than 2 cm; Stimulator charging could become ineffective at
depths shallower than 0.5 cm or greater than 2 cm.
2. Mark a tunneling route from the location of the subclavicular pocket to the incision superior to
the ear.
3. Administer appropriate local anesthetic along the tunneling route.
CAUTION: Be sure not to puncture or damage the Lead or other components when
administering local anesthetic.
Vercise Gevia™ 16 Contact IPG DFU
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Tool Handle
MRI Guidelines for Boston Scientific
TM
Shaft