Boston Scientific ImageReady Mode D'emploi page 21

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B.
Patient Implant Configuration Information (ALL QUESTIONS MUST BE ANSWERED)
1.
The lead distal tip placement is at or below the T5 thoracic spinal level. Only distal lead tip
placement between T12 and T5 is allowed
2.
The IPG is implanted in the upper buttock or lower flank
3.
Patient has no abandoned leads or IPGs (i.e. leads or IPGS that are not connected to the
functioning Precision Spectra System)
4.
No evidence can be found of fractured leads or compromised IPG-lead system integrity
C.
Instructions for the patient prior to the MRI Exam
1.
Instruct the patient to fully charge their IPG (IPG charge shown as 3 bars on the Remote
Control) and bring the Charger to the MRI Center (in case charging is necessary)
2.
Instruct the patient to bring their Remote Control to the MRI exam and turn stimulation off
before the MRI Head Scan
Note: The Charger and Remote Control must not be brought into the MRI Scanner Room
ImageReady™ MRI Guidelines for Precision Spectra™ Spinal Cord Stimulator System
Appendix A
MRI
Not MRI
Eligible
Eligible
Yes
No
Yes
No
Yes
No
Yes
No
MRI
Not MRI
Eligible
Eligible
91061672-02 Rev A 17 of 397

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