Boston Scientific Vercise DBS Mode D'emploi page 37

CAUTION: The wrench is torque limiting, such that the Setscrew cannot be over
tightened. Use only the wrench provided, as other tools may over-
tighten the Setscrew and damage the DBS Lead.
Note: To tighten the Setscrew, use one hand to grasp the Extension at the base and
the other to rotate the Torque Wrench clockwise. To loosen the Setscrew, rotate
the Torque Wrench counterclockwise.
10. Repeat steps 1 – 9 to tighten second Stimulator Setscrew and the Setscrew on the
second DBS Extension.
11. Place the Stimulator in the subcutaneous pocket with the etched writing "This
Side Up" facing the skin, and parallel to the skin surface.
WARNING: Failure to orient the correct side of the Stimulator towards the skin
may result in the inability to charge and/or a revision surgery.
a. Coil the excess DBS Extension length around the Stimulator perimeter.
WARNING: Avoid placing the excess DBS Extension length on the superficial
surface of the Stimulator, as this may increase the potential for tissue
erosion or damage during Stimulator replacement surgery and may
interfere with charging.
b. Optionally secure the Stimulator to the fascia by suturing through the holes in
the Stimulator header.
12. Close the incisions.
CAUTION: Be careful not to damage the DBS Lead, Stimulator, or other implanted
components when closing the incisions.
Note: When closing the incision over the extension connector, orient the extension
connector to minimize the profile under the skin.
Stimulator Implantation
Physician Manual
91098825-07 Rev A 33 of 333