Vercise Genus Full System; Vercise Gevia Full System - Boston Scientific ImageReady MRI Mode D'emploi

ImageReady™ MRI Guidelines for Boston Scientific Deep Brain Stimulation Systems

Vercise Genus Full System

MRI Eligible
The Vercise Genus Stimulator must be implanted under
□
the skin in a location near the clavicle (pectoral region) or
in the abdomen.
The Vercise Genus Stimulator must be implanted on the
□
same side of the body as the implanted Lead(s) and Lead
Extension(s).
□
Patient has up to two Leads implanted.
For a bilateral implant where two Leads and Lead
Extensions are connected to a single Stimulator, both Lead
□
Extensions are routed on the same side of the body as the
Stimulator.
Extensions directly connected to Stimulator. No adapters
□
present.
□
Unused Stimulator Ports have a Port Plug inserted.
Unused Lead Extension Ports when using the 2x8 Contact
□
Lead Extensions, DB‑3128, have a Port Plug inserted.
The 8 Contact Lead Extension, NM‑3138‑55, has a Lead
□
inserted (does NOT have a Port Plug inserted).
No Evidence of fractured Leads or compromised
□
Stimulator‑Lead system integrity.
□
Single Stimulator is implanted.

Vercise Gevia Full System

MRI Eligible
The Vercise Gevia Stimulator must be implanted under the
□
skin in a location near the clavicle (pectoral region).
The Vercise Gevia Stimulator must be implanted on the
□
same side of the body as the implanted Lead(s) and Lead
Extension(s).
□
Patient has up to two Leads implanted.
For a bilateral implant where two Leads and Lead
Extensions are connected to a single Stimulator, both Lead
□
Extensions are routed on the same side of the body as the
Stimulator.
Extensions directly connected to Stimulator. No adapters
□
present.
□
Unused Stimulator Ports have a Port Plug inserted.
The 8 Contact Lead Extension, NM‑3138‑55, has a Lead
□
inserted (does NOT have a Port Plug inserted).
No Evidence of fractured Leads or compromised
□
Stimulator‑Lead system integrity.
□
Single Stimulator is implanted.
When Vercise Gevia is implanted, DB‑2201 or DB‑2202
□
Leads with NM‑3138‑55 Lead Extensions are implanted.
ImageReady™ MRI Guidelines for Boston Scientific Deep Brain Stimulation Systems
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Not MRI Eligible
The Vercise Genus Stimulator is NOT implanted near the
□
clavicle (pectoral region) NOR implanted in the abdomen.
The Vercise Genus Stimulator is NOT implanted on the
□
same side of the body as the implanted Lead(s) and Lead
Extension(s).
□
Patient has more than two Leads implanted.
For a bilateral implant where two Leads and Lead
Extensions are connected to a single Stimulator, both Lead
□
Extensions are NOT routed on the same side of the body
as the Stimulator.
Extension NOT directly connected to Stimulator. Adapter
□
is present.
Unused Stimulator Ports do NOT have a Port Plug
□
inserted.
Unused 2x8 Contact Lead Extension (DB‑3128) Lead
□
Extension Ports do NOT have a Port Plug inserted.
The 8 Contact Lead Extension, NM‑3138‑55, does NOT
□
have a Lead inserted (HAS a Port Plug inserted).
Evidence of fractured Leads or compromised
□
Stimulator‑Lead system integrity.
□
More than one Stimulator is implanted.
Not MRI Eligible
The Vercise Gevia Stimulator is NOT implanted near the
□
clavicle (pectoral region).
The Vercise Gevia Stimulator is NOT implanted on the
□
same side of the body as the implanted Lead(s) and Lead
Extension(s).
□
Patient has more than two Leads implanted.
For a bilateral implant where two Leads and Lead
Extensions are connected to a single Stimulator, both Lead
□
Extensions are NOT routed on the same side of the body
as the Stimulator.
Extension NOT directly connected to Stimulator. Adapter
□
is present.
Unused Stimulator Ports do NOT have a Port Plug
□
inserted.
The 8 Contact Lead Extension, NM‑3138‑55, does NOT
□
have a Lead inserted (HAS a Port Plug inserted).
Evidence of fractured Leads or compromised
□
Stimulator‑Lead system integrity.
□
More than one Stimulator is implanted.
When Vercise Gevia is implanted, DB‑3128 Lead
□
Extensions are implanted.