Percutaneous Lead Placement In The Epidural Space - Boston Scientific Precision SC-1110 Mode D'emploi

Percutaneous Lead Placement in the Epidural Space

Note: If using an Infinion™ CX Lead, proceed to "Infinion CX Lead Placement in the Epidural
Space with Entrada Needle" on page 19.
1. Position, prep and drape the patient in the usual accepted manner. Inject a local anesthetic
at the needle insertion site.
2. Under fluoroscopic guidance, place the insertion needle into the epidural space with the
bevel facing up using an angle of 45° or less.
CAUTION: Use only an insertion needle provided by Boston Scientific. Other needles may
damage the lead. The stamped number "14" on the needle hub (or the triangle on the hub
of the curved Epimed needle, sold separately) corresponds to the orientation of the bevel,
which must face up. Turning the bevel ventral (down) may result in lead damage. An angle
of more than 45° increases the risk of lead damage.
WARNING: The angle of the insertion needle should be 45° or less. Steep angles increase
the insertion force of the stylet and also present more of an opportunity for the stylet to
pierce the lead and cause tissue damage.
3. Remove the needle stylet from the insertion needle and verify entry into the epidural space
using the standard technique.
4. OPTIONAL. Under fluoroscopic guidance, insert the lead blank through the insertion needle
and into the epidural space. Advance the lead blank to verify entry into the epidural space,
then withdraw the blank.
5. While holding the lead stylet handle, place the steering cap over the proximal end of the
stylet handle with moderate force until it is held in place. Then slowly insert the lead, with
stylet, through the insertion needle. The lead stylet should extend to the tip of the lead.
Percutaneous Lead Placement in the Epidural Space
Clinician Manual
91173656-02 17 of 385