3. Recommended for permanent or permanent-trial procedures: Cut down prior to inserting
the Entrada Needle and insert needle into incision. Creating the incision before inserting the
Entrada Needle provides a clear path for sliding the anchor into the incision.
If cutting down after inserting the Entrada Needle, ensure that the sheath is in place and do
not damage the sheath.
4. Under fluoroscopic guidance, place the Entrada Needle into the epidural space with the
14G marking facing up using an angle of 45° or less.
CAUTION: Use only an Entrada Needle provided by Boston Scientific. Other needles
may damage the lead. 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.
Note: If the needle must be repositioned during this procedure, or if the sheath
becomes damaged, reassemble the needle outside of the body with a new
sheath, see "Assembling and Reassembling the Entrada Needle" on page 20.
5. Remove the needle stylet from the insertion needle and verify entry into the epidural space
using the standard technique.
Percutaneous Lead Placement in the Epidural Space
Clinician Manual
91173656-02
21 of 385