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

Surgical Paddle Lead Placement in the Epidural Space

1. Determine the appropriate vertebral level for lead placement using fluoroscopic guidance.
2. Position, prep and drape the patient in the usual accepted manner.
3. Optional. Prior to introduction of the Paddle Lead into the epidural space, a Passing
Elevator may be used. Passing Elevators are designed to help verify that the epidural space
is cleared for placement of the Paddle Lead.
Grasp the curved area of the Passing Elevator with your fingertips. While avoiding pressure
on the thecal sac and spinal cord, carefully and gently introduce the Passing Elevator at
a shallow angle into the epidural space along the midline. When the Passing Elevator
reaches the target site for the lead, gently remove the elevator.
CAUTION: Do not use the Passing Elevator to clear scar tissue or open up a narrow
spinal canal. Exerting excessive force may cause patient injury or breakage of the Passing
Elevator.
4. Use the standard technique to introduce the Paddle Lead into the epidural space, visually
ensuring that the contacts are facing down towards the dura.
5. Advance the lead to the desired location.
Once the Paddle Lead is at the appropriate vertebral level, proceed to the instructions for
"Connecting the OR Cable Assembly" on page 28.
Surgical Paddle Lead Placement in the Epidural Space
Clinician Manual
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