Intraoperative Stimulation Testing - Boston Scientific Precision SC-1110 Mode D'emploi

Precision™ Spinal Cord Stimulator System Clinician Manual

Intraoperative Stimulation Testing

Note: The following steps are for procedural reference only. Please refer to the Bionic
Navigator Software Guide for detailed stimulation testing procedures and guidelines.
1. If using a splitter:
• Visually check splitter to leads connection
• Check impedance
Note: If using the 2x4 Splitter, make note of splitter configuration in the Bionic Navigator™
software per Splitter Programming Guide.
2. After linking the Clinician Programmer to the Trial Stimulator, check impedances to verify
that components are properly connected. Lead impedance is measured and displayed for
each of the IPG's 16 electrode contacts. Impedances over 4500 Ohms are considered to be
resultant from open or unconnected wires, displayed with an X.
3. Using test stimulation, enlist patient feedback to verify lead placement and pain coverage.
Note: If lead repositioning is necessary, turn stimulation off before proceeding.
4. Reposition leads as necessary. If using a splitter, gently pull on lead attached to splitter to
reposition caudad or disconnect splitter from leads, re-insert stylet, and advance leads to
reposition cephalad.
CAUTION: Do not force stylet into lead.
5. Steer lead to new position.
6. Remove stylet, wipe proximal ends of leads and reconnect splitter.
7. Check impedances.
8. Repeat steps 1-3 if lead has been repositioned.
9. When the desired lead placement is achieved:
a) Turn the Trial Stimulator off.
b) Unlock each OR cable connector and disconnect from the lead(s).
c) For percutaneous lead(s) - slowly withdraw the stylet(s).
10. Record the lead position by capturing a fluoroscopic image to be sure the leads have not
moved. Retest if necessary.
11. If using a splitter, disconnect splitter from leads. Insert the hex wrench and turn the set
screw counter clockwise to loosen.
Note: • The set screw should only be loosened to an amount sufficient to insert a lead.
Clinician Manual
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