Precautions - Boston Scientific Precision Manuel

Precision™ Spinal Cord Stimulator System Clinician Manual
exits of department stores, libraries,
and other public establishments, and/
or airport security screening devices. It
is recommended thatpatients request
assistance to bypass the device. If they
must proceed through the device, the
patient should turn off the Stimulator and
proceed with caution, ensuring to move
through the center of the screener as
quickly as possible.
• Power lines or power generators
• Electric steel furnaces and arc welders
• Large, magnetized stereo speakers

Precautions

Physician training is required.
Medical Devices/Therapies. The following
medical therapies or procedures may turn
stimulation off or may cause permanent
damage to the Stimulator, particularly if used in
close proximity to the device:
• lithotripsy
• electrocautery: Do not use monopolar
cautery. See "Instructions for the Physician"
page 14
• external defibrillation
• radiation therapy
• ultrasonic scanning
• high-output ultrasound
If any of the above is required by medical
necessity, refer to "Instructions for the
Physician" page 14. Ultimately, however, the
device may require explantation as a result of
damage to the device.
Automobiles and Other Equipment.
Patients should not operate automobiles, other
motorized vehicles, or potentially dangerous
machinery/ equipment with therapeutic
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stimulation switched on. Stimulation must be
turned off first. Sudden stimulation changes, if
they occur, may distract patients from attentive
operation of the vehicle or equipment.
Post Operative. During the two weeks
following surgery, it is important to use extreme
care so that appropriate healing will secure the
implanted components and close the surgical
incisions:
• Do not lift objects of more than five pounds.
• Do not engage in rigorous physical activity
such as twisting, bending, or climbing.
• If new leads were implanted, do not raise
your arms above your head.
Temporarily, there may be some pain in the
area of the implant as the incisions heal. If
discomfort continues beyond two weeks,
contact your physician.
If you notice excessive redness around the
wound areas during this time, contact your
physician to check for infection and administer
proper treatment. In rare cases, adverse tissue
reaction to implanted materials can occur during
this period.
Be sure to consult your physician before making
lifestyle changes due to decreases in pain.
Stimulator Location. Never attempt to change
the orientation or "flip" the Stimulator. Do
not "finger" or play with the Stimulator. If the
Stimulator flips over in your body, it cannot be
charged. If you know that the device has turned,
or if stimulation cannot be turned on after
charging, contact your physician to arrange an
evaluation of the system. In some cases, the
skin over your Stimulator may become very thin
over time. If this occurs, contact your physician.
Lead Location. In some instances a lead can
move from its original location, and stimulation