needle increases the risk of lead and tis-
sue damage.
WARNING: If the lead stylet is removed
and reinserted, do not use excessive force
when inserting the stylet into the lead.
The use of instruments, such as forceps,
to grasp the stylet during insertion is not
recommended as this could result in apply-
ing excessive force and could increase the
risk of lead and tissue damage.
7. Advance the lead to the appropriate ver-
tebral level under fluoroscopic guidance.
A sufficient length of lead (i.e., at least
10 cm, or approximately three vertebrae)
should reside in the epidural space to aid
in lead stabilization.
8. If use of a splitter is desired or you are us-
ing the Infinion™ 16 lead, continue "Lead
Connection to Splitter" on page 21. Other-
wise, continue to "Connecting OR Cable
Assembly" on page 24.
Lead Connection to Splitter
1. Carefully withdraw the stylets from the
leads to be inserted into the splitter.
Percutaneous Lead Placement in the Epidural Space
2. Wipe clean the proximal connector ends of
the leads.
3. Select the desired splitter model.
Note: A Splitter 2x8 must be used when
4. Check that the lead connector end can
be easily inserted into the splitter without
obstruction. If obstruction is encountered,
loosen the set screws of the splitter by
using the hex wrench provided, turning
counterclockwise.
Note: • The set screw should only be
5. Insert proximal connector ends of desired
leads into splitter receptacles until they are
fully seated – each lead bottoms out in re-
ceptacles and retention sleeves (long ring)
are under the setscrew blocks of the split-
ter receptacles. Do not tighten set screw
at this time.
6. Continue to "Connecting the OR Cable As-
sembly," page 24, then proceed to step 7
below.
7. Check connections with an impedance
measurement. If the impedance is satis-
factory, proceed to "Intraoperative Stimula-
tion Testing" on page 25 to confirm proper
lead location.
Note: Do not tighten set screw mechanical
implanting the Infinion™ 16 lead
loosened to an amount sufficient to
insert a lead.
• Do not excessively loosen the set
screw. This may cause the set screw
to dislodge rendering the splitter
unusable.
lock before intra-operative stimulation
testing.
Clinician Manual
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