Surgical Paddle Lead Placement In The Epidural Space - Boston Scientific Precision Manuel

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 Pad-
dle Lead into the epidural space, a Pass-
ing Elevator may be used. Passing Eleva-
tors are designed to help verify that the
epidural space is cleared for placement of
the Paddle Lead.
Grasp the curved area of the Passing El-
evator 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 epi-
dural 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 Eleva-
tor 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 fac-
ing down towards the dura.
5. Advance the lead to the desired location.

Surgical Paddle Lead Placement in the Epidural Space

Once the Paddle Lead is at the appropriate
vertebral level, proceed to the instructions
for "Connecting the OR Cable Assembly"
page 24.
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Clinician Manual
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