Permanent Lead Anchoring And Tunneling; Anchoring The Lead - Boston Scientific Precision Manuel

Precision™ Spinal Cord Stimulator System Clinician Manual
Permanent Lead
Anchoring and Tunneling
Removing the Insertion Needle
1. Cut down around the insertion needle to
provide access for anchoring the lead.
2. Carefully withdraw the insertion needle
from the epidural space by slowly pulling
the needle up towards the proximal end of
the lead while holding the lead in place.
3. Once the insertion needle tip is exposed,
hold the lead as close to the exit site as
possible, then carefully pull the needle
completely from the lead.

Anchoring the Lead

Leads can be permanently anchored with a
suture sleeve or with a Clik™ Anchor. Refer
to the Clik Anchor Directions for Use, or
continue with the following steps to anchor
using a suture sleeve.
1. For percutaneous leads, carefully remove
the lead stylet using fluoroscopy to ensure
the lead position does not change.
2. Place a suture sleeve over the lead and
down to the supraspinous ligament or
deep fascial tissue.
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3. Ligate the suture sleeve onto the lead by
tying a 2-0 silk or other nonabsorbable
suture around the center groove of the
sleeve to prevent sliding. Circumferential
stitches may be tied at the compression
slots.
CAUTION: Do not use polypropylene
sutures as they may damage the suture
sleeve. Do not suture directly onto the lead
or use a hemostat on the lead body. This
may damage the lead insulation.
Note: The 4 cm and 2.3 cm suture sleeves
each have three (3) compression
slots, which are designed to reduce
slippage.
4. Suture the sleeve to the supraspinous
ligament or deep fascia through the suture
sleeve holes.
5. Tie multiple sutures as tightly as possible
around the suture sleeve to secure it to the
lead.
CAUTION: Tightening sutures directly on
the lead can damage the lead.
6. For Permanent Trials, proceed to the in-
structions for "Tunneling the Lead or Lead
Extension" page 29.
7. For Permanent IPG Implantation, proceed
to the instructions for "IPG Implantation"
page 34.