Tunneling The Dbs Lead And Extension - Boston Scientific Vercise Manual De Uso

Physician Manual

Tunneling the DBS Lead and Extension

1. Create a pocket for the Stimulator under the skin in a location inferior to the
clavicle on the same side as the DBS Lead and Extensions.
Note: Boston Scientific recommends implanting the Stimulator subclavicularly.
a. Mark the location of the pocket.
b. Use the template to outline the intended pocket to guide the optimal pocket
sizing.
c. Make the pocket no deeper than 2 cm; Stimulator charging could become
ineffective at greater depths.
Note: It is important to keep the pocket small to prevent the Stimulator from
turning over.
2. Mark a tunneling route from the location of the subclavicular pocket to the
incision superior to the ear.
3. Administer appropriate local anesthetic along the tunneling route.
CAUTION: Be sure not to puncture or damage the DBS Lead or other components
when administering local anesthetic.
4. Create a subcutaneous tunnel from the incision above the ear, along the tunneling
path to the Stimulator pocket.
WARNING: Be careful not to puncture or damage important structures along the
tunneling path, such as the brachial plexus and jugular, as this may
cause patient harm.
5. If desired, bend the Tunneling Tool to an appropriate shape.
CAUTION: Do not bend locking joints.
6. Once the Tip of the Tunneling Tool is completely exposed, unscrew and remove
the Tunneling Tool Handle.
Physician Manual
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