Tunneling The Dbs Lead And Extension - Boston Scientific Vercise PC DB-1140 Instrucciones De Uso

Vercise™ PC Implantable Pulse Generator DFU

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.
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 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.
7. Grasp the Tip firmly with one hand and, while holding the Straw in place with the other hand,
pull the Shaft out of the Straw.
8. Push the proximal ends of the DBS Extensions through the Straw, and then withdraw the Straw.
9. Optionally secure the DBS Extension connector to the fascia using sutures and/or suture
sleeves.
Vercise™ PC Implantable Pulse Generator DFU
90960114-02 Rev A 4 of 361