Boston Scientific SC-4365 Instrucciones De Uso página 4

Introducer Kit
CAUTION:
To prevent lead damage, do not remove
the insertion needle until the last contact
is at least ½ vertebral body beyond the tip
of the needle. Removing the needle while
the stimulating contacts are in the needle
may result in damage to the lead.
4. While holding the lead in place, gently
withdraw the insertion needle over the
lead, taking care not to remove the lead
from the epidural space.
5. Place the Introducer over the proximal
end of the lead. While holding the lead in
place, advance the Introducer sheath over
the lead until the proximal tip of the lead
extends beyond the hub of the Introducer.
Using fluoroscopic guidance, hold the
proximal end of the lead and continue
advancing the Introducer sheath until it is in
the epidural space.
NOTE: Rotating the Introducer slowly may
help ease advancement of the
sheath.
6. Continue placing the lead under
fluoroscopic guidance per the appropriate
lead implant manual.
Replacement of Implanted Lead
1. Verify the Introducer is the appropriate
size and length for the lead being
removed.
2. Locate the epidurally-implanted lead and
expose the proximal end. Remove any
lead anchors or sutures that may interfere
with the insertion of the Introducer into the
epidural space.
Introducer Kit
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3. Place the Introducer over the proximal
end of the exposed lead. While holding
the lead in place, advance the Introducer
sheath over the implanted lead until the
proximal tip of the lead extends beyond
the hub of the Introducer. Then hold the
proximal end of the lead and continue
advancing the Introducer sheath to the
desired location.
4. Carefully pull on the implanted lead until it
is removed completely.
5. Insert the new lead into the hub of the
Introducer.
6. Using fluoroscopic guidance, advance the
new lead to the desired location.
7. Remove the Introducer by carefully
pulling on the hub until the Introducer is
completely removed from the epidural
space.
CAUTION:
Use care to not move the lead in the
epidural space once it is implanted.
8. To complete the lead implant procedure,
refer to the appropriate lead implant
manual.