Boston Scientific Vercise Manual Del Usuario página 48

Vercise™ Deep Brain Stimulation Systems
6. Repeat Steps 1 through 5 ("Implanting the IPG" section of this manual) to insert the remaining
Lead Extensions into the IPG Ports. For any unused IPG Ports, insert the IPG Port Plug into
the open IPG Port.
7. Check impedances to verify connections before tightening the Setscrew:
a. Place the IPG partially in the subcutaneous pocket.
b. Test impedances using the Remote Control or Clinician Programmer.
8. Pass the Torque Wrench through the slit in the Septum located on the side of the IPG Header
(Figure 34).
9. Tighten the Setscrew in the IPG Header until the Torque Wrench clicks, indicating that the
Setscrew is fully secured.
Note: To tighten the Setscrew, rotate the Torque Wrench clockwise. To loosen the Setscrew,
rotate the Torque Wrench counterclockwise.
Figure 34. Inserting the Torque Wrench Into the IPG Header
Caution: The Torque Wrench is torque‑limiting so that the Setscrew cannot be
overtightened. Use only the wrench provided, as other tools may overtighten the
Setscrew and damage the Lead Extension.
Note: If an IPG Port Plug is used, it is still necessary to tighten the Setscrew on the Port Plug,
as outlined in Steps 7 through 9 ("Implanting the IPG" section of this manual).
10. Repeat Steps 8 through 9 ("Implanting the IPG" section of this manual) to tighten the IPG
Setscrew onto the Retention Sleeve of each remaining Lead Extension.
11. Pass the Torque Wrench through the slit in the septum located on the side of the Lead
Extension Connector. Ensure the Retention Sleeve on the DBS Lead is still located under the
Extension Setscrew.
12. Tighten the Setscrew in the Lead Extension until the Torque Wrench clicks, indicating the
Setscrew is fully secured.
13. Repeat Steps 11 through 12 ("Implanting the IPG" section of this manual) for all Lead Extension
Setscrews.
Note: To tighten the Setscrew, rotate the Torque Wrench clockwise. To loosen the Setscrew,
rotate the Torque Wrench counterclockwise.
Surgical Implant Manual
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