Boston Scientific Vercise Manual Del Usuario página 55

13. To explant other components of the DBS System, see the "Removing the Burr Hole Cover",
"Removing the Lead Extensions", and "Removing or Replacing the DBS IPG" sections of this
manual.
14. To continue with this procedure, close the incisions.
15. Ship the explanted DBS Leads to Boston Scientific.
Removing the Burr Hole Cover
1. While supporting the top of the Cap to control the release, insert the tip end of the Placement/
Removal Tool into an open Lead Exit Slot.
2. Gently pry upward on the Cap until it releases from the Base.
3. To open the Slider and release the DBS Lead, use the tip end of the Placement/Removal Tool
to gently push down and back on the closure dimple on the Slider.
4. If desired, remove the DBS Lead using appropriate surgical techniques. See the "Removing the
DBS Leads" section of this manual.
5. Insert the tip end of the Placement/Removal Tool into the Clip Release Hole on the Retaining
Clip (Figure 41). The tip of the Placement/Removal Tool should snap into place.
Figure 41. Inserting the Placement/Removal Tool
6. Gently push the Placement/Removal Tool partially toward the Slider and pull upward until the
Retaining Clip releases from the Base.
7. Unscrew the two screws from the Base using the Screwdriver included in the kit or another
compatible screwdriver.
Removing the Lead Extensions
1. Turn off the IPG.
2. Palpate the region under the scalp to locate the Lead Extension Connector.
3. Create an incision to expose the DBS Lead and Lead Extension Connector. Be careful not to
damage the implanted components to allow for proper analysis following explant.
4. Cut the Lead Extension at the tapered (proximal) end of the Connector.
5. Loosen the Connector Setscrew using the Torque Wrench provided.
Caution: Loosen the Setscrew only as much as is necessary to remove the DBS Lead.
Loosening the Setscrew too much will cause it to fall out.
Note: To tighten the Setscrew, rotate the Torque Wrench clockwise. To loosen the Setscrew,
rotate the Torque Wrench counterclockwise.
Explanting or Replacing the DBS System
Surgical Implant Manual
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