Implant Procedure: Connecting The Lead Directly To A Neurostimulator; Anchoring The Lead - Medtronic SPECIFY 2X8 Manual De Implantación

Filename Date Time
UC200xxxxxx EN
4 x 8 inches (101 mm x 203 mm)
2. Insert the strain-relief loops into the lead-extension connection pocket,
under the connection, leaving as much slack as possible in the lead bodies
between the lead paddle and the lead-extension connections.
3. Suture each connector boot (using nonabsorbable silk) to the
supraspinous ligament or to the deep fascia.
Notes:
▪
Do not suture the narrow end of the connector boots or anywhere on
the lead bodies.
▪
When using a longer lead, suturing the connector boots is at the
clinician's discretion.
4. If desired, use the external neurostimulator to verify that the location of the
lead and the pattern of stimulation have not changed.
5. Refer to the neurostimulator implant manual for instructions on making the
connection to the neurostimulator.
Implant procedure: connecting the lead directly to a
neurostimulator
Following intraoperative test stimulation, use this procedure to connect the
surgical lead directly to a Medtronic neurostimulator. If using extensions to
implant the lead, refer to "Implant procedure: connecting the lead to two
extensions" on page 12.
This procedure includes the following sections:
▪

Anchoring the lead

▪
Tunneling the lead for direct connection to a neurostimulator
▪
Creating strain-relief loops when connecting the lead directly to a
neurostimulator
Anchoring the lead
Note: The use of anchors is at the clinician's discretion. Proper use of
anchors requires the use of strain-relief loops in order to reduce the
stresses placed on the lead.
#
Caution: Do not tie ligatures around the lead or extension body, which
may damage the insulation.
1. While maintaining lead position, slide the anchor onto the proximal end of
each lead body and continue sliding the anchor down as close as possible
to where the lead emerges from the vertebral column. (Leave slack in the
lead bodies between the lead paddle and the anchors to allow for strain-
relief loops.) Use care to maintain lead position.
Notes:
▪
Each lead body should be anchored separately.
▪
The anchor can be lubricated with sterile water.
▪
The EZ anchor can be trimmed to a shorter length.
2. Use 2-0 nonabsorbable suture (such as silk or some types of braided
polyester mesh) to secure the anchor.
14 English 39286 2009-07
2009-07
≥ 2 cm
Figure 4. Coiling excess lead.
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