Appendix A
B.
Patient Implant Configuration Information (ALL QUESTIONS MUST BE
ANSWERED)
1.
The Lead implant location is epidural.
2.
The IPG is implanted in the upper buttock or lower flank
3.
Patient has no abandoned Leads or IPGs (Leads or IPGS that are not
connected to the functioning WaveWriter Alpha System)
4.
No evidence can be found of fractured Leads or compromised IPG-Lead
system integrity
C.
Instructions for the patient prior to the MRI Exam
1
MRI Mode must be enabled using the Patient Remote Control before
performing an MRI scan. Patient must bring their Remote Control to the MRI
Center
2
Instruct the patient to fully charge their IPG (IPG charge shown as 3 bars on
the Remote Control) and bring the Charger to the MRI Center (in case charging
is necessary)
Note: The Remote Control and Charger are MR Unsafe and must not be brought into the MRI Scanner Room.
ImageReady™ MRI Full Body Guidelines for WaveWriter Alpha™ and WaveWriter Alpha™ Prime Spinal Cord Stimulator Systems
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MRI
Not MRI
Eligible
Full Body
Eligible
Yes
No
Yes
No
Yes
No
Yes
No
MRI
Not MRI
Full Body
Eligible
Eligible