Boston Scientific Vercise DB-1110-C Manual página 39

13. If you are replacing the DBS Lead, follow the instructions in the "Implanting the
DBS Lead" section.
If you are explanting the entire Vercise™ DBS System, continue on to the
"Explanting the DBS Extensions" procedure.
Otherwise, close the incisions.
14. Ship the explanted DBS Leads to Boston Scientific.
Explanting the DBS Extensions
1. Turn off the Stimulator.
2. Palpate the region under the scalp to locate the DBS Extension connector.
3. Create an incision to expose the DBS Lead and DBS Extension connector. Be careful
not to damage the implanted components to allow for proper analysis following
explant.
4. Cut the DBS Extension(s) 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 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.
6. Disconnect the DBS Extension connector. Return the DBS Extension connector to
Boston Scientific.
7. Expose and disconnect the DBS Extensions from the Stimulator by following the
procedure in "Explanting or Replacing the Stimulator".
8. Gently pull the DBS Extension through the tunnel from the Stimulator site.
WARNING: Avoid pulling towards the ear to reduce the potential for infection of the
DBS Leads.
9. Ship the explanted DBS Extensions to Boston Scientific.
Note: If the DBS Extension has broken, then it may be necessary to make additional
incisions or to pull one end of the DBS Extension out at the Stimulator site and
the other end from the DBS Extension connector site.
Vercise™ DBS System Revisions & Explantation
Vercise™ DBS Physician Manual
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