User's Manual
SpinalModulation,Inc. PhysicianImplantManual
10
TheINSispackagedinasealedinnertraywithinasealedoutertray.
ImplantLeads/TrialLeads/LeadExtension
The Lead Kits contain theLeads and the individual deliverydevices that are required fortheir
placement.
CAUTION:ThetemporarilyplacedTrialLeadsareintendedforuseforupto30days.
• Implant/TrialLeads:TheLeadsaredesignedforpercutaneousintroductionintothebody
using a special needle and a set of custom delivery tools provided in their respective kits.
Each Lead is fitted with four cylindrical electrodes spaced at equal intervals which are
intended to provide stimulation at the target dorsal root ganglion (DRG).Each Lead is
packaged with a Complex Curved Stylet inserted into the Lead and the Lead is pre‐loaded
intoa22cmSmallCurveDeliverySheathforthephysician’sconvenience.
• Lead Extension:The Lead Extension consists of a silicone port header that accepts the
Spinal ModulationTrial Lead and Implant Lead.It is intended to extend the length of the
leadandprovide a connectionbetweenthelead and theConnector Cable ortheleadand
the Implantable Neurostimulator System.The Lead Extension is intended for chronic
implantationasacomponentoftheAxium™NeurostimulatorSystem.
ConnectorCableKit
TheConnectorCableconnectstheLeadsorLeadExtensiontotheexternalTNS.
• ConnectorCable:TheConnectorCableispackagedseparatelyfromtheLeadandLead
ExtensionKit.TheConnectorCableincludesaconnectorand2extensioncablesforuse
asneeded.
• LeadIdentifiers:TheLeadIdentifiersaresmallbentwiresthatcanbeinsertedintothe
proximalstyletlumenintheleadsandareindividuallycoloredtoidentifytheleads.
LeadAccessories
• Small/BigCurveDeliverySheath:TheDeliverySheathsareintendedtoallowpassageof
the lead percutaneously into the epidural space.The labeled length of the sheath is the
distance from the hub to the pre‐shaped tip and the length of the curve at the tip is
approximately
2mmfortheSmallCurveandapproximately8mmfortheBigCurve.
• Complex Curved Stylet:The Complex Curved Stylet is intended to assist in steering and
positioning the lead within the epidural space.The Complex Curved Stylet has been pre‐
insertedintotheLeadforthephysician’sconvenience.
• 14G Delivery Needles:The Delivery Needle is intended to access the epidural space,
providingaconduitforlead,guidewireanddeliverysheathplacement.
• Guidewire:The Guidewire is intended to verify that the needle is in the epidural space
afterusingalossofresistancetechnique.