User's Manual

SpinalModulation,Inc. PhysicianImplantManual
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21
ChoosinganApproach
2. AntegradeApproach
Under fluoroscopic guidance, use a contralateral approach, with the bevel of the needle
facingtoward the targetlevel, toinsertthe Delivery Needle into the  epiduralspace at the
appropriateangleuntilyouencounterresistancefromtheligamentumflavum.Startoneor
twolevelsbelowthetarget
site.Theneedleangleshouldbenogreaterthan30degreesto
ensuresmoothdeliveryofthedeliverysheathandlead.
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  
SingleLevelDeliveryApproach TwoLevelDeliveryApproach
3. ContralateralApproach
Under fluoroscopic guidance, use a contralateral approach with the bevel of the needle
facingtowardthetargetleveltoinsertthe14Gdeliveryneedleintotheepiduralspace.
WARNING:When using a contralateral approach, advance the needle slowly into  the
epidural space and take caution as it enters.The  needle will be inserted at a steeper