User's Manual

SpinalModulation,Inc. PhysicianImplantManual
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27
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WARNING:Failureto  put aloop in the epidural space mayresult in lead migrationand
maylead toaproceduretorevisetheposition.
5. Removethesheathcompletelywhileholdingforwardpressureonthele ad.
WARNING:Whenremovingthesheath, verify thatthesteeringwingis nomorethan90
degreesmisalignedwiththemarkonthe needle.Failuretodosomayresultindamage
to the sheath.Before reinserting sheath, verify there is no damage to the bend of the
sheath.
6. Remove the needle following the same procedure.It is recommended that the desired
paresthesiabere‐testedaftertheremovalofthe deliverysystem componentsbutbefore
the complete removal of the stylet.With the external TNS amplitude set to 0 µA,
reconnecttheConnec tor Cableasdescribedbefor e.
WARNING:If the sheath has been kinked during delivery, slowly retract through the
needle with the curve facing the same direction as the bevel.Failure to do so can
damageor cuttheleadorsheath.Ifresistanceisencountered,pulltheneedleoutofthe
epiduralspaceandthenremovethe sheath.
WARNING:Donotuseexcessiveforceifthe  lea d  needs toberemoved.Excessiveforce
maycauseleadfracture.
7. RecordtheleadpositionwithbothanA/Pandlateralfluoroscopicviewforcomparisonof
thepositionattimeofclosuretoensurethattheleadhasnotmoved.Remove
thestylet
byholdingforw ardpressureontheleadwhileretractingthestylet.
WARNING:Use extreme care when removing the  lead sty let, the delivery sheath, and
the needle, to insure that the  distal tip of the lead rem ains in the desired lo cation.
Removing each item in slow mov ements,  while holding the remaining co mponents in