User's Manual

SpinalModulation,Inc. PhysicianImplantManual
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30
longitudinalincision,centeredontheneedletothedepthofthesupraspinousligament.
2. Establishhemostasisanduseretractorsforgoodvisualization.
3. Slowlyremovethedeliverysheathbyfirstpullingbackthesheathneartheneedle.Always
holdforwardpressureontheLeadwhileretractingthedeliverysheathtoprevent
movement.
4. Retrac tthestyletintotheneedlesothatitisretr actedbeyondthetipofthesheath.
5. Turnthesheathawayfromtheopeningoftheforamenandpushouttheleadsothata
loopiscr eatedintheepiduralsp ace.
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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.
6. 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.
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WARNING:If the sheath has been kinked during delivery, slowly retract through the
needle with the curve  facing the same direction as the bevel. If resistance is
encountered,pullouttheneedleandthenproceedto removethesheath.Failuretodo 
socandamageorcuttheleadorsheath.