User's Manual
SpinalModulation,Inc. PhysicianImplantManual
33
10. Slide the passing straw over the extension and out of the skin exit site, leaving the
extensioninplace.
11. If notdone previously, use blunt dissection to aform asubcutaneous pocket offthe lead
incisionforthelead‐e x tensi onconnection.
12. Wipe the lead and extension connector junction with sterilegauze.Ifnecessary,moisten
thegauzewithsterilewateroranonionicantibioticsolution.
13. Dry all connections. Fluid in the connection may result in stimulation at the connection
site,intermittentstimulation,orlossofstimulation.
14. Hold the extension connector straight while firmly, but gently, inserting the lead into the
connector one or two contacts at a time until each lead contact is aligned under each
extension connector contact.During insertion, some resistance is typical because the
internalsealsprovideelectricalisolation.
15. Verifythatthemarkontheleadalignswiththeendof theextensionconnector.Thiswill
verifythattheleadisfullyinserted.
16. Use the torque wrench supplied in the package to tighten the setscrew.Tighten until a
click is heard.Using minimal force, and while securely holding the lead to prevent
dislodgement,pullontheconnectiontoensurethatitissecure.
17. Usingminimalforce, pull theextensi on from the skinexit site, feedingthelead‐extension
connectionintothele ad‐extensionconnectionpocket .
18. Inordertoaidinidentificationofeachleadafterthetrial period,tieasuturelightlytothe
lead and another one to the lead extension.Use different color suture and num bers of
suturetoidentifytheleads.Thiswillaidinidentificationduringtheimplantprocedure.
19. Createstrainreliefloopsbycoilingexcessleadproximaltothesofttissueanchorin loops.
Insert the coiled lead into the pocket, under the connection, leaving as much slack as
possibleintheleadbetweentheanchorandthelead‐extensionconnection.
20. Closetheincisionanddresstheincisionsite.
21. At the exit site, coil any excess extensi on around the distal end of the Connector Cable,
fold a
gauze pad around the block, and apply a large adhesive patch over the area
containingexitpuncture,excessextension,andConnectorCable .
RemovingLeadExtension–ImplantLeadTrialOnly
1. Removethebandageneartheexitpoint oftheleadextension.
2. Pulltheleadextensionlightlyoutoftheincisionandcuttheleadextension.
3. Exposethelead‐extensiontoleadconnection.
4. Whilemaintainingleadposition,carefullyremovethelead‐ex tensionconnectionsfromthe
incision.
5. Disconnecttheleadfromtheextension.