User's Manual

SpinalModulation,Inc. PhysicianImplantManual
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34
6. Cuttheextensionnear thelead‐extensionconnector.
7. Discardthelead‐e xtensionconnector.
8. Preservingsterility,pulltheextensi onoutthroughtheskinexitsite.
9. Discardtheextension.
10. Ifmultipleextensionsareimplanted,repeattheremovalstepsfortheotherextensions.
CreatingtheINSPocket–Implant
Oncethelead(s)hasbeenanchored,aNeurostimulatorpocketshouldbecreatedandthelead 
tunneledforconnectiontotheINS.
ThefollowingstepsoutlinethesuggestedproceduretocreateanINSpocket:
1. Determine the site for the INS.This should  be done before implanting the lead to verify
thereisenoughlengthtoreachtheINSpocketandprovidestrainreliefinthepocket,near
theanchor,andintheepiduralspace.
NOTE: The INS should be located in an area that the patient can easily reach with the
magnetand/orprogrammer:
• Intheupperbuttocksalongtheposterioraxillaryline(avoidingthebeltline)
• Justovertheabdomenbelowthelowestrib
2. Administerlocalanestheticattheneurostimulator pocketsite.
3. UsebluntdissectiontocreateapocketsothattheINSisparalleltotheskinsurfaceandno
deeperthan2.0cmbelowtheskinsurface.Useelectrocauterytomaintainhemostasis.
4. (Optional)InserttheINSsizertoensurethepocketislargeenoughtoaccommodatethe
INS,allowingextraroomforastrainreliefloopforeachlead.
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PRECAUTION:DonotimplanttheINSdeeperthan2.0cm,asthe programmerwillnotbe 
abletocommunicatewiththe INS.