User Manual

Physician Lead Manual

Intraoperative Stimulation Testing

Note: The following steps are for procedural reference only. Please

refer to the BionicNavigator Software Guide for detailed

stimulation testing procedures and guidelines.

1. Test various electrode configurations to obtain paresthesia

Note: If lead repositioning is necessary, turn stimulation off before

proceeding.

2. When the desired paresthesia is achieved:

• turn the Trial Stimulator off

• unlock each OR cable connector and disconnect from

the lead(s)

• slowly withdraw the stylet(s)

3. Record the lead position by capturing a fluoroscopic image to be

sure the leads have not moved. Retest if necessary. The image

can also be used for a position comparison at closure to ensure

that the leads did not move.

OPTION A: Temporary Lead Trial

1. Hold the lead distal to the needle hub to maintain lead position

during needle removal.

2. Carefully withdraw the insertion needle from the epidural space

by slowly pulling the needle up towards the proximal end of the

lead.

3. Continue to pull the needle back approximately one centimeter at

a time until the needle tip is exposed.