User Manual

10000891 REV 02

CAUTION: If needed, it is recommended that bipolar electrocautery be used for hemostasis around the

epidural needles. Energy from monopolar cauterization could conduct down the needle to the epidural space

and damage the neural structures.

4.5.2 Instructions Specific to Silicone Anchors

For silicone anchors, at least one suture is needed (two are recommended) to tie the lead anchor to the lead, and

another suture is needed to attach the lead anchor and lead to the patient’s tissue.

1. Slide the lead anchor over the lead and to the supraspinous ligament.

2. Use a non-absorbable suture(s) to tie the lead anchor to the lead. Tie the suture around a groove or over

the bumps on the lead anchor to prevent the lead from sliding.

3. Suture the lead anchor to the supraspinous ligament or deep fascial tissue. Run the suture through the

eyelets on the lead anchor or around the bumps or grooves of the lead anchor. Make sure the suture is

firm enough to hold the anchor to the tissue.

CAUTION: Use only the appropriate torque wrench provided by Nevro Corp. to tighten the anchor to the lead.

4.5.3 Instructions Specific to Active Anchors

For active anchors, at least one suture is needed (two is recommended) to attach the lead anchor to the tissue.

1. Slide the lead anchor over the lead and to the supraspinous ligament.

2. Use non-absorbable suture(s) to attach the lead anchor to the patient’s tissue. Suture the lead anchor to

the supraspinous ligament or deep fascial tissue. Run the suture through the eyelets on the lead anchor

or around the grooves of the lead anchor. Make sure the suture is firm enough to hold the lead anchor to

the tissue.

3. Use the supplied torque wrench to tighten the anchor to the lead. Tighten the torque wrench in clockwise

direction until the audible click is heard.

CAUTION: Use only the appropriate torque wrench provided by Nevro Corp. to tighten the anchor to the lead.

4.5.4 Connecting an Extension to the Lead

1. Wipe fluids (e.g. blood) from the proximal end of the lead. Then fully insert the proximal end of the lead

into the lead extension’s connector.

NOTE: If the lead does not fully insert into the active anchor, loosen the anchor by turning the torque wrench

counter-clockwise and then re-insert the lead.