User's Manual
SpinalModulation,Inc. PhysicianImplantManual
26
NOTE: Refer to the Trial Neurostimulator User Manual and Clinical Programmer User
Manualforspecificinstructionsontheoperationofthesedevices.
WARNING:Maintain adequate slack in the cable.If there is not enough slack and the
cableispulled,theleadmaybedislodgedandwillneedtobereplaced.Thiswillextend
theprocedure.
4. UsingtheTNS,testthevariouselectrodeconfigurationsusedtoobtainappropriate
paresthesiaorpainrelief.
5. TurnofftheTrialNeurostimulatoranddisconnecttheleadfromtheconnectorcable.
6. Uptofourleadsmaybeplacedinonepatient.Referto“PlacingtheLead”toposition
subsequentleads.
WARNING:As described in the Clinical Programmer User Manual, always turn the
external TNS amplitude to 0 µA when repositioning a lead, changing the select e d
electrode combination, or attaching the Connector Cable to the external TNS.When
restarting stimulation, increase the amplitude SLOWLY until the desired paresthesia is
achieved.Failure to do so may result in uncomfortable motor activation or painful
stimulation.
RemovingtheDeliverySystemComponents–PercutaneousLeadTrial
1. Before removing the delivery system components, advance the lead further into the
epiduralspacetocreateastrainrelief.
2. Slowlyremovethedeliverysheathbyfirstpullingbackthesheathnear theneedle.Always
hold forward pressure on the Lead while retracting the delivery sheath to prevent lead
migration.
3. Retrac tthestyletintotheneedlesothatitisretr actedbeyondthetipofthesheath.
4. Turn the sheath away fr om the opening of the foramen and push out the lead so that a
loopiscr eatedintheepiduralsp ace.