User's Manual

SpinalModulation,Inc. PhysicianImplantManual

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32

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3. Usingthe2‐0silk non‐absorbablesuture,tietwoligaturesaroundthecenteroftheanchor

tosecuretheanchortothelead.Ifneeded,makeminoradjustmentstothe leadposition.

Tieoneligaturearoundtheleganddonottie tothesofttissue.Verifythattheshortend

oftheanchorentersintotheligament.

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PRECAUTION:Failuretopushthe  short endofthesofttissueanchorintotheligamentor

fasciamayresultinleadmigrationandaproceduretorevisetheleadlocation.

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4. It is recommended that the lead position is verified under fluoroscopy and desired

paresthesia be re‐tested after  fixation.With the external TNS amplitude set to 0 µA,

reconnecttheConnec tor Cableasdescribedbefor e.

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PercutaneousExtensionTunneling–ImplantLeadTrialOnly 

1. Identifythetunnelingroutebetw eentheleadincisionandtheextensionexitsite.

2. Administeranestheticattheexitsiteandalongthetunnelingroute.

3. Assemblethetunnelingtoolpackagedwiththeleadbyslippingthepassi ngstrawoverthe

tunnelingrod,thenattachingthetunnelingtip.

4. Bend the tunneling  tool as necessary to conform to the patient’s contour along the

tunnelingroute.

5. Makeastabwoundattheexitsite.

6. Beginattheexitsiteandtunnelsubcutaneouslytotheleadincision

7. Guide the tunneling tool subcutaneously along the tunneling route by pushing the 

skin

overthe advancingtool tip until the tipand approximately1 cm of the passing straw are

exposedattheleadincision.

8. Withdrawthetunnelingtool leavingthepassingstrawinplaceinthetunnel.

9. Gentlyinserttheproximalendoftheextensionthroughthepassingstraw totheexitsite.