Boston Scientific Precision Spinal Cord Stimulator System, Clinical Manual

Page: 34 / 316

Precision™ Spinal Cord Stimulator System Clinician Manual
Clinician Manual
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Removal of Trial Leads,
Extensions, and Splitters
Remove bandages and properly cleanse the
exit site. The method of removal depends
upon whether a temporary trial or permanent
trial was performed.
Option A: Percutaneous Lead
Removal after Temporary Trial
1. Clip sutures if used to secure the trial
lead(s) in place.
2. Remove the lead(s) and discard.
3. To replace the trial lead(s) with permanent
percutaneous lead(s), proceed to the in-
structions for “Percutaneous Lead Place-
ment in the Epidural Space” page 20.
4. To replace the trial lead(s) with a paddle
lead proceed to the instructions for
“Surgical Paddle Lead Placement in the
Epidural Space” page 23.
Option B: Lead Extension
Removal after Permanent Trial
1. Open the midline incision to expose the
lead extension and connector.
2. Cut the lead extension at the connector.
Do not cut the implanted lead.
3. Remove the extension, being careful
not to contact non-sterile portions to the
patient’s body.
4. Loosen the extension connector setscrew
using the hex wrench. Disconnect and
remove the connector without moving the
implanted lead.
5. Proceed to the instructions for “IPG
Implantation” page 34.
Option C: Splitter Removal
after Trial
1. If the splitter has been implanted, open
the incision to expose the lead and splitter
junction.
2. Loosen the connector set screw on the
splitter receptacles using the hex wrench
provided.
3. Disconnect and discard the splitter
components.