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Document Reference: ENG-UMAN-000730
Revision: 6.00
Page 18 of 40
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For an intermediate incision point tunneling procedure (when the required tunnel is
longer than the tunneling tool) proceed to section 7.2.2.
Using a single tunneling pass
Note:
Two leads can be tunneled at the same time.
1.
Create a pocket at the lead insertion site for the lead strain relief loop.
2.
Insert the tunneling tool subcutaneously from the lead incision site to the CLS pocket.
3.
Withdraw the tunneling tool leaving the straw in the tunnel.
4.
Slide the percutaneous lead proximal connectors through the straw of the tunneling
tool to the CLS pocket.
5.
Gently slide the straw out of the tunnel, towards the CLS pocket and off the end of
the percutaneous lead.
•
Proceed to section 7.2.3.
Using an intermediate incision point
Note:
Two leads can be tunneled at the same time.
1.
Create a pocket at the lead insertion site for the lead strain relief loop.
2.
Create an intermediate incision between the lead incision site and the CLS pocket.
3.
Insert the tunneling tool subcutaneously from the lead incision site to the
intermediate incision site.
4.
Withdraw the tunneling tool leaving the straw in the tunnel.
5.
Slide the lead through the straw of the tunneling tool to the intermediate incision
point.
6.
Gently slide the straw out of the tunnel, towards the intermediate incision point, and
off the end of the percutaneous lead.
7.
Re-attach the tunneling tool straw to the tunneling tool and tunnel subcutaneously
from the intermediate incision site to the CLS pocket.
8.
Withdraw the tunneling tool leaving the straw in the tunnel.
9.
Slide the lead through the straw of the tunneling tool to the CLS pocket.
10.
Gently slide the straw out of the tunnel, towards the CLS pocket and off the end of
the lead.
•
Proceed to section 7.2.3.
Connect to the CLS
1.
Wipe down the lead proximal connectors prior to insertion into the CLS to ensure
that contacts are clean and dry.
2.
Slide the proximal connector end of the lead into its port in the header of the CLS
(refer to Figure 7.2).
a.
Lead 1, electrodes 1-12, insert into the lower port.
b.
Lead 2, electrodes 13-24, insert into the upper port.