Document Reference: ENG-UMAN-000730
Revision: 6.00
Page 15 of 40
Remove the stylet and epidural needle
1.
Carefully withdraw the epidural needle from the insertion site by sliding it along the
percutaneous lead until clear of the body.
2.
Carefully withdraw the stylet from the lead ensuring that the percutaneous lead
position does not change.
3.
Slide the epidural needle completely from the percutaneous lead.
4.
Confirm lead position with fluoroscopy if required (and adjust position if needed).
5.
Proceed to section 6 ‘Anchor the lead’.
6
Anchor the lead
Caution:
Suturing directly to the lead may damage the lead or cause it to fail.
The Evoke leads are compatible with the following anchors:
1.
Saluda Medical Evoke™ Suture Anchor (provided with all lead kits).
2.
Saluda Medical Evoke™ Active Anchor (provided with lead kits #0008 and 0009)
3.
Medtronic Bi-Wing Injex® Anchor (Model 97792)
4.
Medtronic Bumpy Injex® Anchor (Model 97791)
Position the anchor
1.
Prepare the anchors for insertion by wetting with saline.
2.
Slide the anchor over the proximal connector end of the lead.
3.
Slide the anchor along the lead until the distal portion of the anchor is at the lead
entry site (refer to Figure 6.1).
A
B
Figure 6.1: A) An active anchor positioned on a percutaneous lead. B) A suture anchor
positioned on a percutaneous lead.
Secure the anchor
1.
Secure the anchor to the ligamentum flavum or deep fascia with 2 or 3 non-
absorbable sutures looped through the suture holes on the anchor.
