Abbott Eterna 32400 - Securing Lead Connections; Implanting the Generator; Generator Pocket Placement and Stabilization; Pre-Implantation System Checks

5. Insert the torque wrench through the septum and ghten the setscrew, turning it clockwise unl the5.
torque wrench clicks.
NOTE: Aer removing the torque wrench, check the septum to ensure it has closed. If the septum did
not close, gently reseat the septum aps.
Figure 4. Tighten the setscrew clockwise
6. If implanng two leads, repeat the previous steps. If implanng a single lead only, insert the header port
6.
plug into the unused port, and use the torque wrench to ghten the setscrew unl the torque wrench
clicks.
Figure 5.
Insert the port plug
Implanng the Generator
The following steps outline the suggested procedure to implant the generator:
CAUTION: Do not implant the IPG face down. Implant it with the label facing toward the skin, or it may
not communicate or recharge.
1.
Place the generator into the generator pocket. The depth of the generator pocket from the surface of
1.
the generator to the surface of the skin should be at least 0.5 cm (0.20 in.) and not exceeding
2.5 cm (0.98 in.).
2.
Carefully coil any excess lead or extension behind the generator in loops no smaller than
2.
2.5 cm (0.98 in.) in diameter to provide strain relief for the lead or extension and generator connecon.
CAUTION: Do not bring the suture needle in contact with a generator, lead, or extension, or the
component may be damaged.
3. To stabilize the generator within the pocket, pass suture through the hole at the top of the generator3.
header and through the hole on the side of the generator header, and secure these to connecve ssue.
4.
Check the enre system by uoroscopy before closing to ensure proper posioning of the lead or leads
4.
and that the lead or leads are straight, with no sharp bends or kinks.
5. Use the clinician programmer app to communicate with the generator and perform intraoperave5.
tesng to conrm that the system is operaonal. See the clinician's manual of the clinician programmer
app for instrucons.
NOTE: Generator output may not be idencal to that of the trial smulator at the same sengs.
NOTE: Ensure the generator is set to Surgery mode.
6. Ensure that the generator is away from the pocket incision suture line, close the pocket incision, and6.
apply the appropriate dressings.
NOTE: When the surgical procedure is completed, ensure Surgery mode has been turned o.
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