Axonics F-15 - Completing the Implant Procedure; Post-Surgery Management; Replacing the Neurostimulator

AXONICS SNM SYSTEM® – Neurostimulator | Recharge-Free, Model 4101 Page 12
2. Use the Clinician Programmer to check the impedances and ensure good function and connectivity of the system.
Notes:
• The Neurostimulator should be in the subcutaneous pocket during system interrogation to ensure proper readings.
• Refer to the Clinician Programming Manual for detailed instruction on checking the system integrity and
impedances.
Completing the Implant Procedure
1. Close and dress all incisions.
2. Any opened or used products which are no longer sterile should be discarded appropriately. It is recommended to
recycle non-biohazardous waste to the extent possible.
3. Program the patient’s Neurostimulator and Remote Control. Refer to the Clinician Programming Manual for more
detailed instruction.
4. Give a Remote Control and patient ID card to the patient.
Caution
The patient should carry the Remote Control at all times to be able to adjust or turn off the
Neurostimulator.
5. Complete the system registration paperwork and return to Axonics.
6. Schedule the patient’s follow-up visits at regular intervals to ensure that the stimulation is programmed optimally.
Post-Surgery Management
Patients should be monitored post implant. Administer prophylactic antibiotics for 24 hours.
Patients should avoid sudden movements and putting pressure on implant site. This will reduce risk of movement or
migration of the implanted system.
Replacing the Neurostimulator
Removal of the Neurostimulator is recommended at the end of useful life, which will vary depending on individual
stimulation parameters.
1. Carefully open the implant site and remove the Neurostimulator from the subcutaneous pocket. Avoid cutting the tined
lead to preserve for connection with the new Neurostimulator.
2. Clean the Neurostimulator connector block and lead with sterile water. Wipe both dry with sterile gauze.
3. Use the torque wrench to loosen the setscrew in the Neurostimulator connector block by turning it counterclockwise
(Figure 5).
4. Gently remove the lead from the Neurostimulator.
Caution
Replace any device that shows signs of damage, pitting, or corrosion.
5. Set aside the explanted components.
6. Connect the lead and replacement Neurostimulator according to the steps above.
Dispose of explanted devices as bio-hazardous waste.