Boston Scientific Precision - Surgical Paddle Lead Placement in the Epidural Space

Precision™ Spinal Cord Stimulator System Clinician Manual
Clinician Manual
97035873-01 28 of 75
Surgical Paddle Lead Placement in the Epidural Space
1. Determine the appropriate vertebral level for lead placement using uoroscopic guidance.
2. Position, prep and drape the patient in the usual accepted manner.
3. OPTIONAL Prior to introduction of the Paddle Lead into the epidural space, a Passing Elevator may be
used. Passing Elevators are designed to help verify that the epidural space is cleared for placement of the
Paddle Lead.
Grasp the curved area of the Passing Elevator with your ngertips. While avoiding pressure on the thecal
sac and spinal cord, carefully and gently introduce the Passing Elevator at a shallow angle into the
epidural space along the midline. When the Passing Elevator reaches the target site for the lead, gently
remove the elevator.
CAUTION: Do not use the Passing Elevator to clear scar tissue or open up a narrow spinal canal.
Exerting excessive force may cause patient injury or breakage of the Passing Elevator.
4. Use the standard technique to introduce the Paddle Lead into the epidural space, visually ensuring that
the contacts are facing down towards the dura.
5. Advance the lead to the desired location.
Once the Paddle Lead is at the appropriate vertebral level, proceed to the instructions for “Connecting the OR
Cable Assembly” on page 29.