Boston Scientific Precision - Anchoring the Lead

Precision™ Spinal Cord Stimulator System Clinician Manual
Clinician Manual
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2. Snap sheath wings apart and peel sheath out of insertion site.
Snap sheath wings apart and peel sheath
3. Remove the stylet from the lead
Anchoring the Lead
Leads can be permanently anchored with a suture sleeve or with an Anchor.
Note: When using the Innion CX Lead, the anchor or suture sleeve must be loaded over the distal end of
the lead prior to inserting the Innion CX Lead into the Entrada Needle. For the Innion CX Lead, the
stylet may be in place within the lead when the anchor is loaded on the lead.
Refer to the Directions for Use for your Boston Scientic anchor, or continue with the following steps to
anchor using a suture sleeve.
1. For percutaneous leads, carefully remove the lead stylet using uoroscopy to ensure the lead position
does not change.
2. Place a suture sleeve over the lead and down to the supraspinous ligament or deep fascial tissue.
3. Ligate the suture sleeve onto the lead by tying a 2-0 silk or other nonabsorbable suture around the center
groove of the sleeve to prevent sliding. Circumferential stitches may be tied at the compression slots.
CAUTION: Do not use polypropylene sutures as they may damage the suture sleeve. Do not suture
directly onto the lead, splitter, or use a hemostat on the lead body. This may damage the lead insulation.
Note: The 4 cm and 2.3 cm suture sleeves each have three (3) compression slots, which are designed to
reduce slippage.
4. Suture the sleeve to the supraspinous ligament or deep fascia through the suture sleeve holes.
5. Tie multiple sutures as tightly as possible around the suture sleeve to secure it to the lead.
CAUTION: Tightening sutures directly on the lead can damage the lead.