Implanting The Neurostimulator; Checking System Integrity - Medtronic ITREL 3 Manual De Implante

7425IPG_ch.fm 4/27/04 2:22 pm
UC200xxxxxx EN
4.625 x 6 inches (117 mm x 152 mm)

Implanting the neurostimulator

1. Place the neurostimulator into the subcutaneous pocket with the etched identification side
placed outward, away from muscle tissue, and ensure that the extension is not bent
sharply.
#
Cautions:
Ensure that the neurostimulator is placed no deeper than 4 cm (1.5 in) below the
■
skin and is parallel to the skin. If the neurostimulator is too deep or is not parallel
to the skin, telemetry may be unsuccessful.
Do not place the etched identification side of the neurostimulator facing inward.
■
Placing the etched side inward could increase the possibility of skeletomuscular
stimulation, which the patient may perceive as twitching or burning.
Do not coil excess extension in front of the etched identification side of the
■
neurostimulator. Wrap excess extension around the perimeter of the
neurostimulator (Figure 3) to avoid increasing subcutaneous pocket depth, help
minimize potential damage during neurostimulator replacement surgery, help
minimize potential kinking of the extension, and minimize interference with
telemetry during programming.
Figure 3. Wrap excess extension around the perimeter of the neurostimulator.
2. Use the suture holes in the connector block to secure the neurostimulator to the muscle
fascia with nonabsorbable silk.

Checking system integrity

1. Use the clinician programmer to confirm the integrity of the connected system.
#
Caution: To use the nonsterile clinician programmer in a sterile field, place a sterile
barrier between the patient and the programming head to prevent infection. Do not
sterilize any part of the clinician programmer. Sterilization may damage the
programmer.
Note: The neurostimulator should be in the pocket during system interrogation for integrity
to ensure proper readings.
12 English 7425 2004-05
221656002 Rev A
Medtronic Confidential
NeuroImplant_R01