68
Precision Spinal Cord Stimulator System Clinician Manual SC-1110 Precision Implantable Pulse Generator SC-2158-xx Linear™ xxcm 8 Contact Lead SC-2158-xxE Linear xxcm 8 Contact Lead SC-2218-xx Linear ST™ xxcm 8 Contact Lead SC-2218-xxE Linear ST xxcm 8 Contact Lead SC-2352-xx Linear 3-4 xxcm 8 Contact Lead SC-2352-xxE Linear 3-4 xxcm 8 Contact Lead SC-2366-xx Linear 3-6 xxcm 8 Contact Lead SC-2366-xxE Linear 3-6 xxcm 8 Contact Lead SC-3138-xx xxcm 8 Contact Extension SC-3304-xx D4 Splitter 2x4 SC-3354-xx W4 Splitter 2x4 SC-5210 or SC-5212 Precision Remote Control SC-5305 Precision Base Station SC-5312 Precision Charger SC-8216-xx Artisan 2x8 Surgical Lead ᵈ⸥: xx =㐳䈘 (cm)xxE =㐳䈘 (cm)Trial Lead ᧄ䊙䊆䊠䉝䊦䈲䇮⧷⺆ 䊙䊆䊠䉝䊦䉕㇌⸶䈚䈢ขᛒ⺑ᦠ䈪䈜䇯ຠ䈮ห䈘䉏䈩䈇䉎 ઃᢥᦠ䈏ᧄ㇌䈮ᣈ䈔䉎⮎ᴺ䈱ᱜᑼ䈭ᢥᦠ䈫䈭䉍䉁䈜䇯䉴䊕䊷䉴䈱⚂䇮ઃᢥ ᦠ䈪䈲⚦䈭ขᛒᣇᴺ╬䉕✂⟜䈪䈐䈭䈇䈢䉄䇮ຠ䉕䈗↪䈮䈭䉎೨䈮䈲ᧄ䊙䊆䊠䉝䊦 䉕䈗ᾫ⺒䈇䈢䈣䈐䉁䈜䉋䈉䈍㗿䈇↳䈚䈕䉁䈜䇯 ᧄ䊙䊆䊠䉝䊦䈱ᵈᗧ㗄䈮䈚䈩↪䈘䉏䈢႐ว䈮䈲䇮ᑷ␠䈲ㅧ⽿છ䈠䈱䈱ᴺ ⊛⽿છ䉕⽶䈋䈭䈒䈭䉎႐ว䈏䈅䉍䉁䈜䇯 NMT-001 90851362-01A

Precision Spinal Cord Stimulator System Clinician Manual...Precision Spinal Cord Stimulator System Clinician Manual SC-1110 Precision Implantable Pulse Generator SC-2158-xx Linear

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  • Precision™ Spinal Cord Stimulator System Clinician Manual

    SC-1110 Precision Implantable Pulse Generator SC-2158-xx Linear™ xxcm 8 Contact Lead SC-2158-xxE Linear xxcm 8 Contact Lead SC-2218-xx Linear ST™ xxcm 8 Contact Lead SC-2218-xxE Linear ST xxcm 8 Contact Lead SC-2352-xx Linear 3-4 xxcm 8 Contact Lead SC-2352-xxE Linear 3-4 xxcm 8 Contact Lead SC-2366-xx Linear 3-6 xxcm 8 Contact Lead SC-2366-xxE Linear 3-6 xxcm 8 Contact Lead SC-3138-xx xxcm 8 Contact Extension SC-3304-xx D4 Splitter 2x4 SC-3354-xx W4 Splitter 2x4 SC-5210 or SC-5212 Precision Remote Control SC-5305 Precision Base Station SC-5312 Precision Charger SC-8216-xx Artisan 2x8 Surgical Lead

    : xx = (cm) xxE = (cm) Trial Lead

    NMT-001

    90851362-01A

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 2 / 68

  • Clinician Manual NMT-001 3 / 68

    SC-1110 Precision Implantable Pulse Generator SC-2158-xx Linear™ xxcm 8 Contact Lead SC-2158-xxE Linear xxcm 8 Contact Lead SC-2218-xx Linear ST™ xxcm 8 Contact Lead SC-2218-xxE Linear ST xxcm 8 Contact Lead SC-2352-xx Linear 3-4 xxcm 8 Contact Lead SC-2352-xxE Linear 3-4 xxcm 8 Contact Lead SC-2366-xx Linear 3-6 xxcm 8 Contact Lead SC-2366-xxE Linear 3-6 xxcm 8 Contact Lead SC-3138-xx xxcm 8 Contact Extension SC-3304-xx D4 Splitter 2x4 SC-3354-xx W4 Splitter 2x4 SC-5210 or SC-5212 Precision Remote Control SC-5305 Precision Base Station SC-5312 Precision Charger SC-8216-xx Artisan 2x8 Surgical Lead

    : xx = (cm) xxE = (cm) Trial Lead

    ............................................................................................... 7 ............................................................................................................ 8

    Implantable Pulse Generator .................................................................................................... 8 Lead ......................................................................................................................................... 8 Lead Extension ......................................................................................................................... 9 Lead Splitter ............................................................................................................................. 9

    .......................................................................................................... 10 ....................................................................................................................................... 10

    .......................................................................................................... 11 ...................................................................................................... 11

    ........................................................................................................................................ 11 .............................................................................................................................. 12 .............................................................................................................................. 13

    ............................................................................................................ 14

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 4 / 68

    ............................................................................................. 15 IPG Kit .................................................................................................................................... 15 Percutaneous Permanent Lead Kit ......................................................................................... 15 Percutaneous Trial Lead Kit ................................................................................................... 15 Lead Extension Kit ................................................................................................................. 15 Lead Splitter Kit ...................................................................................................................... 15 Surgical Paddle Lead Kit ........................................................................................................ 15

    .............................................................................. 16 ....................................................................................................................................... 16

    IPG ....................................................................................................... 16 Lead Lead Extension Splitter ............................................... 17

    ................................................................................................... 18 Percutaneous Lead .................................................... 19 Surgical Paddle Lead .................................................. 21

    Splitter Lead ................................................................................................... 21 OR Cable Assembly ........................................................................... 23

    .......................................................................................... 24 Trial Lead ............................................................................................ 26

    Lead ....................................................................... 27 Lead ......................................................................................................................... 27 Lead Lead Extension ..................................................................... 28 Lead Extension ........................................................................................................ 29

    Trial Stimulator ............................................................................... 31 Trial Lead Lead Extension Splitter ........................................... 32

    A: Percutaneous Lead ................................... 32 B: Lead Extension ...................................... 32 C: Splitter ................................................................. 32

    IPG ................................................................................................... 33 IPG ................................................................................................... 34

    Percutaneous Lead Dual Lead .............................................................. 34 Percutaneous Lead Single Lead ........................................................... 34 Surgical Paddle Lead ............................................................................................... 34

  • Clinician Manual NMT-001 5 / 68

    IPG ................................................................................ 36 ............................................................................... 37

    IPG ............................................................................................... 37 ......................................................................................................................... 38 Remote Control ................................................................................................ 40

    ................................................................................................................ 44 ....................................................................................................................................... 45

    ............................................................................................................ 46 ...................................................................................... 51

    ....................................................................................................................................... 51 1 ....................................................... 52

    .......................................................................................................... 55 Stimulator Lead ................................................................................................... 55

    ......................................................................................... 55 ....................................................................................................... 56

    ................................................................................................................. 59

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 6 / 68

    © 2011 Boston Scientific Corporation or its affiliates. All rights reserved.

    Boston Scientific Corporation Boston Scientific Corporation

    Boston Scientific Corporation

    BionicNavigator™ Precision™ Boston Scientific Corporation

  • Clinician Manual NMT-001 7 / 68

    Boston Scientific Precision

    Spinal Cord Stimulator (SCS)

    Boston ScientificPercutaneous Lead Lead Extension SplitterSurgical Paddle Lead Implantable Pulse Generator (IPG)

    IPG

    BionicNavigator

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 8 / 68

    Precision Implantable Pulse GeneratorLead Surgical Paddle Lead Lead Extension

    Precision SCS

    16 4

    1 4

    60 cm (2 )

    Implantable Pulse Generator Precision Implantable Pulse Generator (IPG)

    IPG

    IPGRemote ControlBionicNavigator

    IPG Patient Charging KitRF Charger

    Lead Percutaneous Lead Surgical Paddle Lead

    Precision SCS

    Surgical Paddle Lead 2x8 Surgical Paddle Lead 50 cm 70 cm

    Lead () 8 2

    3 2 mm2 2Lead

    Percutaneous Lead8

    Paddle Lead

    IPG Lead Extension

    Percutaneous Lead Percutaneous Lead 30 cm 50 cm

    70 cm Lead8

    3 mm1 4 6 mm

    Curved StyletLead Lead

    Lead Extension SplitterIPG

  • Clinician Manual NMT-001 9 / 68

    Percutaneous Lead Trial Lead Kit Linear™ Lead

    Lead Extension Lead Extension Percutaneous LeadPaddle Lead Precision IPG

    LeadIPG Lead

    Lead Extension Lead

    Lead Extension 25 cm 35 cm55 cm Lead Extension

    8

    3 mm1 mm Lead Extension

    Trial Stimulator (Lead KitOR Cable Assembly )

    Precision IPG

    Lead Splitter Lead Splitter LinearLinear ST™ Lead Precision IPG

    Linear Lead SplitterIPG 1

    4 Linear LeadLinear Lead 8

    4 SplitterDistal 4 (D4) Wide 4

    (W4) 2 2

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 10 / 68

    Precision Spinal Cord Stimulator (Precision )

    SCS

    SCS

  • Clinician Manual NMT-001 11 / 68

    Charger

    Charging BeltCharger

    (MRI) Precision SCSMRI

    MRI

    Lead Stimulator "

    "

    /

    SCS

    Lead

    IPG

    Stimulator

    IPG

    IPG

    Stimulator

    Stimulator

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 12 / 68

    /

    Stimulator

    :

    14

    14

    /

    2

    2 kg (5 )

    Lead

    2

    Stimulator Stimulator" "

    StimulatorStimulator

    Stimulator

    Lead Lead

    StimulatorLead

  • Clinician Manual NMT-001 13 / 68

    LeadStimulator

    ( 4 )

    Stimulator

    Remote Control Charging System

    35 °C (95 °F) Charger

    Remote Control Charging System

    –20 60 °C (-4 140 °F)

    Remote ControlCharger

    IPG

    Boston Scientific

    Remote Control Charging System

    Lead

    Lead

    IPG

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 14 / 68

    (CSF)

    MRI

    Lead Lead

    Lead

    Stimulator

    IPG Lead

    Remote Control

    /

    5

    IPG

    IPG

    IPG

    IPG

  • Clinician Manual NMT-001 15 / 68

    IPG Kit (1) Precision Implantable Pulse Generator (1) Hex Wrench (1) Tunneling Tool Assembly (1) IPG Pocket Template (2) Port Plugs (1) (1) ID (1)

    Percutaneous Permanent Lead Kit (1) Pre-loaded Curved Stylet

    Percutaneous Lead (1) Curved Straight Stylet

    Stylet Ring (4) Suture Sleeves (1) Stylet Insertion Needle (1) Lead Blank (1) Steering Cap (1) OR Cable Assembly (2) Lead Position Labels—

    ( ) (1) (1) ID (1)

    Percutaneous Trial Lead Kit (1) Pre-loaded Curved Stylet

    Percutaneous Lead (1) Suture Sleeves (1) Stylet Insertion Needle (1) Steering Cap (1) OR Cable Assembly

    (2) Lead Position Labels— ( )

    (1) (1) (1) ID

    Lead Extension Kit (1) Lead Extension (1) Hex Wrench (1) Tunneling Tool Assembly (1) (1) ID (1)

    Lead Splitter Kit (1) Splitter (1) Hex Wrench (1) (1) ID (1)

    Surgical Paddle Lead Kit (1) Paddle Lead (4) Suture Sleeves (2) OR Cable Assembly (2) Lead Position Labels—

    ( ) (1) (1) ID (1)

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 16 / 68

    Precision

    Boston Scientific

    " "

    1

    : (EO)

    Boston Scientific

    1

    1

    Lead

    /

    IPG IPG

    IPG 30 cm (1 )

    IPG IPG

    IPGBoston Scientific

    IPG 0 °C 45 °C (32 °F 113 °F)

  • Clinician Manual NMT-001 17 / 68

    IPG

    Lead Lead ExtensionSplitter

    Lead

    Lead Lead Extension Splitter

    Lead Lead Extension Splitter

    Suture Sleeve Percutaneous Lead Lead

    BlankLead

    Lead

    Lead

    Lead

    Lead

    Lead connector

    Lead stylet Lead Lead stylet

    0 °C 45 °C (32 °F

    113 °F)

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 18 / 68

    1. IPG

    IPG IPGCharger

    IPG

    2. (16

    )

    3. Trial StimulatorTrial Stimulator

    4. Trial Stimulator Remote Control

    (44)

    5. Patient Trial Kit

    19 Percutaneous Lead

    6. IPG32 Trial Lead Lead Extension

    Splitter

  • Percutaneous Lead

    Clinician Manual NMT-001 19 / 68

    Percutaneous Lead 1.

    2. XInsertion Needle 45°

    : Boston ScientificInsertion Needle

    Lead

    "14" (Curved Epimed needle )

    Lead45° Lead

    : Insertion Needle 45°Stylet

    Stylet Lead

    3. Insertion Needle Stylet

    4. : X Lead BlankInsertion Needle

    Lead Blank

    5. Lead stylet handle Stylet handle Steering Cap

    Lead Stylet Insertion NeedleLead stylet Lead

    6. : Lead styletStylet

    Stylet Stylet Lead

    Stylet 3 cm Lead Stylet Stylet

    Stylet

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 20 / 68

    : Lead Insertion NeedleLead stylet

    Stylet Insertion Needle Lead

    Insertion NeedleLead stylet Lead

    Lead

    : Lead styletStylet Lead

    Stylet Lead

    7. XLead Lead

    Lead ( 10 cm3 )

    8. 23 OR Cable Assembly

  • Surgical Paddle Lead

    Clinician Manual NMT-001 21 / 68

    Surgical Paddle Lead 1. X Lead

    2.

    3. : Paddle LeadPassing Elevator

    Passing ElevatorPaddle Lead

    Passing Elevator

    Passing Elevator

    Passing Elevator Lead

    : Passing

    ElevatorPassing

    Elevator

    4. Paddle Lead

    5. Lead

    Paddle Lead23 OR Cable Assembly

    Splitter Lead 1. Splitter Lead Stylet

    2. Lead

    3. Splitter

    4. Hex WrenchSplitter

    : Lead

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 22 / 68

    5. LeadSplitter receptacle

    Lead

    ( ) Splitter receptacle

    6. 23 OR Cable Assembly7

    7.

    : Splitter receptacle1 4

    5 8Splitter receptacle

    Lead

    8. Hex Wrench

    Splitter Lead

  • OR Cable Assembly

    Clinician Manual NMT-001 23 / 68

    OR Cable Assembly OR Cable Assembly Lead Trial Stimulator

    : OR Cable

    OR Cable Assembly 1

    1. Lead 2 "1-L" "2-R" Trial StimulatorLead

    2. Trial Stimulator

    : Trial Stimulator

    3. OR Cable "0"

    4. Percutaneous Lead Stylet Steering Cap LeadStylet Splitter

    OR Cable

    5. Lead Splitter

    Lead "1"

    6. OR Cable Assembly "1-L" ( )

    "2-R" ( ) Trial Stimulator

    ( ) Lead "1-L" ( ) Lead "2-R" Lead1 "1-L"

    7. 24

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 24 / 68

    :

    BionicNavigator

    1. Splitter

    Splitter Lead

    Splitter

    BionicNavigatorSplitter

    2. Clinician Programmer (CP) Trial Stimulator

    Lead IPG 16

    4500

    X

    3. Lead

    : Lead

    4. LeadSplitter

    SplitterLead

    Lead Splitter Stylet Lead

    5. Lead

    6. Stylet LeadSplitter

    7.

    : Stylet Lead

    8. Lead 1 3

    9.

    a) Trial Stimulator

    b) OR Cable ConnectorLead

    c) Percutaneous Lead Stylet

    10. XLead Lead

    11. Splitter LeadSplitter Hex Wrench

    : Lead

  • Clinician Manual NMT-001 25 / 68

    A: 26 Trial Lead

    B: 27 Lead

    C: Percutaneous LeadIPG 27

    Lead

    D: Paddle LeadIPG 27 Lead

    SCS

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 26 / 68

    Trial Lead 1. Lead Insertion Needle

    LeadInsertion Needle

    2. Insertion Needle

    LeadLead

    3. Lead

    4.

    5. Splitter 21 Splitter Lead

  • Lead

    Clinician Manual NMT-001 27 / 68

    Lead

    Insertion Needle 1. Lead

    Insertion Needle

    2. Lead Insertion NeedleLead

    Insertion Needle

    3. Insertion Needle

    LeadLead

    Lead 1. Percutaneous Lead X

    LeadLead stylet

    2. Lead Suture Sleeve

    3. 2-0

    Suture SleeveLead

    : Suture Sleeve

    LeadLead

    Lead

    : 4 cm 2.3 cm Suture Sleeve3

    4. Suture Sleeve

    5. Suture SleeveLead

    : Lead Lead

    6. 28Lead Lead Extension

    7. IPG 33IPG

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 28 / 68

    Lead Lead Extension

    1. Tunneling Tool

    2.

    3.

    4. :

    5.

    6.

    7. Tunneling Tool

  • Lead

    Clinician Manual NMT-001 29 / 68

    8. Tunneling

    Tool

    9. Lead Lead Extension

    : Splitter

    10. Trial Lead 29Lead Extension

    11. IPG Lead Extension 29

    Lead Extension

    12. IPG Splitter21 Splitter

    Lead

    13. IPG 34IPG

    Lead Extension 1. Lead

    Lead Extension connectorSplitter

    ( )

    : Lead Lead Extension connector

    Hex Wrench (

    ) Lead

    2. Lead Lead

    3. Hex WrenchLead

    Extension connector

    : Hex Wrench

    Hex Wrench

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 30 / 68

    4. Lead Lead

    Extension connector

    5. LeadLead

    Lead

    : Lead Lead

    6. Lead Extension

    7. Lead Extension

    31 Trial Stimulator

    8. 34 IPG

  • Trial Stimulator

    Clinician Manual NMT-001 31 / 68

    Trial Stimulator 1. Lead 2 "1-L"

    Lead "2-R" Lead

    Splitter 2"1-L"

    Splitter "2-R" Splitter

    2. OR Cable Trial Stimulator

    Lead 1OR Cable Trial Stimulator "1-L"

    3. Trial Belt

    Trial Stimulator

    1. OR Cable

    2. OR Cable Connector

    3. External Trial Stimulator (ETS)

    4. Trial Belt

    5. Lead Lead Extension

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 32 / 68

    Trial Lead Lead ExtensionSplitter

    A: Percutaneous Lead 1. Trial Lead

    2. Lead

    3. Trial Lead Percutaneous Lead19

    Percutaneous Lead

    4. Trial Lead Paddle Lead21 Surgical

    Paddle Lead

    B: Lead Extension 1. Lead Extension

    2. Lead ExtensionLead

    3.

    Lead Extension

    4. Hex Wrench Lead Extension connector

    Lead

    5. 33 IPG

    C: Splitter

    1. SplitterLead Splitter

    2. Hex Wrench Splitter receptacle

    3. Splitter component

  • IPG

    Clinician Manual NMT-001 33 / 68

    IPG 1. Lead Tunneling

    ToolLead Suture Sleeve

    2. IPG IPG

    3. IPG2.0 cm

    2.0 cm

    : IPG

    IPG

    4. IPG28 Lead Lead

    Extension

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 34 / 68

    IPG

    Percutaneous Lead – Dual Lead

    ( ) LeadLead Extension Splitter IPG

    "1-L" ( ) Lead

    Lead Extension Splitter IPG "2-R"

    Percutaneous Lead – Single Lead

    Single Lead Lead ExtensionSplitter IPG "1-L"

    Port Plug

    Surgical Paddle Lead Lead IPG "1-L"

    Lead IPG "2-R"

    : Paddle Lead

    1. Lead Lead Extension Splitter

    IPGLead Lead Extension

    LeadLead

  • IPG

    Clinician Manual NMT-001 35 / 68

    : Lead Lead Extension Port Plug

    Hex Wrench (

    ) Lead

    :

    2. IPGHex Wrench " "

    : Lead Lead

    : • Port PlugPort Plug

    • Hex Wrench

    3. IPG

    4. Lead Lead Extension IPG

    5. IPG IPG

    6.

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 36 / 68

    IPG 1. IPG

    2. IPG

    3. LeadLead Extension Splitter

    4. 34 IPGIPG

    Lead

    5. Boston ScientificIPG

  • Clinician Manual NMT-001 37 / 68

    Precision Stimulator

    1 1

    Boston Scientific

    Bionic Navigator1 24

    10 4

    ChargerRemote Control 3

    Stimulator5 Stimulator

    Stimulator

    Stimulator

    IPG StimulatorRemote Control Stimulator

    Remote Control ("Recharge Stimulator Soon"

    ) Stimulator

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 38 / 68

    24"Recharge Stimulator Now"

    Remote ControlStimulator

    Stimulator Remote Control

    :

    Charger

    Charging BeltCharger

    Boston Scientific

    ChargerBase Station Charger

    Charger

    Stimulator

    1. Base Station Charger

    2. Charger

    Stimulator

    3. Charger StimulatorCharger Stimulator

    Charger Stimulator

    StimulatorCharger Stimulator

    (Charger

    ) Charger

    Charger

  • Clinician Manual NMT-001 39 / 68

    4. Charging BeltCharger Stimulator

    :

    Charger

    StimulatorCharger Stimulator

    ( )

    Charger : Charger Charging Belt

    Charging BeltCharger

    Stimulator ()

    : Charging Belt

    Charger

    Charger

    5. Stimulator2 ChargerCharger Charging Belt

    ChargerBase Station

    ( 2 ) ChargerStimulator

    : • 10

    4 1 4

    4

    • 2

    • Remote Control IPG

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 40 / 68

    Remote Control

    Remote Control (RF)

    60 cm (2 ) Stimulator

    Remote Control ()

    Remote Control"Release P To Unlock" P

    1. 4.

    2. / 5. /

    3. /

    / /

    Remote ControlStimulator

  • Clinician Manual NMT-001 41 / 68

    Remote ControlStimulator

    Remote Control StimulatorRemote Control

    1 2

    Remote Control Stimulator

    3 4Stimulator

    Remote Control "Searching"

    StimulatorRemote Control

    ( ) Remote ControlStimulator

    :

    : Remote ControlStimulator

    Remote Control

    Remote Control " "

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 42 / 68

    Stimulator Stimulator

    Stimulator 3

    Stimulator " "

    Remote Control "Recharge Battery Soon" Stimulator

    Zero Volt™

    Stimulator

    :

    ( _ )

    [ ]

    1. P1

    2. P

    4 P

    1

    3.

    (44 )

    1. P 1

    P

    :

    (__)

  • Clinician Manual NMT-001 43 / 68

    2.

    3. P

    1. P 31

    2. P

    3.

    4

    ( )

    1.

    2. ( )

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 44 / 68

    Remote Control

    BionicNavigator

    (BionicNavigator)

    1. Remote Control 3

    "Width"

    2. 1

    3.

    4.

    3

    "Rate" 5. 1

    6.

    7.

    3

    Remote Control 1Stimulator 1

    Remote Control Stimulator

    1. P Remote ControlRemote Control

    Stimulator

    2. StimulatorRemote Control "Link?"

    PRemote Control

    Stimulator

  • Clinician Manual NMT-001 45 / 68

    Stimulator Remote Control

    Stimulator

    (46)

    3. Remote ControlStimulator

    4. P

    Trial Stimulator Remote ControlTrial Stimulator

    Trial Stimulator

    Remote Control

    Remote Control IPG IPG

    IPGRemote Control

    Remote Control

    Remote Control

    Stimulator " " Remote Control StimulatorRemote ControlStimulator

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 46 / 68

    Remote Control Stimulator

    P

    Remote Control

    Clinician Programmer (CP) Remote Control Stimulator

    1. P 3

    2.

    3.

    1 – CP 1. "CP

    Mode" P

    Remote Control Clinician Programmer (CP) CP Mode Remote Control"CP Ready"

    2. Remote Control IR

    IR Holder

    3. IR USB CP

  • Clinician Manual NMT-001 47 / 68

    4. BionicNavigator"Communication Established"

    : •

    Remote Control 15 CP Ready

    • CP Ready

    Remote Control

    • CP Ready

    • Remote Control

    Clinician Programmer (CP) External Trial Stimulator IPG

    Stimulator

    Remote Control 60 cm (2 ) Clinician Programmer (CP) BionicNavigator

    IPGRemote Control

    BionicNavigator

    2 –

    "Impedances" Remote Control Lead

    10

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 48 / 68

    : Stimulator

    Remote Control

    1 8 ("1-L" Lead )

    19 16 ("2-R" Lead )

    9

    (4500 )

    ( / )

    1 8

    9 16

  • Clinician Manual NMT-001 49 / 68

    "Measure Again?"

    P

    3 – "Clear

    Link" Stimulator

    P

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 50 / 68

    Enter Password

    P /

    Remote Control StimulatorRemote Control "Link?"

    Remote Control

    Remote Control

    4 –

    "Language" 7

    P

    P

    Remote Control

  • Clinician Manual NMT-001 51 / 68

    ( ) 4 —

    0 20 mAa 0 mA

    2 1200 ppsb 40 pps

    0 – 1000 sec 210 sec

    0 90 min

    1 10 sec 3 sec

    1 16: + - 1 – 16: a. Precision 12.7 mA

    20 mA12.7 mA

    7.3 mA b. 130 pps 1

    / 55 mm x 45 mm x 11 mm / 20.7 cm3 ( )

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 52 / 68

    1

  • Clinician Manual NMT-001 53 / 68

    Linear™ Lead

    Lead 30 50 70 cm

    Lead

    Lead 1.3 mm

    8

    3 mm

    1 4 6 mm

    /

    MP35N-DFT- 28%

    Lead Extension

    Lead Extension 25 35 55 cm

    Lead Extension 1.3 mm

    8

    / MP35N

    MP35N-DFT- 28%

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    Clinician Manual NMT-001 54 / 68

    Lead Splitter

    Splitter 25 cm

    Splitter 1.3 mm ( )

    8 (1 4)

    / MP35N

    MP35N-DFT- 28%

    Surgical Lead

    Lead 50 70 cm

    Lead 2 x 8

    Lead 8 mm

    16

    3 mm

    1 mm

    /

    MP35N-DFT- 28%

  • Clinician Manual NMT-001 55 / 68

    Stimulator Lead

    Boston ScientificLead/Lead Extension/Splitter

    Lead

    1Boston Scientific1 1

    1

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    Clinician Manual NMT-001 56 / 68

    Precision

    2005 CE

  • Clinician Manual NMT-001 57 / 68

    1

    : BF

    WEEE

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 58 / 68

    EN 60601-1

    II

    201 – – – (6.8.3.201 a ) 3))

    – IPG IPG

    RF CISPR 11 1 IPG RFRF

    RF CISPR 11 B

    IEC 61000-3-2

    IPG

    /

    IEC 61000-3-3

    Boston Scientific Precision 1999/5/EC

  • Clinician Manual NMT-001 59 / 68

    Stimulator Stimulator

    5Stimulator 25

    (40 ) 1 (40 ) 1

    Boston Scientific

    a) :

    b) : 50%

    2750

    /10.2

    : 6 mA

    : 240 Hz

    : 400 μsec

    : 750

    750 500 11.3

    1000 9.7

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    Clinician Manual NMT-001 60 / 68

    1. Precision

    2. 1

    ()

    Precision

    Stimulator

    : • "*" Precision

    "*"

    Boston Scientific

  • Clinician Manual NMT-001 61 / 68

    1.

    = 1____+ 2____+ 3____+ 4 ____ = _____Hz

    2. 1

    (RWPW)

    RWPW1 = PW1 x 1/ = _______ RWPW2 = PW2 x 2/ = _______ RWPW3 = PW3 x 3/ = _______ RWPW4 = PW4 x 4/ = _______

    3. 2 (TWPW)

    TWPW = RWPW1____+ RWPW2____+ RWPW3____+ RWPW4____ TWPW = _________ μsec

    4.

    = __________ mA

    5. TWPW ( )

    StimulatorStimulator

    1 2

    1: = 5.0 mA = 30 Hz PW = 200 μsec

    2: = 8.0 mA = 60 Hz PW = 400 μsec

    1. (TR)

    = 1 30 Hz + 2 60 Hz = 90 Hz

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    Clinician Manual NMT-001 62 / 68

    2. (RWPW)

    RWPW1 = PW1 x 1/ = (30 x 200)/90 = 66.67 RWPW2 = PW2 x 2/ = (60 x 400)/90 = 266.667

    3. (TWPW)

    TWPW = RWPW1 66.67 + RWPW2 266.667 TWPW = 333.33 μsec

    4.

    = 8.0 mA

    5. TWPW

    90 Hz 333.33 μsec 8.0 mA 90 Hz 330 μsec8.0 mA 25

    2 3

    1: = 6 mA = 120 Hz PW = 200 μsec

    2: = 4 mA = 120 Hz PW = 400 μsec

    3: = 8 mA = 100 Hz PW = 300 μsec

    1. (TR)

    = 1 120 Hz + 2 120 Hz + 3 100 Hz = 340 Hz

    2. (RWPW)

    RWPW1 = PW1 x 1/ = (120 x 200)/340 = 70.58 RWPW2 = PW2 x 2/ = (120 x 400)/340 = 141.17 RWPW3 = PW3 x 3/ = (100 x 300)/340 = 88.23

  • Clinician Manual NMT-001 63 / 68

    3. (TWPW)

    TWPW = RWPW1 70.58 + RWPW2 141.17 + RWPW3 88.23 TWPW = 299.98 μsec

    4.

    = 8.0 mA

    5. TWPW

    340 Hz 299.98 μsec 8.0 mA 340 Hz 300 μsec8.0 mA 8.0

    :

    ()

    1. 1

    2. 124

    1 ____ x 1 ____ / 24 = _____

    2 ____ x 1 ____ / 24 = _____

    3 ____ x 1 ____ / 24 = _____

    4 ____ x 1 ____ / 24 = _____

    3. : = _____

  • Precision™ Spinal Cord Stimulator System Clinician Manual

    Clinician Manual NMT-001 64 / 68

    10 30 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 24,9 22,7 20,160 >25 >25 >25 >25 >25 >25 >25 >25 >25 22,9 18,9 15,4 12,4 11,0 10,390 >25 >25 >25 >25 >25 >25 24,7 20,4 18,2 15,6 11,7 10,5 9,7 9,2 8,6120 >25 >25 >25 >25 24,7 21,2 19,4 15,2 13,1 11,0 10,0 9,2 8,5 8,1 7,6240 >25 18,6 11,1 9,8 8,5 7,9 7,4 6,6 *340 22,6 12,4 9,6 8,3 7,2 *1200 8,5 *

    12 30 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 23,3 20,8 18,7 16,860 >25 >25 >25 >25 >25 >25 >25 22,2 19,4 16,8 13,6 11,1 10,5 10,0 9,690 >25 >25 >25 >25 23,4 20,8 18,3 14,9 12,2 10,8 10,0 9,4 8,8 8,3 7,9120 >25 >25 >25 23,7 18,1 15,6 13,2 10,9 10,2 9,6 8,8 8,2 7,7 7,3 6,9240 22,8 12,8 9,5 8,3 7,3 6,7 6,4340 16,5 10,1 8,1 7,0 * *1200 7,3

    14 30 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 23,3 20,5 18,1 15,9 14,160 >25 >25 >25 >25 >25 24,7 22,2 18,1 15,9 14,1 11,1 10,4 9,9 9,4 8,990 >25 >25 >25 >25 19,9 17,3 14,9 11,1 10,6 10,1 9,4 8,7 8,2 7,8 7,4120 >25 >25 >25 20,1 14,7 12,2 10,9 9,9 9,4 8,9 8,2 7,6 7,2 6,8 6,5240 19,1 10,7 8,6 7,6 6,6 *340 12,9 9,2 7,3 6,4 * *

    16 30 >25 >25 >25 >25 >25 >25 >25 >25 >25 24,2 20,8 18,1 15,7 13,6 11,860 >25 >25 >25 >25 24,9 22,2 19,8 15,7 13,6 11,8 10,5 9,9 9,3 8,8 8,490 >25 >25 >25 22,9 17,4 14,9 12,6 10,5 10,0 9,6 8,8 8,2 7,7 7,3 6,9120 >25 >25 23,0 17,7 12,4 10,9 10,3 9,3 8,8 8,4 7,7 7,2 6,7 6,4 6,1240 16,7 10,1 8,1 7,1 6,2 *340 11,0 8,7 6,9 * * *

    18 30 >25 >25 >25 >25 >25 >25 >25 >25 24,0 22,0 18,7 15,9 13,6 11,5 10,860 >25 >25 >25 >25 22,7 19,4 17,6 13,6 11,5 10,8 10,0 9,4 8,8 8,3 7,990 >25 >25 >25 20,8 15,3 12,2 11,0 10,0 9,5 9,1 8,3 7,8 7,3 6,9 6,6120 >25 >25 20,8 15,6 11,0 10,2 9,8 8,8 8,3 7,9 7,3 6,8 6,4 6,1 *240 14,6 9,6 7,7 6,7 * *340 10,5 8,2 6,5 * * *

    20 30 >25 >25 >25 >25 >25 >25 >25 24,2 22,0 20,1 16,8 14,1 11,8 10,8 10,360 >25 >25 >25 >25 20,7 17,5 15,8 11,8 10,8 10,3 9,6 8,9 8,4 7,9 7,690 >25 >25 24,2 18,9 13,5 11,0 10,6 9,6 9,1 8,6 7,9 7,4 6,9 6,6 6,3120 >25 >25 18,9 13,7 10,5 9,7 9,3 8,4 7,9 7,6 6,9 6,5 6,1 * *240 12,8 9,2 7,3 6,4 * *340 10,1 7,8 *

    mA pps 60 100 156 200 260 300 330 400 450 500 600 700 800 900 10001 30 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25

    60 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >2590 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25120 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25240 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25340 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 * * *1200 >25 >25 >25 * * ***

    *

    *******

    *********

    *********

    2 30 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >2560 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >2590 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25120 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25240 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 23,7 20,8 18,4 16,3 14,4340 >25 >25 >25 >25 >25 >25 >25 24,7 22,6 20,6 17,3 14,6 * *1200 >25 >25 18,9 ** *

    4 30 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >2560 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >2590 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25120 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 24,2240 >25 >25 >25 >25 >25 23,7 21,9 18,4 16,3 14,4 11,3 10,5 9,6 9,1 8,4340 >25 >25 >25 24,7 19,9 17,3 15,6 12,3 10,9 10,5 9,7 9,0 * * *1200 23,7 14,4 10,1 * *

    ******

    ********

    **

    ******

    *****

    *********

    *********

    *********

    *********

    *********

    **

    *************

    **********

    *********

    *********

    *********

    *********

    *********

    ***

    ************

    *

    *

    *

    ***** *

    6 30 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >2560 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 23,990 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 21,5 19,4 16,5120 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 23,7 19,7 16,3 14,2 11,5240 >25 >25 >25 22,2 16,1 13,6 11,9 10,2 9,7 9,0 8,3 * * * *340 >25 >25 20,4 15,9 10,9 10,3 9,9 8,8 8,31200 16,3 10,2 *

    8 30 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >2560 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 >25 22,4 20,0 17,1 14,490 >25 >25 >25 >25 >25 >25 >25 >25 >25 22,9 18,7 15,1 12,8 10,9 10,2120 >25 >25 >25 >25 >25 >25 >25 22,7 20,5 17,7 13,6 10,9 10,3 9,6 9,0240 >25 >25 17,7 12,3 10,3 9,4 9,0 8,1 7,6 7,1 *340 >25 20,6 11,6 9,9 8,8 8,0 7,7 * *1200 10,2 8,1 * *

    ******* *

    (μs)

  • Clinician Manual NMT-001 65 / 68

    Precision

    FCC 15

    (1) (2)

    2

    PrecisionBoston Scientific

    Boston Scientific CorporationFCC

  • AUS Australian Sponsor AddressBoston Scienti c (Australia) Pty LtdPO Box 332BOTANYNSW 1455AustraliaFree Phone 1800 676 133Free Fax 1800 836 666

    EC REP EU Authorised RepresentativeBoston Scienti c International S.A.55 Avenue des Champs PierreuxTSA 5110192729 NANTERRE CEDEXFRANCEEuropean Headquarters – ParisT: +33 1 57 66 80 00 F: +33 1 57 66 84 99ArgentinaT: +5411 4896 8556 F: +5411 4896 8550Australia / New ZealandT: 1800 676 133 F: 1800 836 666AustriaT: +43 1 60 810 F: +43 1 60 810 60BalkansT: 0030 210 95 37 890 F: 0030 210 95 79 836BelgiumT: 080094 494 F: 080093 343BrazilT: +55 11 5853 2244 F: +55 11 5853 2663BulgariaT: +359 2 986 50 48 F: +359 2 986 57 09CanadaT: +1 888 359 9691 F: +1 888 575 7396ChileT: +562 445 4904 F: +562 445 4915China – BeijingT: +86 10 8525 1588 F: +86 10 8525 1566China – GuangzhouT: +86 20 8767 9791 F: +86 20 8767 9789China – ShanghaiT: +86 21 6391 5600 F: +86 21 6391 5100ColombiaT: +57 1 629 5045 F: +57 1 629 5082Czech RepublicT: +420 2 3536 2911 F: +420 2 3536 4334DenmarkT: 80 30 80 02 F: 80 30 80 05FinlandT: 020 762 88 82 F: 020 762 88 83FranceT: +33 1 39 30 49 00 F: +33 1 39 30 49 01GermanyT: 0800 072 3301 F: 0800 072 3319GreeceT: +30 210 95 42401 F: +30 210 95 42420

    Hong KongT: +852 2960 7100 F: +852 2563 5276HungaryT: +36 1 456 30 40 F: +36 1 456 30 41India – BangaloreT: +91 80 5112 1104/5 F: +91 80 5112 1106India – ChennaiT: +91 44 2648 0318 F: +91 44 2641 4695India – DelhiT: +91 11 2618 0445/6 F: +91 11 2618 1024India – MumbaiT: +91 22 5677 8844 F: +91 22 2617 2783ItalyT: +39 010 60 60 1 F: +39 010 60 60 200KoreaT: +82 2 3476 2121 F: +82 2 3476 1776MalaysiaT: +60 3 7957 4266 F: +60 3 7957 4866MexicoT: +52 55 5687 63 90 F: +52 55 5687 62 28Middle East / Gulf / NorthAfricaT: +961 1 805 282 F: +961 1 805 445The NetherlandsT:+31 30 602 5555 F: +31 30 602 5560NorwayT: 800 104 04 F: 800 101 90PhilippinesT: +63 2 687 3239 F: +63 2 687 3047PolandT: +48 22 435 1414 F: +48 22 435 1410PortugalT: +351 21 3801243 F: +351 21 3801240SingaporeT: +65 6418 8888 F: +65 6418 8899South AfricaT: +27 11 840 8600 F: +27 11 463 6077SpainT: +34 901 111 215 F: +34 902 267 888SwedenT: 020 65 25 30 F: 020 55 25 35SwitzerlandT: 0800 826 786 F: 0800 826 787TaiwanT: +886 2 2747 7278 F: +886 2 2747 7270ThailandT: +66 2 2654 3810 F: +66 2 2654 3818Turkey – IstanbulT: +90 216 464 3666 F: +90 216 464 3677UruguayT: +59 82 900 6212 F: +59 82 900 6212UK & EireT: +44 844 800 4512 F: +44 844 800 4513VenezuelaT: +58 212 959 8106 F: +58 212 959 5328

  • NMT-001

    Precision™ Spinal Cord Stimulator System Clinician Manual

    24 6 6 1

    22200BZX00761000

    SCS