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Terms in this set (...)

Needles (4 features)
-stainless steel
-14 gauge (size)
-beveled up
-preloaded stylet (15 degrees)

4in
5in
6.5in
What are the different sizes
4in straight insertion needle
5in
6.5in
Epimed
4in
15degree curvature
List the Percutaneous Leads
Linear
Linear ST
Linear 3-4
Linear 3-6
Infinion 16
Avista MRI(has to be used for MRI)
Linear ST
Contact Span 31mm
Contact Spacing 1mm
30cm
50cm
70cm
Trial 50cm
Trial 70cm
Linear 3-4
3mm electrode
Contact Span 52mm
Contact Spacing 4mm
50cm
70cm
Trial 50cm
Linear 3-6
3mm electrode
Contact Span 66
Contact Spacing 6 mm
30cm
50cm
70cm
trial 50cm
Infinion 16
Double the electrodes

Contact Span 67mm
Contact Spacing 1mm
8 lumens 2 cables per electrode
50cm
70cm
trial 50cm
2X8 splitter, MA, 2 OR cables
Avista MRI
Double the electrodes

Contact Span 67mm
Contact Spacing 1mm
8 lumens 2 cables per electrode
50cm
70cm
trial 50cm
2X8, MA, 2 OR cables
Where are all the leads located?
proximal end
all leads have the same proximal end T/F
T
All OR cables always have
an extension
25cm
35cm
55cm
When using the Infinion 16 trial lead with precision spectra ETS what kind cable is required?
1X16 Spectra OR cable
In a Perm Implant once the lead is tested and you know it's good...
-anchor to pt then anchor to lead with set screw mark facing up
-clik mechanical anchor "all clik anchors have set screw port"
-tourque is limited with screw driver
What is meant to be done by anchoring
Anchoring is meant to keep the lead fixed to the patient and less lead movement

set screw port, then hex the clik anchor(why? better holding down)

Anchor to pt(suture)
Anchor to lead
clik x
mechanical component that holds leads down more securely.
ALL CLIK X ARE SEEN IN X-RAY FLUORO(bc metal screw). Only Clik X MRI is MRI conditional
what do you call the stich that is done with sutures?
circumferential stitch (you better "hope it ties tight enough")
Medical Adhesive and why is it used and where is it put?

Why do we like it?
hydrophilic therefore no wait to dry

put on set screw

to seal it from "releasing a current from the lead"
hold two electrodes at a time to prevent
lead fracture. do it until fully inserted
collated spaced in between set screw click
lead extenders

What lengths

What does it look like
more length

25cm 35cm 55cm
List Lead splitters
-2X4 Splitter
-D4 Splitter
-W8 Splitter
-2X8 Splitter
D4 Splitter
Length
Distal 4: 1,2,3,4
25cm
W4 Splitter
Length
Wide 4: Space splits 1,3,5,8
25cm
2X8 Splitter
Used with Infinion
30cm
Comes with hex wrench
Paddles
Artisan
CoverEdge
CoverEdge X
Artisan
Contact Span 45mm
Width 8mm
Thickness 2mm

Lengths:
50cm
70cm

16 Electrodes/Contacts
CoverEdge
Contact Span 50mm
Width 9mm
Thickness 2mm
CoverEdge X
Contact Span 67mm
Width 10mm
Thickness 2mm

matches the vertebral(contact) span of Infinion(67mm)
m1/m8 connector lengths

Adapter
Looks like
M1 connectors 35/55/70

M8 connectors 15/55

M8 adapter

leads MUST use medical adhesive
Tunneling tool
with left hand, hold metal point to table
screw T collar to the right with right hand

tunnel from incision (midline) to pocket

Lengths:
28cm
35cm
MRI
1X8
anchors are white
MRI conditional Safe

Avista Lead
why are the anchors white?
approved silicone is infused with barium

radiology shows opaque
Stylets
-17 degree curved enhanced stylet
-17 degree regular curved stylet
-straight stylet
what does enhanced mean?
stiff strong more rigid
curve helps with steering
stylet rings
hub of metal

stripes means straight
leads(think design)
multi lumen design:

every set of cables has own lumen
what are the hairlike wires/cables in the lumen called?
phylar
phylar
one end of lead to the other

hairlike cables together join gain strength

19 phylar per lumen

Or 7/7 for 2 cables per lumen
lead length is different than contact span
...
What is the spacing between contacts with infinion
with infinion spacing between the contacts is 1.27 (actual) 63vs67
platinum
stength
iridium
conductivity
trial and perm use
mechanical anchor--> clik x
cilicone anchors
come in the kits
long nose
Pointing down toward the epidural space
clik x color for MRI compatibility
MRI White
what is the standard diameter of our leads?
1.3mm
what is the standard diameter of the MRI Avista Lead
1.6 mm
where does the sleeve pinch?
around the sleeve(lead),
disperses the pressure to make holding force stronger
tripold
???
splitter (think process)
1-connect
2-burry it, keep straight
3-medical adhesive
IPG
Spectra 22 cubic cm
Precision Plus 22 cubic cm
Novi 33 cubic cm
Montage 20 cubic cm
what is the metal portion of IPG made of?
Clear portion?
titanium

clear epoxy
all IPGs are rechargeable t/f
false, novi is the exception 2yr non rechargeable
Floro reads
BSC backwards and the lead ports exit to the right
how deep can ipg be placed and why?
no deeper than 2 cm below the skin for charging purposes

use 4.3cm hex wrench as a reference half "tip of the point to header"
warranty
spectra 5 yrs
precision 5 yrs
montage 5 yrs
Novi 2yrs
list compliance charges
biohazard label
transferring
losing ipgs
expired products
recall
field action compliance
late mdr
products warranty
remote 1 yr
charge 1 yr
leads 1 yr
OR cables
NO CROSS CONTAMINATION

1X16 Spectra
2X8 Spectra
1X8 Precision
template trace
shows how big to make a pocket
introducers hold the space for the
new lead to go back in*** not sure if this is the right picture

12.7 cm
22.8cm
passing elevator
see if paddle will fit in epidural space
tunneling tools
28cm
35cm
hex wrench
4.3cm
7.6cm