Boston Scientific Neuromodulation PSC1110W Precision SCS System Implantable Pulse Generator User Manual II Physician Trial Kit Insert
Boston Scientific Neuromodulation Corporation Precision SCS System Implantable Pulse Generator II Physician Trial Kit Insert
Contents
- 1. Patient Handbook
- 2. Patient Trial Guide
- 3. Physicians Implant Manual
- 4. Physician Trial Kit Insert
- 5. Lead Manual
Physician Trial Kit Insert
Patient use instructions are outlined in the Patient Trial Handbook. • stimulation on/off functions • stimulation amplitude and other (optional) parameters • stimulation delivery areas • individualized stimulation therapy programs. Following set up of the Remote Control by the clinician, the Trial Stimulator is able to respond to patient control of: The Remote Control unit is a hand-held device for patient control of both the external Trial Stimulator and the permanent, implantable pulse generator (IPG) models of the Precision™ SCS device. The Advanced Bionics® Trial Stimulator is intended to be used during a screening trial to assess the efficacy of spinal cord stimulation in the treatment of patients with chronic pain of the trunk or limbs. The Trial Stimulator communicates with, and is controlled by, both a patient programmer (the Remote Control) and a clinician programmer via a wireless link. Federal law restricts this device to sale, distribution and use by or on the order of a physician. CAUTION: Trial Stimulator Model SC-5110 Remote Control Model SC-5210 Physician Trial Kit Model SC-7005-02 General Instructions 1. Ensure that the Trial Stimulator is equipped with a new 6-volt battery before conducting intraoperative stimulation testing, and for each new Trial Stimulator • To avoid unexpected stimulation results, never make connections while the Trial Stimulator is on. • The battery used in the Trial Stimulator may present a risk of fire or chemical burn if mistreated. Do not disassemble, heat above 100ºC (212ºF), or incinerate. • Handle the devices with care. Although durability testing has been performed to ensure quality manufacturing and performance, dropping the devices on hard surfaces or in water, or other destructive handling, can cause permanent damage. • Avoid all sources of water that can come into contact with the devices. • Do not expose the devices to extreme temperatures. Store between 5 – 40 ºC (41 – 104 ºF). • Do not dispose of the devices in fire. CAUTION: Physician Trial Kit NOTE: Immediately following a Trial Stimulator battery replacement, the linked Remote Control will display an error/reset message. Press D to reset the stimulator . trial. (A battery is included in the Patient Trial Kit.) 2. Before connecting the OR Cable for intraoperative testing, ensure that the Trial Stimulator is off (no indicator light). Turn the stimulator on for testing, then return it to off before disconnecting the test cables. 3. When fitting the patient with the Trial Stimulator, ensure that the OR Cables are properly connected and labelled. Superior (upper or left) leads connect to socket 1-L. Inferior (lower or right) leads connect to socket 2-R. If only a single lead is being used, connect it to 1-L. 4. Before releasing the patient, ensure that he/she understands: • Basic control of the Trial Stimulator using the Remote Control, and that stimulation may be turned on and off with the E button on either unit. • How to disconnect and reconnect the OR Cable(s) with the power off. • How to replace the Trial Stimulator battery. (See illustration below) DRAFT Copyright 2004, Advanced Bionics® Corporation. All Rights Reserved. Part No. MP9055214 Rev. A 4. Align the cover on the case and slide the cover into position util it snaps closed. 3. Place the new batteries in the slots by matching the positive (+) and negative (-) battery ends with the + / - markings in the compartment. 2. Remove the old batteries. Battery Replacement 1. On the rear of the remote, push in slightly and slide the battery compartment cover down. NOTE: The first time it comes on following a battery replacement, the Remote Control will reload information from the implanted or external stimulator. The remote must be within communication range (two feet) of the stimulator during this period. The Remote Control uses three AAA batteries. The device will issue warnings when its batteries are low and when the Trial Stimulator battery needs replacement. Instruct patients to pay close attention to all battery messages. Battery Information Remote Control 3. To change the stimulation level of just one area: a) From the level screen, press Cas many times as necessary to find the desired area by name or number. b) Press S or T to make the change. General Instructions 1. To turn stimulation on or off, press the E button. If the Remote Control is in sleep/idle mode and you press any button other than E, the remote will display a “Keys Locked” message. You must press Dto unlock the “function” buttons when reactivating the Remote Control from sleep mode. 2. To increase or decrease the stimulation level of all programmed therapy areas, press either S or T. Pulse Width 1. From the level screen press and hold Cto access the Rate Area 1 screen. 2. From any Rate screen, press and hold Cagain to access the Width Area 1 screen. 3. Press C(normal press) as necessary to cycle to the desired area. Rate 1. Press and hold Cfrom the level screen to activate the Rate Area 1 screen. 2. Press C(normal press) as necessary to cycle to the area you want to adjust, then press S or T to increase or decrease the Rate. 5. To access patient options: To save the new level in a program, return to the program screen, select the intended program number, and press T. Once the program is running, you may change the stimulation level by pressing S or T. c) Press S to activate the selected program. 4. To activate a stimulation program: a) Press D from the level screen. b) From the program screen press D as many times as necessary to highlight the desired program. Physician Trial Kit Model SC 7005-02 • Phone: (866) 566-8913 • Fax: (661) 362-1503 • Address: Advanced Bionics® Corporation Pain Management Division 25129 Rye Canyon Loop Valencia, CA 91355 If you have questions concerning the Remote Control or the Trial Stimulator, please contact Advanced Bionics’ Technical Service Department: Technical Service The Trial Stimulator and Remote Control may be cleaned with a cloth lightly dampened with water or a mild household cleaner. Do not use abrasive cleansers on the devices, and do not sterilize them. Maintenance Restore 1. Press and hold Dto access the Restore screen. 2. Press Dagain as necessary to highlight the program you want to restore, then press S. 3. Respond to the confirmation screen to complete the operation. 1. Press Dfrom the level screen. 2. From the program screen press Das necessary to cycle to the active program. 3. With the program highlighted, press T to save changes. To save a Rate or Pulse Width change-- 4. Press S or T to increase or decrease Pulse Width. Copyright 2004, Advanced Bionics® Corporation. All Rights Reserved. Part No. MP9055214 Rev. A This warranty is in lieu of any other warranty, expressed or implied, including any warranty of merchantability or fitness for intended use. Except as expressly provided by this Limited Warranty, Advanced Bionics® shall not be responsible or liable for any direct, consequential or incidental damages caused by device malfunction, failure or defect, whether the claim is based on warranty, contract, tort or otherwise. The decision as to product replacement or credit shall be made solely at the discretion of Advanced Bionics®. For a replacement component, the warranty will run only to the end of the warranty period for the original component that was replaced. The component failure must be confirmed by Advanced Bionics®. This warranty specifically excludes defects or malfunctions caused by: (a) fire, floods, lightning, natural disasters, water damage and other calamities commonly defined as “Acts of God”; (b) accident, misuse, abuse, negligence, failure to operate the system and its components in accordance with manufacturer’s instructions; (c) unauthorized attempts to repair, maintain, or modify the equipment; or (d) attachment of any equipment not supplied by Advanced Bionics® without prior approval. The product registration card must be completed and returned to Advanced Bionics® within 30 days of receipt of product in order to obtain warranty rights. A Stimulator or Remote Control unit that fails to function within normal tolerances within one (1) year from the date of purchase is covered under this Limited Warranty. The liability of Advanced Bionics® under this warranty shall be limited to: (a) replacement with a functionally equivalent component; or (b) full credit equal to the original purchase price to be applied towards the purchase of a replacement device. Product claims under Advanced Bionics® Limited Warranty are subject to the following conditions and limitations: Advanced Bionics® warrants to the purchaser that the Precision™ Trial Stimulator and Remote Control are free from defects in workmanship and materials for a period of one (1) year from the date of purchase. Limited Warranty
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