Boston Scientific Corporation CRMA20914 Manual De Usuario

64

4. 

Apply gentle downward pressure on the torque wrench until the blade is fully engaged within the setscrew cavity, 

taking care to avoid damage to the seal plug. Tighten the setscrew by slowly turning the torque wrench clockwise, 

until it ratchets once. The torque wrench is preset to apply the proper amount of force to the captive setscrew; 

additional rotation and force is unnecessary.

5. 

Remove the torque wrench.

6. 

Apply gentle traction to the subcutaneous electrode to ensure a secure connection.

7. 

If the subcutaneous electrode terminal is not secure, attempt to reseat the setscrew. Reinsert the torque wrench as 

described above, and loosen the setscrew by slowly turning the wrench counterclockwise, until the subcutaneous 

electrode is loose. Then repeat the sequence above.

8. 

Insert the device into the subcutaneous pocket, with any excess subcutaneous electrode placed underneath the 

device.

9. 

Anchor the device to the fascia to prevent possible migration using conventional 0- silk or similar non-absorbable 

suture material.  Two suture holes are provided in the header for this purpose (Figure 20). 

10.  Flush the pulse generator pocket with sterile saline solution and ensure there is good contact between the pulse 

generator and the surrounding tissue of the pocket prior to closing the first layer of tissue and prior to performing 

Automatic Setup of the device.

Figure 20: Header suture holes for anchoring the device

11.  Perform Automatic Setup as described on page 65 of this manual.