Atrotech Atrostim PNS Anwenderhandbuch Seite 42

Atrostim PNS
The back strip is then fixed with single sutures to the surrounding tissue. The sutures
to the uniting part of the electrode arrangement are applied, thereafter those to the
free part of the strip, see Fig. 8.
The electrode wires are directed away from the nerve. The wire lead is fixed by aid
of its lugs to the tissue with non-absorbable sutures. This is to prevent possible
transfer of mechanical stress from the wire lead to the electrode. No part of the
electrode wires nor the wire lead should contact the nerve.
The free flaps of the electrode strips may be shortened appropriately and should be
covered thereafter by surrounding tissue. This will provide additional fixation which
helps to prevent mechanical stress to the nerve. In the thorax, the free flaps may be
situated into pockets under the pleura, and the pleura may be sutured in a way that
maximizes the areas covered by pleura.
Do not stretch
the nerve!
April 2008
lug
Fig. 8. Fixation of the 4-pole Teflon
Surgical procedure for pediatric patients
electrode wire
pleura incisions
back strip
TM
electrode.
11
front strip