Axonics 1201 Mode D'emploi page 17

3. Insert the directional guide into the foramen needle, aligning the appropriate depth marker on the directional
guide with the top of the foramen needle (Figure 10).
Note: The most distal depth marker should be used for alignment with the shorter foramen needle (9.0 cm or 3.5
in). The second most distal marker should be used with the longer foramen needle (12.5 cm or 5 in).
Figure 10. Insert the directional guide until the appropriate depth
4. While keeping the directional guide in place, gently slide the foramen needle out of the foramen over the
directional guide, leaving the guide in place (Figure 11).
5. Hold the directional guide in place at the incision. Place the dilator and introducer sheath over the directional
guide and advance them into the foramen. The third most proximal depth marker on the directional guide
should be aligned with the top of the dilator (Figure 12). If available, confirm with fluoroscopy that the
introducer sheath radiopaque marker is 1/2-2/3
Figure 12: Place the dilator and introducer
PROPOSED AXONICS FIGURE
12.5cm Needle
PROPOSED AXONICS FIGURE
marker is aligned with the hub of the foramen needle.
Figure 10: Directional Guide Insertion
Figure 11. Remove the foramen needle.
PROPOSED AXONICS FIGURE
Figure 11: Remove the foramen needle
Introducer Sheath
Figure 12. Align the dilator sheath hub with the
appropriate mark on the directional guide.
9cm Needle
Directional Guide
the way through the sacral plate.
rd
Directional Guide
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Dilator