Abbott Proclaim 3660 User manual

Proclaim™ Implantable Pulse Generator
Models 3660, 3661, 3662, 3663, 3665, 3667
Clinician's Manual

CAUTION: Federal (USA) law restricts this device to sale by or on the order of a physician.
WARNING: This product can expose you to chemicals including ethylene oxide, which is known to the
State of California to cause cancer and birth defects or other reproductive harm. For more information, go to
www.P65Warnings.ca.gov.
™ Indicates a trademark of the Abbott group of companies.
‡ Indicates a third part
y trademark, which is property of its respective owner.
Pat.
http://www.abbott.com/patents
©
2019 Abbott. All Rights Reserved.

i
Contents
Prescription and Safety Information ........................................................................... 1
Intended Use ....................................................................................................................... 1
Indications for Use ............................................................................................................... 1
Contraindications ................................................................................................................. 1
MRI Safety Information......................................................................................................... 1
Warnings ............................................................................................................................. 1
Precautions.......................................................................................................................... 3
Adverse Effects .................................................................................................................... 6
System Overview ....................................................................................................... 6
Product Description................................................................................................... 7
Package Contents ................................................................................................................ 8
Identifying the IPG ............................................................................................................... 8
Directions for Use...................................................................................................... 8
Creating an IPG Pocket ........................................................................................................ 8
Connecting a Lead or Extension to the IPG ........................................................................... 9
Implanting the IPG ............................................................................................................. 11
Replacing the IPG .............................................................................................................. 12
Disposing of Explanted Components................................................................................... 12
Checking the Status of the IPG Battery..................................................................... 12
Technical Support ................................................................................................... 13
Appendix A: Product Specifications ......................................................................... 13
Storage Specifications ........................................................................................................ 13
Product Materials............................................................................................................... 13
IPG Specifications .............................................................................................................. 14
Compatibility Guidelines for IPGs with Compatible Headers................................................. 15
Appendix B: System Components and Accessories .................................................. 16
IPGs .................................................................................................................................. 16
Programmers and Controllers ............................................................................................. 16
Leads and Extensions......................................................................................................... 16
Adapters ............................................................................................................................ 17
Trial System ....................................................................................................................... 17
Appendix C: Battery Longevity Information ............................................................... 18
Energy Factors for Tonic Stimulation Parameters ................................................................ 19
Energy Factors for BurstDR™ Stimulation Parameters ........................................................ 23
Battery Longevity Graphs.................................................................................................... 25
Appendix D: Regulatory Statements ......................................................................... 26
Disposal Guidelines for Battery-Powered Devices................................................................ 26
Statement of FCC Compliance ............................................................................................ 26
Statement of Compliance With License-Exempt RSS Standard (Canada) ............................. 26
Identification Information for Product Registration............................................................... 26
Wireless Technology Information ........................................................................................ 27
Radio Transmitter, Cables, Transducers ............................................................................. 27
Quality of Service for Wireless Technology .......................................................................... 28

ii
Appendix E: Safety and Effectiveness Studies...........................................................29
Clinical Summary for the Genesis™ (IPG) Neurostimulation System for SCS........................ 29
Clinical Summary for BurstDR™ Stimulation....................................................................... 32
Appendix F: Symbols and Definitions .......................................................................73

1
Prescription and Safety Information
Read this section to gather important prescription and safety information.
Intended Use
This neurostimulation system is designed to deliver low-intensity electrical impulses to nerve
structures. The system is intended to be used with leads and associated extensions that are
compatible with the system.
Indications for Use
This neurostimulation system is indicated as an aid in the management of chronic, intractable
pain of the trunk and/or limbs, including unilateral or bilateral pain associated with the following:
failed back surgery syndrome and intractable low back and leg pain.
Contraindications
This system is contraindicated for patients who are unable to operate the system or who have
failed to receive effective pain relief during trial stimulation.
MRI Safety Information
Some models of this system are Magnetic Resonance (MR) Conditional, and patients with these
devices may be scanned safely with magnetic resonance imaging (MRI) when the conditions for
safe scanning are met. For more information about MR Conditional neurostimulation components
and systems, including equipment settings, scanning procedures, and a complete listing of
conditionally approved components, refer to the MRI procedures clinician's manual for
neurostimulation systems (available online at medical.abbott/manuals). For more information
about MR Conditional products, visit the Abbott Medical product information page at
neuromodulation.abbott/MRI-ready.
Warnings
The following warnings apply to this neurostimulation system.
Poor surgical risks. Neurostimulation should not be used on patients who are poor surgical risks
or patients with multiple illnesses or active general infections.
Magnetic resonance imaging (MRI). Some patients may be implanted with the components that
make up a Magnetic Resonance (MR) Conditional system, which allows them to receive an MRI
scan if all the requirements for the implanted components and for scanning are met. A physician
can help determine if a patient is eligible to receive an MRI scan by following the requirements
provided by Abbott Medical. Physicians should also discuss any risks of MRI with patients.
Patients without an MR Conditional neurostimulation system should not be subjected to MRI
because the electromagnetic field generated by an MRI may damage the device electronics and
induce voltage through the lead that could jolt or shock the patient.
Diathermy therapy. Do not use short-wave diathermy, microwave diathermy, or therapeutic
ultrasound diathermy (all now referred to as diathermy) on patients implanted with a
neurostimulation system. Energy from diathermy can be transferred through the implanted system
and cause tissue damage at the location of the implanted electrodes, resulting in severe injury or
death.

2
Diathermy is further prohibited because it may also damage the neurostimulation system
components. This damage could result in loss of therapy, requiring additional surgery for system
implantation and replacement. Injury or damage can occur during diathermy treatment whether
the neurostimulation system is turned on or off.
Electrosurgery. To avoid harming the patient or damaging the neurostimulation system, do not
use monopolar electrosurgery devices on patients with implanted neurostimulation systems.
Before using an electrosurgery device, place the device in Surgery Mode using the patient
controller app or clinician programmer app. Confirm the neurostimulation system is functioning
correctly after the procedure.
During implant procedures, if electrosurgery devices must be used, take the following actions:
Use bipolar electrosurgery only.
Complete any electrosurgery procedures before connecting the leads or extensions to the
neurostimulator.
Keep the current paths from the electrosurgery device as far from the neurostimulation
system as possible.
Set the electrosurgery device to the lowest possible energy setting.
Confirm that the neurostimulation system is functioning correctly during the implant
procedure and before closing the neurostimulator pocket.
Implanted cardiac systems. Physicians need to be aware of the risk and possible interaction
between a neurostimulation system and an implanted cardiac system, such as a pacemaker or
defibrillator. Electrical pulses from a neurostimulation system may interact with the sensing
operation of an implanted cardiac system, causing the cardiac system to respond inappropriately.
To minimize or prevent the implanted cardiac system from sensing the output of the
neurostimulation system, (1) maximize the distance between the implanted systems; (2) verify
that the neurostimulation system is not interfering with the functions of the implanted cardiac
system; and (3) avoid programming either device in a unipolar mode (using the device’s can as
an anode) or using neurostimulation system settings that interfere with the function of the
implantable cardiac system.
Other active implanted devices. The neurostimulation system may interfere with the normal
operation of another active implanted device, such as a pacemaker, defibrillator, or another type
of neurostimulator. Conversely, the other active implanted device may interfere with the operation
of the neurostimulation system.
Interference with other devices. Some of this system’s electronic equipment, such as the
programmer and controller, can radiate radiofrequency (RF) energy that may interfere with other
electronic devices, including other active implanted devices. Avoid placing equipment
components directly over other electronic devices. To correct the effect of interference with other
devices, turn off the equipment or increase the distance between the equipment and the device
being affected.
Operation of machines, equipment, and vehicles. Patients using therapy that generates
paresthesia should turn off stimulation before operating motorized vehicles, such as automobiles,
or potentially dangerous machinery and equipment because sudden stimulation changes may
distract them from properly operating it. However, current data shows that most patients using
BurstDR™ stimulation therapy do not experience paresthesia. For patients who do not feel
paresthesia, sudden stimulation changes are less likely to occur and distract them while operating
motorized vehicles, machinery, or equipment.

3
Explosive and flammable gases. Do not use a clinician programmer or patient controller in an
environment where explosive or flammable gas fumes or vapors are present. The operation of
these devices could cause them to ignite, causing severe burns, injury, or death.
Keep the device dry. Programmer and controller devices are not waterproof. Keep them dry to
avoid damage. Advise patients to not use their device when engaging in activities that might cause
it to get wet, such as swimming or bathing.
Pediatric use. Safety and effectiveness of neurostimulation for pediatric use have not been
established.
Pregnancy and nursing. Safety and effectiveness of neurostimulation for use during pregnancy
and nursing have not been established.
Device components. The use of components not approved for use by Abbott Medical with this
system may result in damage to the system and increased risk to the patient.
Device modification. Equipment is not serviceable by the customer. To prevent injury or damage
to the system, do not modify the equipment. If needed, return the equipment to Abbott Medical
for service.
Application modification. To prevent unintended stimulation, do not modify the operating system
in any way. Do not use the application if the operating system is compromised (i.e., jailbroken).
Case damage. Do not handle the IPG if the case is pierced or ruptured because severe burns
could result from exposure to battery chemicals.
IPG disposal. Return all explanted IPGs to Abbott Medical for safe disposal. IPGs contain
batteries as well as other potentially hazardous materials. Do not crush, puncture, or burn the IPG
because explosion or fire may result.
Product materials. Neurostimulation systems have materials that come in contact or may come in
contact with tissue. A physician should determine whether or not a patient may have an allergic
reaction to these materials before the system is implanted.
Precautions
The following precautions apply to this neurostimulation system.
General Precautions
Clinician training. Implanting physicians should be experienced in the diagnosis and treatment of
chronic pain syndromes and have undergone surgical and device implantation training.
Patient selection. It is extremely important to select patients appropriately for neurostimulation.
Thorough psychiatric screening should be performed. Patients should not be dependent on drugs
and should be able to operate the neurostimulation system.
Infection. Follow proper infection control procedures. Infections related to system implantation
might require that the device be explanted.
Implantation of two systems. If two systems are implanted, ensure that at least 20 cm (8 in)
separates the implanted IPGs to minimize unintended interaction with other system components.
Implantation of multiple leads. If multiple leads are implanted, leads and extensions should be
routed in close proximity. Nonadjacent leads can possibly create a conduit for stray
electromagnetic energy that could cause the patient unwanted stimulation.
High stimulation outputs. Stimulation at high outputs may cause unpleasant sensations or motor
disturbances, or render the patient incapable of controlling the stimulator. If unpleasant
sensations occur, the device should be turned off immediately.

4
Electromagnetic interference (EMI). Some equipment in home, work, medical, and public
environments can generate EMI that is strong enough to interfere with the operation of a
neurostimulation system or damage system components. Patients should avoid getting too close
to these types of EMI sources, which include the following examples: commercial electrical
equipment (such as arc welders and induction furnaces), communication equipment (such as
microwave transmitters and high-power amateur transmitters), high-voltage power lines,
radiofrequency identification (RFID) devices, and some medical procedures (such as therapeutic
radiation and electromagnetic lithotripsy).
Lead movement. Patients should be instructed to avoid bending, twisting, stretching, and lifting
objects over 2 kg (5 lb) six to eight weeks after implantation of a neurostimulation system.
Extension of the upper torso or neck may cause lead movement and alter the stimulation field
(especially with leads in the cervical area), resulting in overstimulation or ineffective stimulation.
Patient training. Instruct patients to use their neurostimulation system only after an authorized
clinician has programmed the device and has trained the patient how to control stimulation and
safely use the system.
Programmer use. Allow only authorized use of the clinician programmer to avoid any
programming changes that may injure a patient.
Sterilization and Storage
Single-use, sterile device. The implanted components of this neurostimulation system are
intended for a single use only. Sterile components in this kit have been sterilized using ethylene
oxide (EtO) gas before shipment and are supplied in sterile packaging to permit direct introduction
into the sterile field. Do not resterilize or reimplant an explanted system for any reason.
Storage environment. Store components and their packaging where they will not come in contact
with liquids of any kind.
Handling and Implementation
Expiration date. An expiration date (or “use-before” date) is printed on the packaging. Do not use
the system if the use-before date has expired.
Handle the device with care. The clinician programmer and patient controller are sensitive
electronic devices that can be damaged by rough handling, such as dropping them on the
ground.
Care and handling of components. Use extreme care when handling system components prior to
implantation. Excessive heat, excessive traction, excessive bending, excessive twisting, or the use
of sharp instruments may damage and cause failure of the components.
Package or component damage. Do not implant a device if the sterile package or components
show signs of damage, if the sterile seal is ruptured, or if contamination is suspected for any
reason. Return any suspect components to Abbott Medical for evaluation.
Exposure to body fluids or saline. Prior to connection, exposure of the metal contacts, such as
those on the connection end of a lead or extension, to body fluids or saline can lead to corrosion.
If such exposure occurs, clean the affected parts with sterile, deionized water or sterile water for
irrigation, and dry them completely prior to lead connection and implantation.
System testing. To ensure correct operation, always test the system during the implant
procedure, before closing the neurostimulator pocket, and before the patient leaves the surgery
suite.

5
Hospital and Medical Environments
High-output ultrasonics and lithotripsy. The use of high-output devices, such as an
electrohydraulic lithotriptor, may cause damage to the electronic circuitry of an implanted IPG. If
lithotripsy must be used, do not focus the energy near the IPG.
Ultrasonic scanning equipment. The use of ultrasonic scanning equipment may cause
mechanical damage to an implanted neurostimulation system if used directly over the implanted
system.
External defibrillators. The safety of discharge of an external defibrillator on patients with
implanted neurostimulation systems has not been established.
Therapeutic radiation. Therapeutic radiation may damage the electronic circuitry of an implanted
neurostimulation system, although no testing has been done and no definite information on
radiation effects is available. Sources of therapeutic radiation include therapeutic X rays, cobalt
machines, and linear accelerators. If radiation therapy is required, the area over the implanted
IPG should be shielded with lead. Damage to the system may not be immediately detectable.
Home and Occupational Environments
Security, antitheft, and radiofrequency identification (RFID) devices. Some antitheft devices,
such as those used at entrances or exits of department stores, libraries, and other public places,
and airport security screening devices may affect stimulation. Additionally, RFID devices, which
are often used to read identification badges, as well as some tag deactivation devices, such as
those used at payment counters at stores and loan desks at libraries, may also affect stimulation.
Patients who are implanted with nonadjacent multiple leads and patients who are sensitive to low
stimulation thresholds may experience a momentary increase in their perceived stimulation, which
some patients have described as uncomfortable or jolting. Patients should cautiously approach
such devices and should request help to bypass them. If they must go through a gate or doorway
containing this type of device, patients should turn off their IPG and proceed with caution, being
sure to move through the device quickly.
Wireless use restrictions. In some environments, the use of wireless functions (e.g., Bluetooth®
wireless technology) may be restricted. Such restrictions may apply aboard airplanes, near
explosives, or in hazardous locations. If you are unsure of the policy that applies to the use of this
device, please ask for authorization to use it before turning it on. (Bluetooth®and the Bluetooth
logo are registered trademarks of Bluetooth SIG, Inc.)
Mobile phones. While interference with mobile phones is not anticipated, technology continues to
change and interaction between a neurostimulation system and a mobile phone is possible.
Advise patients to contact their physician if they are concerned about their mobile phone
interacting with their neurostimulation system.

6
Adverse Effects
In addition to those risks commonly associated with surgery, the following risks are associated
with using this neurostimulation system:
Unpleasant sensations or motor disturbances, including involuntary movement, caused by
stimulation at high outputs (If either occurs, turn off your IPG immediately.)
Undesirable changes in stimulation, which may be related to cellular changes in tissue
around the electrodes, changes in electrode position, loose electrical connections, or lead
failure
Stimulation in unwanted places (such as radicular stimulation of the chest wall)
Lead migration, causing changes in stimulation or reduced pain relief
Epidural hemorrhage, hematoma, infection, spinal cord compression, or paralysis from
placement of a lead in the epidural space
Cerebrospinal fluid (CSF) leakage
Paralysis, weakness, clumsiness, numbness, or pain below the level of the implant
Persistent pain at the electrode or IPG site
Seroma (mass or swelling) at the IPG site
Allergic or rejection response to implant materials
Implant migration or skin erosion around the implant
Battery failure
System Overview
This neurostimulation system is designed to deliver electrical stimulation to nerve structures. The
neurostimulation system includes the following main components:
Implantable pulse generator (IPG)
Leads
Clinician programmer
Patient controller
Patient magnet
The IPG delivers electrical pulses through the leads to electrodes near selected nerve fibers in
order to provide therapeutic stimulation. The patient magnet can turn the IPG on and off if the
physician enabled this functionality. Physicians use the clinician programmer to create and
modify programs for a patient. Patients use the patient controller to control their prescribed
programs.

7
The following image shows how the major system components are intended to interact.
Figure 1. Interaction among main system components
1. Clinician programmer or
patient controller
2. IPG
3. Leads
4. Patient magnet
NOTE: This manual provides instructions for implanting the IPG. For instructions for using
other components, see the applicable manuals for those components.
Product Description
This implantable pulse generator (IPG) is an electronic device designed to be connected to one or
more extensions or leads with up to 16 electrodes total. It is powered by a hermetically sealed
battery within a titanium case and uses microelectronic circuitry to generate constant-current
electrical stimulation. The IPG can deliver stimulation with a single program or with multiple
programs. Each program can provide stimulation to a single anatomical area or to multiple areas.
The IPG communicates wirelessly with system programmers and controllers, and IPGs are
available in small and large sizes to accommodate different power needs.
Some models support additional functions:
Upgradeability. Models can receive software upgrades after implantation to provide patients
with additional features as approved by the respective regulatory agencies. To upgrade
features on the IPG, a system programmer is needed.
Compatible header. Models with a compatible header are designed to allow the IPG to
connect to leads or extensions from another manufacturer that meet the compatibility
guidelines (referred to as "IPGs with compatible headers").
For more information about which models provide these additional functions, as well as other IPG
specifications, see the appropriate appendix in this manual.
NOTE: For more information about the neurostimulation system, see the clinician’s
programming manual for this system.
NOTE: In this document, the term "clinician programmer" refers to the St. Jude Medical™
Clinician Programmer device, "patient controller" refers to the St. Jude Medical™ Patient
Controller device, "clinician programmer app" refers to the St. Jude Medical™ Clinician
Programmer software application (app), and "patient controller app" refers to the St. Jude
Medical™ Patient Controller app.

8
Package Contents
In addition to the product documentation, the IPG kit contains the following items:
1 IPG (see the appendix in this manual for model numbers)
1 pocket sizer
1 torque wrench (Model 1101)
2 port plugs (Model 1111)
Identifying the IPG
Before implanting the IPG, you can view the model number engraved on the IPG. After
implantation, you can identify the IPG using a radiopaque identification tag that you can view with
standard X-ray procedures. The tag, which is located in the lower left corner of the IPG when the
logo side of the IPG is facing toward you, contains a code in the following format: SJMLN. ‘SJM’
designates Abbott Medical as the manufacturer; ‘LN’ is a letter and a number combination that
identifies the model family (see the following figure).
For the Proclaim™ IPG, the code is SJM A1. To determine the exact model IPG that is implanted,
use the clinician programmer app to communicate with the IPG and view IPG information. See the
clinician’s manual for the clinician programmer for instructions.
Figure 2. Location of the IPG code on a small IPG (left) and large IPG (right)
Directions for Use
Read this section carefully for suggested directions for use related to the IPG. For directions for
use for other system components not covered in this document, see the clinician’s manual for the
appropriate device.
NOTE: Before the surgical procedure, set up communication between the clinician
programmer and the IPG while the IPG is in its sterile packaging to ensure that it is
functional. If the IPG has never established communication with a programmer, you must
first activate the IPG for communication ("wake up" the IPG) by holding a magnet over the
IPG for 10 seconds.
Creating an IPG Pocket
The following steps outline the suggested procedure to create an IPG pocket:
1. Determine the site for the IPG, ensuring that the lead is long enough to reach the pocket and
provide a strain relief loop.

9
NOTE: Common sites for IPG implantation are along the midaxillary line, in the upper
buttock along the posterior axillary line (taking care to avoid the belt line), and in the area
over the abdomen just below the lowermost rib. To ensure a flat area is selected, you can
mark a flat area prior to the surgical procedure while the patient is in a sitting position.
CAUTION: Do not place the IPG deeper than 4.0 cm (1.57 in) because the clinician
programmer may not communicate effectively with the IPG.
2. Create the pocket so that the IPG is parallel to the skin surface and no deeper than 4.0 cm
(1.57 in) below the skin surface.
3. Insert and remove the pocket sizer to ensure that the pocket is large enough to
accommodate the IPG, allowing enough extra room for a strain relief loop for each lead or
extension.
Connecting a Lead or Extension to the IPG
The following steps outline the suggested guidelines to connect a lead or extension to the IPG:
WARNING: To avoid harming the patient or damaging the neurostimulation system,
ensure that any electrosurgery procedures are completed before connecting the leads
or extensions to the IPG.
CAUTION: Do not connect a lead or extension with body fluid or saline residue on its
contacts because corrosion can occur and cause failure of the system.
1. If any of the lead or extension contacts came in contact with body fluid or saline, thoroughly
clean the contacts with sterile deionized water or sterile water for irrigation and dry them
completely.
2. To help ensure that the lead or extension can be fully inserted into the IPG header, insert the
torque wrench through the septum on the IPG header, turn the torque wrench clockwise to
tighten the setscrew until the torque wrench clicks, and then loosen the setscrew again by
turning the wrench counterclockwise about 2.5 times.
CAUTION: Use only the torque wrench included in the extension, IPG, or torque
wrench kit. If you need to loosen the setscrew, turn the setscrew (in quarter turns
counterclockwise) just enough to insert or remove the lead or extension from the IPG
header. Retracting the setscrew too far may cause it to come loose and fail to secure
the lead or extension to the IPG.
CAUTION: To avoid sharply bending and damaging the lead or extension when
performing the following step, insert the lead or extension parallel with the header port.
Additionally, try grasping the lead or extension about 5 mm at a time from the opening
of the header port while inserting.
3. Using clean gloves, carefully slide the proximal end of the lead or extension into the IPG
header until it stops. Confirm that the lead or extension is correctly inserted by following
these visual indicators and referring to the corresponding figures that follow:
-For IPGs that connect to Abbott Medical leads or extensions, the first contact band (at
the tip) of the lead or extension extends slightly past the first header contact and is
visible, the windows between each of the header contacts are clear, and the ninth
contact band of the lead or extension is not visible.
-For IPGs with compatible headers, the windows between each of the header contacts
are clear and none of the contact bands are visible.

10
Figure 3. Correct versus incorrect insertion of the lead or extension (IPGs with Abbott Medical
leads or extensions)
Fully inserted
1. First contact band (tip) is visible past the
first header contact
2. Window between each header contact is
clear
3. Ninth contact band is not visible
Not fully inserted
4. First contact band (tip) is not visible past
the first header contact
5. Window between each header contact is
partially blocked by contact band
6. Ninth contact band is visible
Figure 4. Correct versus incorrect insertion of the lead or extension (IPGs with compatible
header)
Fully inserted
1. Window between each header contact is
clear
2. Eighth contact band is not visible
Not fully inserted
3. Window between each header contact is
partially blocked by contact band
4. Eighth contact band is visible
4. Use the clinician programmer app to communicate with the IPG, and test the impedance to
ensure that the lead or extension is fully inserted. See the clinician's manual for the clinician
programmer app for instructions.
5. Insert the torque wrench through the septum and tighten the setscrew, turning it clockwise
until the torque wrench clicks.
NOTE: After removing the torque wrench, check the septum to ensure it has closed. If the
septum did not close, gently reseat the septum flaps.

11
Figure 5. Tighten the setscrew clockwise
6. If implanting two leads, repeat the previous steps. If implanting a single lead only, insert the
header port plug into the unused port, and use the torque wrench to tighten the setscrew
until the torque wrench clicks.
Figure 6. Insert the port plug
Implanting the IPG
The following steps outline the suggested procedure to implant the IPG:
1. Place the IPG into the IPG pocket with the logo side facing the skin surface and at a depth
not to exceed 4.0 cm (1.57 in).
NOTE: By implanting the IPG with the logo side facing the skin surface, you enhance the
IPG's ability to detect a magnet.
2. Carefully coil any excess lead or extension behind the IPG in loops no smaller than 2.5 cm
(1 in) in diameter to provide strain relief for the lead or extension and IPG connection.
CAUTION: Do not bring the suture needle in contact with an IPG, lead, or extension, or
the component may be damaged.
3. To stabilize the IPG within the pocket, pass suture through the holes at the top of the IPG
header and secure it to connective tissue.
4. Check the entire system by fluoroscopy before closing to ensure proper positioning of the
lead or leads and that it is straight, with no sharp bends or kinks.

12
5. Use the clinician programmer app to communicate with the IPG and perform intraoperative
testing to confirm that the system is operational. See the clinician's manual of the clinician
programmer app for instructions.
NOTE: IPG output may not be identical to that of the trial stimulator at the same settings.
6. Ensure that the IPG is away from the pocket incision suture line, close the pocket incision,
and apply the appropriate dressings.
Replacing the IPG
The following steps outline the suggested procedure to replace an IPG:
1. Turn off stimulation or verify that it is turned off.
CAUTION: Exercise care when using sharp instruments or electrocautery around leads
or extensions, or they may be damaged.
2. Open the IPG implant site per normal surgical procedure.
3. Insert the torque wrench through the septum of the IPG header and loosen the setscrew by
turning it counterclockwise.
CAUTION: When performing the following step, do not bend the lead or extension
sharply; or it may be damaged.
4. Gently remove the lead or extension from the IPG header; then clean and dry all
connections, ensuring they are free of fluid and tissue.
5. To complete the IPG replacement procedure, see the following sections: “Connecting a Lead
or Extension to the IPG” (page 9) and “Implanting the IPG” (page 11).
Disposing of Explanted Components
Explanted Abbott Medical components should be returned to Abbott Medical for proper disposal.
To return an explanted component, place it in a container or bag marked with a biohazard label
and coordinate the return with your Abbott Medical representative or Technical Support.
Checking the Status of the IPG Battery
The IPG contains a nonrechargeable battery. The amount of time that the battery will provide
active stimulation depends on the patient’s stimulation settings and daily usage time. To check
the status of the IPG battery, use the clinician programmer app or patient controller app. For more
information about this function, refer to the clinician’s programming manual and the user’s guide
for the patient controller app. For information about estimating longevity of the IPG battery, see
the appropriate appendix in this manual.
NOTE: IPG battery status is available one day after first using the clinician programmer app
to program the IPG.
The following list provides general information about the battery status:
A low-battery warning will appear on the clinician programmer app or patient controller app
when the battery is approaching its end of service.
Stimulation will automatically stop when the battery cannot support stimulation.

13
Technical Support
For technical questions and support for your product, use the following information:
[phone] (toll-free within North America)
[phone]
For additional assistance, call your local Abbott Medical representative.
Appendix A: Product Specifications
NOTE: Not all models are available in all countries. Contact your local representative for
more information.
Storage Specifications
Store the components in this kit according to the following conditions.
Table 1. Storage conditions for components
Temperature -20°C–60°C (-4°F–140°F)
Product Materials
The following materials are intended to come into contact with tissue.
Table 2. Product materials for IPG kit
Component
Material
IPG
Titanium, silicone rubber
Pocket sizer
Polybutylene terephthalate
Port plug Polysulfone
NOTE: These components are not made with natural rubber latex.

14
IPG Specifications
The Proclaim™ IPGs have the following physical specifications.
Table 3. IPG specifications
Model
MRI Status
Upgradeabl
e Features,
Burst
Capable
Compatibl
e Header
3660 3662 MR
Conditional Yes No
3661 3663 MR Unsafe Yes Yes
3665 3667 MR Unsafe No No
Height 5.55 cm
(2.19 in)
6.68 cm
(2.63 in)
Length 4.95 cm
(1.95 in)
5.02 cm
(1.98 in)
Thickness 1.34 cm
(0.53 in)
1.35 cm
(0.53 in)
Weight 48.9 g (1.7 oz) 58.3 g (2.1 oz)
Volume 30.4 cm3
(1.9 in3)
38.6 cm3
(2.4 in3)
Power source Carbon monofluoride/silver
vanadium oxide cell
Connector
strength
10 N (Models 3660, 3662, 3665,
3667)
5 N (Models 3661, 3663)
Program storage
capacity 15 programs with 8 stim sets each

15
The IPG has the following operating parameters.
Table 4. Operating parameters for the IPG
Parameter
Tonic Range
Tonic Steps
Burst Range*
Burst Steps*
Pulse width 20–1000 µs 10 µs
(20–500 µs range)
50 µs
(500–1000 µs
range)
50–1000 µs 50 µs
Frequency 2–200 Hz 2 Hz — —
200–500 Hz
10 Hz
—
—
500–1200 Hz 20 Hz — —
Burst rate
frequency
— — 10–60 Hz 10 Hz
Intraburst
frequency
— — 250–500 Hz 10 Hz
500–1000 Hz 20 Hz
Amplitude 0–25.5 mA 0.1–1.0 mA 0–12.75 mA 0.05–0.50 mA
0–12.75 mA 0.05–0.50 mA
NOTE: Columns with * represent operating parameters for BurstDR™ stimulation programs
on IPGs capable of BurstDR stimulation mode.
NOTE: For each tonic program, you have the option to select the amplitude range. For
information on setting the amplitude range, see the clinician's programming manual for this
system.
NOTE: The number of stim sets in use for a tonic program governs the maximum frequency
(1200/number of stim sets).
NOTE: The maximum current depends on the impedance, frequency, and pulse width
settings.
Compatibility Guidelines for IPGs with Compatible Headers
IPGs with compatible headers are compatible with the following Medtronic‡ leads and extensions
available before May 5, 2015.
Table 5. Compatible Medtronic leads and extensions
Device
Model
Permanent lead 3776-45, 3776-60, 3776-75, 3876-45, 3876-60, 3876-75, 3777-45, 3777-60,
3777-75, 3877-45, 3877-60, 3877-75, 3778-45, 3778-60, 3778-75, 3878-45,
3878-60, 3878-75, 39286-30, 39286-65, 39565-30, 39565-65
Extension 3708120, 3708140, 3708160, 3708220, 3708240, 3708260, 3708320,
3708340, 3708360, 3876, 3877, 3878
WARNING: The use of Medtronic leads or extensions other than those specified in this
table may increase risk to the patient, including the potential for tissue damage.

16
Appendix B: System Components and Accessories
The Proclaim™ neurostimulation system includes the following components.
NOTE: Not all models are available in all countries. Contact your local representative for
more information.
NOTE: The model 3661 and 3663 IPGs are compatible only with the leads and extensions
listed in "Compatibility Guidelines for IPGs with Compatible Headers" (page 15). They are not
compatible with Abbott Medical leads and extensions.
IPGs
3660 Proclaim™ XR 5 implantable pulse generator
3661 Proclaim™ 5 implantable pulse generator
3662 Proclaim™ XR 7 implantable pulse generator
3663 Proclaim™ 7 implantable pulse generator
3665 Proclaim™ 5 implantable pulse generator
3667 Proclaim™ 7 implantable pulse generator
IPG Accessories
1101 Torque wrench
1111 Port plug
Programmers and Controllers
3874 St. Jude Medical™ Clinician Programmer App
3875 St. Jude Medical™ Patient Controller App
Programmer and Controller Accessories
1210 Patient magnet
3884 SCS patient manual and magnet
Leads and Extensions
3100-series percutaneous leads
3200-series paddle leads
3300-series extensions
Lead and Extension Accessories
1100-series stylets
1102 Guide wire for percutaneous leads
1103 Introde-AK™ lead introducer
1105 Lead anchor, butterfly
1106 Lead anchor, long
1109 Strain relief
1112 Tunneling tool, 12 in
1114 Epidural needle, 14 gauge, 4 in (10 cm)
1116 Epidural needle, 14 gauge, 6 in (15 cm)
1120 Tunneling tool, 20 in