Boston Scientific VERCISE DBS User manual

VerciseTM DBS
Charging
Handbook
91171709-11
Content: MP91171709-11 REV A
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Trademarks
All trademarks are the property of their respective holders.
Guarantees
Boston Scientic Corporation reserves the right to modify, without prior notice, information relating to its products in order to improve their
reliability or operating capacity.
Drawings are for illustration purposes only.
Additional Information
Refer to the appropriate Information for Patients DFU and Remote Control Handbook for additional instructions and information about your DBS
System. Refer to the Labeling Symbols document for an explanation of labeling symbols.
References to the Charging System or charging process are applicable only when using a rechargeable DBS Stimulator.
Contacting Boston Scientic
To contact Boston Scientic, see the “Technical Support” section of this manual.
Product Model Numbers
Model Number Product Name
DB-64125 Vercise Charging System
DB-6300-C Vercise Charging Collar Accessories
DB-6200-C Vercise Charging Collar, Small
DB-6100-C Vercise Charging Collar, Medium
NM-6350 Adhesive Kit
NM-5312 Charger
NM-5305 Base Station
NM-6305 Power Supply & Adapter For Charger (EU)

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Table of Contents
Introduction............................................................................................................................................................. 1
Using the Charging System................................................................................................................................... 2
Getting Set Up...............................................................................................................................4
Charging the Charger....................................................................................................................5
Understanding the Charger Sound Alerts......................................................................................7
Charging Your Stimulator ..............................................................................................................8
Using the Charging Collar .............................................................................................................9
Using the Adhesive Patch ........................................................................................................... 11
Properly Aligning the Charger .....................................................................................................12
Tips for Properly Aligning the Charger ........................................................................................14
Cleaning Instructions...................................................................................................................16
Technical Support ................................................................................................................................................ 17

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Introduction
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Introduction
The Boston Scientic Deep Brain Stimulation (DBS) System provides a reversible therapy that stimulates structures in the
brain with small electrical pulses. The Boston Scientic DBS System includes a rechargeable Stimulator that requires periodic
recharging. The Charging System allows you to recharge the Stimulator battery as needed.
The Charging System for the Stimulator consists of the Charger, a Base Station, and a Power Supply. The Charging System also
includes a Charging Collar that holds the Charger over the Stimulator.
This manual provides you with instructions for charging your Stimulator. We encourage you to read this and your other Boston
Scientic manuals entirely. If you have any questions, or need clarication on anything contained in this manual, contact
Technical Support.

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Using the Charging System
You should expect a daily recharging time of 5 to 30 minutes per day or a periodic recharging time of 30 minutes to 4 hours every
1 to 2 weeks. Your recharge routine may vary depending on your stimulation settings. Some stimulation settings will require more
frequent charging. Boston Scientic recommends any recharge routine that ts your schedule and lifestyle while maintaining
sufcient charge to maintain stimulation.
Developing a recharge routine involves nding the right balance between four factors:
●How much power is required to experience effective therapy
●How often you want to recharge
●How long you want to recharge
●How you would like to manage your personal schedule
The Boston Scientic DBS System’s programming software gives your healthcare provider a conservative recommendation for
how often to charge. This estimate assumes stimulation is on 24 hours per day, 7 days per week at the programmed energy
output level. While you may want to follow these recommendations, you and your physician can also develop an appropriate
charge routine that best ts your schedule.
The Remote Control provides an easy‑to‑view Stimulator battery meter on the Home screen and messages to inform you of the
battery’s condition. When the Remote Control indicates a low battery, the Stimulator should be recharged as soon as possible.
Failure to recharge may result in loss of stimulation. After stimulation stops, communication with the Stimulator will also stop until
the Stimulator is sufciently charged. Refer to your Remote Control Handbook for more information.

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The rechargeable Stimulator battery should provide at least ve years of service. In many cases, the Stimulator battery should
provide at least 25 years of service. Battery life is dependent on the stimulation settings and conditions.
Over time and with repeated charging, the battery in the Stimulator will lose its ability to recover its full capacity. As a result, the
Stimulator may require shorter intervals between charges. The Stimulator will need replacement when stimulation can no longer
be maintained with a routine charging.

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Getting Set Up
Check that you have received all the components included in your DB‑64125 Vercise Charging System (see Table 1). If any item
is missing, contact Technical Support for a replacement.
Table 1: Components of the Vercise Charging System
Label Description
ACharging Collar (2)
BBase Station (1)
CPower Supply (1) and Adapter (1)
DCounterweight (1)
E Charger (1)
F Charging Spacer (1)
Also, be sure you received your Patient Identication Card from your healthcare provider.
A B C
D E F

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Charging the Charger
The Charger contains a rechargeable battery that is used to recharge your Stimulator’s battery (see Table 2).
Cautions:
●Keep the Charging System dry. It should not be exposed to
moisture.
●Do not connect the Charger to any other device except to the
Base Station provided with it.
●Keep the Charging System away from pets, pests, and
children to avoid damage to the device.
To charge the Charger:
1. Find a convenient electrical outlet that will allow you to place
the Base Station on a clear, at surface and will not expose the
Charging System to water or direct heat.
2. Plug the Power Supply into a standard AC wall outlet.
3. Connect the Power Supply to the Base Station.
4. Place the Charger in the Base Station with the power button facing
up.
Note: The Base Station is designed to remain connected to a power outlet at all times. When it is not being used, keep the
Charger on the Base Station so that it is always ready to deliver a charge.
Table 2: Vercise Charger System Components
Label Description
APower Supply
B Charger
C Indicator Light
DPower Button
EBase Station

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The Charger is ready to fully charge your Stimulator when the Charger’s indicator light is green. If the indicator light is yellow, the
Charger can only partially charge the Stimulator. While the Charger may be used when the indicator light is yellow, it may not be
able to fully charge your Stimulator and you may need to charge sooner than usual.
Charger
Indicator Light Description
Green The Charger is fully charged and ready to charge the Stimulator.
Yellow The Charger is partially charged. The Charger may still be used, but it may not be able to fully
charge the Stimulator. To fully charge the Charger, place it in the Base Station.
Off The Charger is off – or – the Charger battery is empty. If pressing the Power Button does not
turn on the Charger, place the Charger in the Base Station to charge.
Charger Battery Service Life
The Charger battery has a typical service life of 500 charging cycles.

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Understanding the Charger Sound Alerts
The Charger emits different sounds to alert you of specic situations. Before you begin charging your Stimulator, it is important to
understand these sounds. The following chart describes what each sound means.
Sound Description
Repeated Single
Beep
The Charger is searching for your
Stimulator and is not properly aligned with
the Stimulator. Align the Charger as shown
in the “Properly Aligning the Charger”
section of this manual.
Repeated Double
Beep
The Charger has fully charged the
Stimulator battery. Turn off the Charger
and return it to the Base Station.

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Charging Your Stimulator
When charging, you must use the Charger with either the Charging Collar or an Adhesive Patch to hold the Charger over the
Stimulator. The Adhesive Patches are made of non‑reactive and natural Latex‑free material suitable for most sensitive skin types.
WARNINGS:
●Do not charge while sleeping. This may result in a burn.
●While charging, the Charger may become warm. It should be handled with care.
●Failure to use either the Charging Collar or an Adhesive Patch while charging may result in a burn. If pain or discomfort
is felt, stop charging and contact your healthcare provider.

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Using the Charging Collar
There are two lengths of the Charging Collar available (Small and Medium). If you need to order a different size Charging Collar
or a replacement Charging Collar, contact Technical Support.
1. When the indicator light is green, remove the Charger from the Base Station.
Note: Once the Charger is removed from the Base Station, the Charger indicator light will turn off regardless of the ready
status of the Charger.
2. If instructed to do so by your healthcare provider,
place the Charging Spacer at the back of the
pocket (Figure 1).
3. Place the Charger into the appropriate pocket on
the Charging Collar with the power button facing
out (Figure 1). If your Stimulator is on the right
side of your chest, place the Charger in the right
pocket. If the Stimulator is on the left side of your
chest, place the Charger in the left pocket.
4. If instructed to use the Charging Spacer, make
sure it is between the Charger and the back of the
pocket (Figure 1).
5. Place the Counterweight in the pocket opposite of the Charger.
Figure 1. Placing the Charger and the Charging Spacer in the Pocket

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6. Put the Charging Collar over your neck, with the pockets
facing out (Figure 2).
7. For best charging results, make sure the Charger is centered
over the Stimulator. If the Charger is not centered, charging
time may increase. See the “Properly Aligning the Charger” and
“Tips for Properly Aligning the Charger” sections of this manual
to ensure you center the Charger over the Stimulator. It is
recommended that you follow the instructions in both sections
the rst time you charge your Stimulator.
8. If the Charger is not centered over the Stimulator, you may
need to adjust the length of the Charging Collar using the
straps. Occasionally checking that the Charger is aligned over
the Stimulator during your charging session is recommended.
Note: TheChargingCollarcanbeplacedunderoroverclothing.Youshouldnotweartightttingorheavyclothingoverthe
ChargerwhilechargingtoallowairowaroundtheCharger.
Note: Do not use the Charging Collar when it is wet or damp.
Figure 2. Charging Collar Placed Over the Neck

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Using the Adhesive Patch
1. When the indicator light is green, remove the Charger
from the Base Station.
Note: Once the Charger is removed from the Base
Station, the Charger indicator light will turn off
regardless of the ready status of the Charger.
2. Apply the Adhesive Patch to the backside of the
Charger by peeling the clear liner from the patch and
applying the white side with the blue stripe to the rear of
the Charger (Figure 3).
3. Remove the skin side beige liner from the adhesive (only good for one xation).
4. For best charging results, make sure the Charger is centered over the Stimulator. If the Charger is not centered, charging
time may increase. See the “Properly Aligning the Charger” and “Tips for Properly Aligning the Charger” sections of this
manual to ensure you center the Charger over the Stimulator. It is recommended that you follow the instructions in both
sections the rst time you charge your Stimulator.
Note: Do not put the Charger directly on the skin (e.g., without an Adhesive Patch).
Figure 3. Peel the Clear Liner from the Adhesive Patch

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Properly Aligning the Charger
1. Press the power button. The indicator light will come on again,
and the Charger will begin beeping repeatedly to signal that it
is searching for the Stimulator.
2. Position the Charger over the Stimulator.
The beeping will stop when the Charger is partially aligned
with the Stimulator. For optimal charging, make sure the
Charger is centered over the Stimulator (Figure 4).
Charging time may increase if the Charger is not fully
aligned with the Stimulator. To fully align the Charger over
the Stimulator, position the bottom curve of the Charger
approximately 1 cm lower than the bottom curve of the
Stimulator.
If you are having trouble properly aligning the Charger or experiencing longer than normal charging times, see the “Tips for
Properly Aligning the Charger” section of this manual.
Figure 4. Position the Charger Over the Stimulator

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3. Secure the Charger over the Stimulator by aligning the Charging Collar, or by pressing the adhesive to the skin over the
Stimulator.
Note: If the Charging Collar moves out of alignment, or if the Adhesive Patch is accidentally located in the wrong place,
the Charger will start beeping again. Realign the Charging Collar, or use a new Adhesive Patch to place the Charger
back into the fully aligned position.
Note: Moving around while charging is acceptable, but be aware that the Charger must stay centered over the Stimulator
for proper charging. Excessive movement may cause the Charger and Stimulator to become misaligned.
4. When the Charger emits a distinct double beep, press the power button to turn off the Charger and check the Stimulator’s
battery with the Remote Control.
5. If the Stimulator is fully charged, remove the Charging Collar or Adhesive Patch from your body.
Note: Do not confuse the end of charge signal (a distinct double beep) with repeated beeping indicating misalignment.
6. Separate the Charger from the Charging Collar or Adhesive Patch.
Set aside the Charging Collar or discard the Adhesive Patch.
7. Return the Charger to the Base Station.

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Tips for Properly Aligning the Charger
If you are having trouble properly aligning the Charger or are experiencing longer than normal charging times, you can use the
following procedure to help you properly align the Charger.
1. Lightly press on your skin until you nd the implanted Stimulator.
2. Press the Power Button on the Charger. The Charger will begin
beeping repeatedly to signal that it is searching for the Stimulator.
3. Place the Charger to the left of the Stimulator.
4. Slowly move the Charger to the right, towards the Stimulator.
5. Stop moving the Charger when it stops beeping.
6. Make a mark on your skin with a soft‑tipped marker at the right
edge of the Charger (Figure 5).
7. Place the Charger to the right of the Stimulator.
8. Slowly move the Charger to the left, towards the Stimulator.
9. Stop moving the Charger when it stops beeping.
10. Make a mark on your skin at the left edge of the Charger
(Figure 6).
Figure 5. Right Edge Alignment of Charger
Figure 6. Left Edge Alignment of Charger

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11. Place the Charger above the Stimulator.
12. Slowly move the Charger down, towards the Stimulator.
13. Stop moving the Charger when it stops beeping.
14. Make a mark on your skin at the bottom edge of the Charger
(Figure 7).
15. Place the Charger below the Stimulator.
16. Slowly move the Charger up, towards the Stimulator.
17. Stop moving the Charger when it stops beeping.
18. Make a mark on your skin at the top edge of the Charger
(Figure 8).
The marks on your skin should create a square or crosshair. The
center of this crosshair indicates the center of the Stimulator.
19. Now that you have located the center of the Stimulator, properly
align the Charger over the Stimulator (Figure 9).
Figure 7. Top Edge Alignment of Charger
Figure 8. Bottom Edge Alignment of Charger
Figure 9. Proper Alignment of Charger

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Cleaning Instructions
Cleaning the Charger, Base Station, and Power Supply. The components can be cleaned using alcohol or a mild detergent
applied with a cloth or tissue. Residue from soapy detergents should be removed with a damp cloth. Do not use abrasive
cleansers for cleaning. Do not clean the Charger, Base Station, or Power Supply while they are connected to a power outlet.
Cleaning the Charging Collar. Hand wash the Charging Collar with mild soap and warm water. Do not machine wash the
charging collar. Let the Charging Collar air dry. Be sure to remove the Charger and Counterweight from the Charging Collar
before washing the Charging Collar.