Stimulators - Serenity Surgical

Trial Spinal Cord Stimulator

Nothing to eat or drink for 4 hours prior to procedure
Arrive 30 minutes before the scheduled procedure time
You MUST have a driver. Your driver can stay in our waiting room when you go back into pre-op
Masks are required in our facility. If you don’t have one, we will give you one when you arrive
Wear loose clothing preferably without any metal buttons or zippers because of the X-ray machine.
We ask that you shower the night before or the morning of to ensure cleanliness of the area
HOLD NSAIDs- See button for medications to hold on your right
If you begin to show any signs or symptoms- cough, fever, sore throat, shortness of breath or have been exposed to anyone showing symptoms or diagnosed with Covid-19, YOU MUST cancel this procedure.

You may resume your normal diet after the procedure
Keep dressing dry and intact.
No showers or baths – sponge bath only
No twisting or turning.
No lifting.
Follow your pain carefully between visits so you may report your progress to your physician.
You may restart your previously prescribed or over the counter medications.
Continue to hold the NSAIDS and Blood thinning medications until the day after removal of instrumentation.
Start your oral antibiotics the day after the procedure, as prescribed and finish completely.
If you have discomfort, you can take Tylenol or your prescribed pain medication as long as it is not an anti-inflammatory medication.
Hold all anti-inflammatory medication (i.e. Aspirin, Ibuprofen, Aleve, Advil, Excedrin, Mobic, etc) until the day after removal of instrumentation.
No Driving while your trial stimulator is in place.
No alcohol
Rest today, then increase activity as tolerated per your physician’s instructions.
You will be given a script for antibiotics, please take appropriately and finish script.
Notify our office immediately if you experience any:
Persistent abnormal bleeding
Headache, fever, or chills
Persistent Nausea or vomiting
Persistent pain unrelieved by medications.
Redness, swelling or any other signs of infection

Nothing to eat or drink for 4 hours prior to procedure
Arrive 30 minutes before the scheduled procedure time
You MUST have a driver. Your driver can stay in our waiting room when you go back into pre-op
Masks are required in our facility. If you don’t have one, we will give you one when you arrive
Wear loose clothing preferably without any metal buttons or zippers because of the X-ray machine.
We ask that you shower the night before or the morning of to ensure cleanliness of the area
HOLD NSAIDs- See button for medications to hold on your right
If you begin to show any signs or symptoms- cough, fever, sore throat, shortness of breath or have been exposed to anyone showing symptoms or diagnosed with Covid-19, YOU MUST cancel this procedure.

You may resume your normal diet after the procedure
Keep dressing dry and intact.
No showers or baths – sponge bath only
No bending, stretching, twisting or turning.
Do not sleep on your stomach.
No lifting or raising arms above your head.
No driving for 1 week.
Follow your pain carefully between visits so you may report your progress to your physician.
You may restart your previously prescribed or over the counter medications.
Discuss with Doctor how long to hold any NSAIDS or prescription blood thinning medications after implant.
If you have discomfort, you can take Tylenol or your prescribed pain medication as long as it is not an anti-inflammatory medication.
No alcohol
Rest today, then increase activity as tolerated per your physician’s instructions.
You will be given a script for antibiotics, please take appropriately and finish script.
Notify our office immediately if you experience any:
Persistent abnormal bleeding
Headache that persists after 48 horus.
Persistent nausea and/or vomiting.
Worsening numbness or loss of strength.
Fever over 101 degrees.
Persistent pain unrelieved by medications.
Redness, swelling or any other signs of infection.

Nothing to eat or drink for 4 hours prior to procedure
Arrive 30 minutes before the scheduled procedure time
You MUST have a driver. Your driver can stay in our waiting room when you go back into pre-op
Masks are required in our facility. If you don’t have one, we will give you one when you arrive
Wear loose clothing preferably without any metal buttons or zippers because of the X-ray machine.
We ask that you shower the night before or the morning of to ensure cleanliness of the area
HOLD NSAIDs- See button for medications to hold on your right
If you begin to show any signs or symptoms- cough, fever, sore throat, shortness of breath or have been exposed to anyone showing symptoms or diagnosed with Covid-19, YOU MUST cancel this procedure.

Limit strenuous physical activity & motion (such as twisting, bending, climbing, lifting) near the implant for at least one week. Avoid excessive stress (tugging, pressure, heat) that may damage the stimulation system.
You may resume exercise and/or physical therapy when directed by your doctor.
Do not use the system while driving, operating machinery, or during any activity in which sudden muscle tension may put you at risk of injury.
Never soak the exit site in water. It is okay to shower. Always remove the Pulse Generator (stimulator) and Mounting Pad from your body and keep the Waterproof Bandage over your exit site when showering.
Review the Warning: Precautions & Risks section in the Patient Instructions for Use for potential hazards that may cause injury, discomfort, or damage to your system. Examples include MRI & diathermy.

Make sure that the Pulse Generator is snapped onto a Mounting Pad. The entire surface of the Mounting Pad must be in contact with your skin. Check that all cables are firmly connected.
Turn stimulation ON for the following amount each day (check one):6-12 hours OR 24 hours
If stimulation feels uncomfortable or painful, decrease the intensity to a level that is comfortable.
Replace & recharge the Pulse Generator battery when the battery icon on your remote shows 1 bar
Always have one battery charging in the Recharging Base so that you never miss your daily therapy.

A MicroLead (thin, thread-like wire) exits your skin under the Waterproof Bandage. Do not pull on it.
Change the Waterproof Bandage & Cradle when they become soiled, damp or no longer adhere well to the skin (about every 4-5 days). Take care when removing these to prevent pulling the Microlead out.
Clean skin under the bandage with mild soap & water OR wipe skin with an alcohol pad. Allow skin to dry.
When placing a new bandage, make sure that no part of the adhesive touches the MicroLead or Connector.
Review the Changing the Bandage and Cradle section of the QUICK START GUIDE for detailed instructions.
Check the skin under the bandage for redness, swelling, drainage, or bleeding during bandage changes.
If any of these signs are present, or if your MicroLead(s) pull out, notify your doctor and an SPR Therapeutics representative.

Review the QUICK START GUIDE and the Appendix B: Troubleshooting section in the Patient Instructions for Use for assistance with your device.
Additional instructional videos and patient resources are available at the SPR Therapeutics website: http://www.sprtherapeutics.com/quickstart
If you are running low on any supplies, or if you need help with other questions, problems or errors on your remote, please call an SPR Therapeutics representative.