NeuroNexus AVIH Unboxing and Implant Instruction Manual

Table of Contents

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Unboxing

Slowly lift the package and array up out of the holder and box, being mindful of the probe.

Attach Package IST-2mm Rod

Take the provided IST-2mm rod and thread it into the IST-Holder while holding the sides of the package.
If not using AVH/AVIH-IST probe inserter mount:
- Attach the IST-2mm rod to a stereotaxic arm.
- Once secure, lower the array down for implantation.

Attach IST-AVH/AVIH

Place IST-AVH/AVIH on the back side of the IST Holder.
Thread the two pieces together with two M2x4mm pan head Phillips screws, being mindful of the probe to prevent damage.

Mounting Probe to IST-AVH/AVIH

Following the PEG procedure, slide the probe onto the probe platform area.
Hold the probe in place until PEG hardens, securing the probe to the IST-AVH/AVIH.
Attach the IST-2mm rod to the stereotaxic frame. The probe is now ready for insertion, being mindful of the shanks of the probe to prevent damage.

Remove IST-AVH/AVIH

Release the probe from the AVH/AVIH-IST probe insertion mount following the PEG procedure.
Remove the two backside M2 pan head screws holding the IST-AVH/AVIH to the IST holder.
Carefully remove the IST-AVH/AVIH, ensuring that the probe is completely detached and being mindful of the probe to prevent damage.

Remove IST-Holder

If you need to remove the package from the stereotaxic frame and secure it to the skull with dental cement, you can remove the IST-holder.
Remove the two M2 screws holding the front plate on.
Carefully remove the front plate, making sure the package doesn’t fall out and ensuring a good handle on the front plate.

FAQ

Q: Where can I find general surgical guidelines and craniotomy instructions?
- A: You can find general surgical guidelines and craniotomy instructions here.
Q: What should I do if I need a replacement?
- A: Please reach out to your account manager to inquire about a replacement.

Read this manual carefully before planning your surgery.

This manual applies the following packages:

AVH64, AVIH64,AVH128, AVIH128, AVH256 and AVIH256

Examine the probe before opening the box.
Make sure the probe hasn’t broken free from the gel-film, or the package hasn’t freed itself from the shipping holder.
Note: Any damage one might see that has occurred before the box has been opened.
If there is visual damage, please document it with photos.
Then reach out to your account manager to see about replacement.

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Remove AVH/AVIH Package From Shipping Box

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A. Carefully remove any tape outside the box. NOTE: It is wise to discard the tape to prevent it accidentally sticking to the polyimide cable.
B. Open the box slowly. Before removing the probe, remove the film over the green gel-film (highlighted red) holding the probe in place. Do not remove the probe until the film has been removed.
C. Remove the M2 screw holding the package in the L-shipping bracket. Do not leave the screw in the bottom of the box as this could lead to damaging the probe. Before removing the package from the box, using a flat tweezer, carefully pry the probe so it is free from the gel-film. Be mindful of the probe so it doesn’t crash into the side of the box.
D. Grip the sides of the package (see blue arrows) and with flat tweezers hold the cable just above the probe (see blue arrow).
E. Slowly lift the package and array up out of the holder and box. Be always mindful of the probe.

Attach IST-AVH/AVIH

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A. Place IST-AVH/AVIH on back side of IST Holder
B. Thread the two pieces together with two M2x4mm pan head Phillips screws. NOTE: Be always mindful of the probe at all times, lessening the chance of it getting damaged.

Mounting Probe to IST-AVH/AVIH

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A. Following the PEG procedure, slide the probe on to the probe platform area.
B. There, one will hold in place the probe until PEG hardens securing the probe to the IST-AVH/AVIH.
C. When probe is securely in place, one can attach the IST-2mm rod to stereotaxic frame. Now probe is ready for insertion. NOTE: Be always mindful of the shanks of the probe at all times, lessening the chance of it getting damaged.

Remove IST-AVH/AVIH

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A. Release the probe from the AVH/AVIH-IST probe insertion mount, by following the PEG procedure.
B. Remove the two backside M2 pan head screw holding the IST-AVH/AVIH to IST holder.
C. Once screws are moved, carefully remove the IST-AVH/AVIH. Make sure the probe is completely detached.
- NOTE: Be always mindful of the probe at all times, lessening the chance of it getting damaged.

Remove IST-Holder

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A. If one must remove the package from the stereotaxic frame and would like to secure the package to the skull with dental cement, the IST-holder can be removed.
B. Remove the two M2 screws holding the front plate on.
C. Once those are removed then the front plate can be removed. Make sure that package doesn’t fall out. Also make sure you have a good handle on the front plate as you don’t want to drop it and have it crash into your implanted probe.
D. Holding the package, press on the IST-Holder carefully so that it pops out and away from the package. Now, the package can be secured to the skull using whatever approved in-house method.

NeuroNexus Technologies, Inc.