Class 2 Device Recall InterStim (TM) System. hVmO8+j-oVH%v!Rno"dR/6M]q&PeY3gI"C%L)|"=9}Hp9>.H/)")KK0 AI>sOX$fEF\E\y [> 301 0 obj <> endobj Home Tell the physician who prescribed your MRI scan that you have an implanted neurostimulation system. HVI[1S#gUY9g- A7 RO$Z2NKHo-^]w_EjX1]2gm]dMj-Bm&*y, tum.5vam.q 6eHAUIIv1^xl-C`;"%Wl 0HC8h~cL! 0000010503 00000 n 0000018755 00000 n 0000010323 00000 n Medicare and many other private insurance companies cover Medtronic Bladder Control Therapy. InterStim systems are the standard of care in advanced therapy options . 0000010041 00000 n 0000018493 00000 n How sacral nerve stimulation neuromodulation works. Patients <> 0000018911 00000 n Home Aside from the aforementioned medical conditions, there is no shortage of people with urinary tract infections (UTIs). The Subcutaneous Electro-optical Crystal (SEC) has an electro-optical crystal that changes refractive indexes depending on the applied E-field. 0000028229 00000 n Copyright 2023 by Shellock R & D Services, Inc. and Frank G. Shellock, Ph.D. All rights reserved. These therapies are not for everyone. "Countless people suffer from symptoms of bladder and bowel control conditions and thanks to significant recent technology advancements, SNM therapy is becoming a more popular option for patients," said Jannah H. Thompson, M.D., FPMRS, president of the Society of Women in Urology, and urologist at Urologic Consultants in Grand Rapids, Michigan. 0000009458 00000 n Treatments & Therapies InterStim systems are the standard of care in advanced therapy options, and the most personalized system, to deliver sacral neuromodulation (SNM) therapy. The Medtronic Model A510 Clinician application (app) is intended for use with the HH90 Handset and TM90 Communicator to program, adjust, and troubleshoot the Medtronic Models 3023 and 3058 InterStimu001d neurostimulators for sacral neuromodulation therapy. These instructions do not apply to other implantable products, or other devices, products, or items. 0000008350 00000 n 0000025529 00000 n Sacral Neuromodulation Systems See approved labeling for details. United States Census Bureau Web site. The Medtronic 3058 Interstim II system delivers sustained improvements in quality of life for people with overactive bladder (OAB), non-obstructive urinary retention, and chronic fecal incontinence (FI). The Medtronic 3058 Interstim II system delivers sustained improvements in quality of life for people with overactive bladder (OAB), non-obstructive urinary retention, and chronic fecal incontinence (FI). 323 0 obj <>/Filter/FlateDecode/ID[<28836736925E656CEC1D4A45F6B26EFC><9F3AF6A1190447458124BACAF1002E60>]/Index[301 49]/Info 300 0 R/Length 113/Prev 1197727/Root 302 0 R/Size 350/Type/XRef/W[1 3 1]>>stream 0000003363 00000 n Its also important to note that the updated label is the result of several years of collaborative effort between Medtronic, the Medicines and Healthcare products Regulatory Agency (MHRA), and other MRI device manufacturers. It uses an implanted stimulator to deliver electrical pulses through a lead wire to electrodes located near the sacral nerve. The implanted InterStim II system electrically stimulates the sacral nerve, which is thought to normalize neural communication between the bladder and brainand between the bowel and brain.1,2, Medtronic Bladder Control Therapy In addition to risks related to surgery, complications can include pain at the implant sites, new pain, infection, lead (thin wire) movement/migration, device problems, interactions with certain other devices or diagnostic equipment such as MRI, undesirable changes in urinary or bowel function, and uncomfortable stimulation (sometimes described as a jolting or shocking feeling). Information on this site should not be used as a substitute for talking with your doctor. Contact your pain specialist to: See if you can safely undergo the type of MRI scan prescribed. Medtronic Interstim 3058 MRI Safety MRI of the hand MRI of the hand can be safely carried out with the Medtronic Interstim II device. "; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Cambria; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-fareast-language:JA; mso-no-proof:yes;} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-size:10.0pt; mso-ansi-font-size:10.0pt; mso-bidi-font-size:10.0pt; font-family:Cambria; mso-ascii-font-family:Cambria; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"?? The FDA approved the long-lived, rechargeable, full-body MRI compatible Axonics r-SNM System in late 2019, with the first commercial sales occurring in November 2019 . 0000009993 00000 n In fact, many of them might be considering the InterStim in the near future. He or she works closely with the MR medical director and MR safety officer. Some of these interactions, especially heating, are potentially hazardous and can lead to serious or permanent patient injury. In order to ensure safety in MR facilities, all personnel involved must understand safety procedures and be willing to communicate with each other. The new guidelines add to Medtronics existing MRI label, which includes a comprehensive MRI Safety Guidance. Medtronic Operational Headquarters 710 Medtronic Parkway Minneapolis, MN 55432-5640 USA, Recharge-free neurostimulator for bladder and bowel control, Central/Eastern Europe, Middle East & Africa, Electromagnetic Compatibility Guide for Cardiac Devices, Electromagnetic Compatibility for Cardiac Devices, California Transparency in Supply Chains Act, Information About Proposition 65 for California Customers, Digital Millennium Copyright Act (DMCA) Notification, Connects directly to the lead, eliminating need for an extension, Accommodates three lead sizes: 28 cm, 33 cm, and 41 cm, Compatible with a lead insertion indicator in the lead, Incorporates radiopaque identification of manufacturer and model number, Allows full-body MRI scans for patients who need them*, InterStim SureScan MRI lead model 978B1. 0000002333 00000 n It's exciting to tell patients about the personalized, discreet, smart tech-enabled InterStim choices they now have for long-term relief. However, it is important to consider the risk posed by your specific MRI scan parameters. Powered by our diverse knowledge, insatiable curiosity, and desire to help all those who need it, we deliver innovative technologies that transform the lives of two people every second, every hour, every day. endstream endobj 305 0 obj <>stream 0000027823 00000 n MRI mode is easy for patients to independently activate or deactivate on the smart programmer. 2005;8(4)495-505.8Yeaw J, Benner JS, Walt JG, Sian S, Smith DB, et al. 0000006985 00000 n The following information describes the potential interactions and control measures that should be taken to minimize the risks from these interactions. These components are well depicted on a standard radiograph. 0000013017 00000 n 2009;15(9):728-740. 0000011431 00000 n If using an MRI SureScan device, see the MRI SureScan technical manual before performing an MRI. Bolder actions. This contraindication was due to heating of the electrodes, which could damage neural tissue. 0000016018 00000 n Methods. Gastroenterology. For more information on Medtronic (NYSE:MDT), visit www.Medtronic.comand follow @Medtronic on Twitter and LinkedIn. These treatments are prescribed by your doctor. Prevalence and burden of overactive bladder in the United States. H\V7+KJ}Rs%0+JiRJ!sC[ySsLj5I/y]bqUG22&~[kWq4 @|K 0,.KKm[[E|B~\'[$NX!c3g{1-AbgQ`(3#DKp~y7GxR"X dq&+iUXN}YE2Q1G,Zr~8u"O{th8V*UQQZ [Ib"t/ hWy/__/~~r|?V%Kwp>#}TXXTP3gT9!yka X1'J$z"+vn~[i S+~nhaRUn+k]SY *%4rv),^-u`3t8qgtsm,).c3Dn #,3iP'[. 9850 NW 41st Street, Suite 450, Doral, FL 33178 MRI of the lumbar and pelvic regions with the Medtronic Interstim II (model 3058) stimulator has been shown to be safe. Magnetic Resonance Imaging (MRI) Guidelines for the Axonics System. 0000014674 00000 n 0000041486 00000 n Contact Medtronic at the appropriate address or phone number listed at the back of this manual if you have any questions. 756 0 obj December 16, 2015.7Yu YF, Nichol MB, Yu AP, et al. The Interstim II device can be safely scanned at 1.5 T. 0000006657 00000 n Serial numbers ineligible for MRI scans (Model 3023 Neurostimulator only) Due to increased risk of neurostimulator damage, patients implanted with InterStim Model 3023 Neurostimulators with the following serial numbers should not have MRI scans: ? Your use of the other site is subject to the terms of use and privacy statement on that site. 0000012800 00000 n JbN}&Kt]FV~Uj_JK p a4! :}\ UxIM#ufX'z4WcHqFtEmXO0Su_[q/]&SZhz19>uK$V4} 1 kG,M^jaRv,gIvO& +x4pU.Vw 33/Ax/M>s["-89@ S$}D l~v626Zr 6o2ulSs?z=^!e/(k&zbxgn-p]o`vl@mv9670>=/o.HU}d~z6X{icp{y X]_ Medtronic plc, headquartered in Dublin, Ireland, is the leading global healthcare technology company that boldly attacks the most challenging health problems facing humanity by searching out and finding solutions. 0000016410 00000 n Medtronic Bladder Control Therapy delivered by the NURO system treats overactive bladder and associated symptoms of urinary urgency, urinary frequency, and urge incontinence. Manuals can be viewed using a current version of any major internet browser. This therapy is not intended for patients with pacemakers or implantable defibrillators, patients prone to excessive bleeding, patients with nerve damage that could impact either percutaneous tibial nerve or pelvic floor function, or on patients who are pregnant or planning pregnancy. b Power-on-reset (POR) turns OFF stimulation by resetting the amplitude to 0.0 V and all electrodes to OFF. Urological 0000027688 00000 n ?? 2013;100:959968. 0000018547 00000 n These instructions do not apply to other implantable products, or other devices, products, or items. 0000011240 00000 n Rh)b#0a(Z)#!H Bb*acH@L Q 9 , p043/aeSe3JEANr3>-u8wFXGp. 0000009089 00000 n If you are a doctor, you should be familiar with MRI safety guidelines. ", More than 37 million adults in the United States almost one in six suffer from overactive bladder (OAB),1,2 and nearly 18 million Americans about one in 12 are living with fecal incontinence.3,4 Many sufferers limit their lives socially, professionally, and personally.5 However, as many as 45% who suffer from symptoms do not seek treatment and as many as seven in 10 stop using medications within six months due to intolerable side effects or unsatisfying results.6,7,8. If this patient is implanted with an InterStim II Model 3058 Neurostimulator or an eligible serial number of an InterStim Model 3023 Neurostimulator (when implanted as a system including a neurostimulator, lead, and extension as applicable), MRI examinations of the head only may be safely performed under the following conditions: Under certain conditions; see approved labeling for details. 0000017893 00000 n trailer 2013;100:959968. The latest InterStim is a small, discreet device, making it a safe option for many. Products neurostimulator will provide stimulation at programmed settings before requiring recharge). Leng WW, Chancellor MB. Available at: https://www.census.gov/quickfacts/table/ PST045215/00. Less information (see less). This site is Exclusively Sponsored by BRACCO. 0000007197 00000 n Copyright 2022 / interstim.net - All rights reserved! Bladder Control trailer Br J Surg. 0000025277 00000 n 0000000016 00000 n 0000016308 00000 n World J Urol. This includes a new B1+rms technology for 1.5Tesla scans, and an updated label that adds more flexibility to clinicians practices. 0000013304 00000 n 0000008954 00000 n {eH3zAsW[@9]E.}(ku4}0g{QsyzIOurFvDlM/6H7h*0ZZ5wp8'J={Z6yWkitXLq}l~Ke*Ra{6W"%{.N" %]B&m}AO_= W#aW&0]rPN1uyee9nOO(t.D00 1poJMWQBw)snRadpx.-` Z 0000014881 00000 n xref MRI safety guidelines from Medtronic have expanded the range of scan parameters that clinicians can use to provide patients with a comprehensive, reliable, and safe MRI experience. endobj 0000005846 00000 n InterStim Therapy for Urinary Control (Medtronic, Inc., Minneapolis, MN), Neurostimulation System, Non-clinical testing has demonstrated that InterStim Therapy, systems have been found to be MR Conditional. 0000016362 00000 n hb```b``^d(31 PCAed a2(m``_XA -cMt8{}*[e%A*AN)O0!!6FIIeAaRE#,XMtabX;'1wjg t7eD,zorsaR; ;@xR+ J Manag Care Pharm. 884 0 obj In August 2020, the FDA approved the InterStim Micro neurostimulator and InterStim SureScan MRI leads for the treatment of patients with bladder and bowl control conditions. This small electro-optical device is not only a cool-looking device, but it does not affect the quality of your MRI images. <<643BDC4F02F463BA264A9A2366C35000>]>> 0000007038 00000 n 0000011083 00000 n Proprietary Overdrive battery technology that offers more than 15 years of battery life with regular recharging once a month, and the smallest, most powerful rechargeable SNM device on the market. 0000023719 00000 n 0000012610 00000 n ?? 0000007625 00000 n Connects directly to the lead, eliminating need for an extension Accommodates three lead sizes: 28 cm, 33 cm, and 41 cm Compatible with a lead insertion indicator in the lead 2005;32:11-18. ?? The Interstim II device can be safely scanned at 1.5 T. However, to safely achieve this feat, it is important to choose a suitable coil, use a corresponding hand coil, and position the patient in a way that minimizes the likelihood of heating. The recharge-free InterStim neurostimulator streamlines the implant procedure with a design that eliminates the need for the lead extension and uses fewer set screws. 0000018863 00000 n Eight MRI examinations at 1.5 Tesla were conducted in areas outside the pelvis on six patients with implanted sacral nerve stimulator (InterStim neurostimulator; Medtronic, Inc, Minneapolis, MN, USA). . Several precautions should be taken, including selecting the appropriate coil and positioning the patient outside the MRI scanner room. For applicable products, consult instructions for use onwww.medtronic.com/manuals. Connects directly to the lead, eliminating need for an extension Accommodates three lead sizes: 28 cm, 33 cm, and 41 cm Compatible with a lead insertion indicator in the lead 0000004494 00000 n Home See the device manual for detailed information regarding the instructions for use, indications, contraindications, warnings, precautions, and potential adverse events. Copyright 2023 by Shellock R & D Services, Inc. and Frank G. Shellock, Ph.D. All rights reserved. For further information, contact your local Medtronic representative and/or consult the Medtronic website at medtronic.eu website. 0000015970 00000 n ' a9.aacz3CSoTz)_%v Considering that the InterStim is a ubiquitous presence in the bladder department, MRI safety is a must. 0000010287 00000 n 0000008245 00000 n Shipping, operating, and power-on-reset (POR) values for the Medtronic InterStim II Model 3058 Neurostimulator a. a All values are approximate. 0000015308 00000 n However, if the conditions for safe MRI are You must demonstrate an appropriate response to the evaluation to be a candidate. The manufacturers sterilize the products after they are packaged and it lasts so many years. POR can occur when there is a temporary fluctuation in battery voltage (eg . Medtronic Bladder Control Therapy delivered by the InterStim system treats urinary retention (inability to completely empty the bladder) and the symptoms of overactive bladder, including urinary urge incontinence (leakage) and significant symptoms of urgency-frequency. Regulatory Statements 2. "; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Cambria; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-fareast-language:JA;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.WordSection1 {page:WordSection1;} --> www.medtronic.com/mri. 0000006555 00000 n 0000011192 00000 n 0000018445 00000 n Pelvic floor disorders network. ATTENTION: READ THE FULL LABELING FOR THIS INFORMATION BEFORE CONDUCTING AN MRI EXAMINATION IN A PATIENT WITH THIS DEVICE. 0000010599 00000 n xref @J9z6{,RLZtR!zbh*8 l2azr&_4=OG$Vkwy?5 P&Dg*[@K6WrqFKe]3 World Population Prospects: The 2010 Revision, CD-ROM Edition.3Whitehead WE, Borrud L, Goode PS, et al. a)&|@a3ix g].3&^.jFMO5a 1.5T and 3T upper and lower extremity MRI scans. - (06:31), A video of how the InterStim II system electrically stimulates the sacral nerve for bladder control therapy. This unintended stimulation may be uncomfortable (e.g., tingling, shocking, or jolting). For further information, please call Medtronic at 1-800-328-0810 and/or consult Medtronics website at www.medtronic.com. Healthcare Professionals 0000018055 00000 n 0000014626 00000 n Medtronic 3058 Interstim II Neurostimulator for Bladder and Bowel Control. Adverse events are typically temporary, and include mild pain, minor inflammation and bleeding near treatment site. This is important, as there are some very serious consequences if you are not aware of the right procedures to follow. 0000012617 00000 n Shellock R & D Services, Inc. email: Frank.ShellockREMOVE@MRIsafety.com. ?? 0000000016 00000 n View MRI guidelines in the MRI Resource Library. The Interstim system contains the aforementioned smart programmer, as well as a subcutaneous pulse generator (SPG) threaded through the S3 neural foramen. 0000014402 00000 n Expiration dates have mostly to do with sterilization and not the integrity of the product. Please talk to your doctor to decide whether these therapies are right for you. Some of these interactions, especially heating, are potentially hazardous and can lead to serious or permanent patient injury. With an updated browser, you will have a better Medtronic website experience. endstream endobj startxref Leng WW, Chancellor MB. 0000012014 00000 n More information (see more) 0000016814 00000 n Learn how to turn the InterStim neurostimulator on and off with a Interstim iCon programmer.If you've tried other treatments but are still suffering from bla. startxref InterStim II. It is possible that some of the products on the other site are not approved in your region or country. 0000009598 00000 n Y{p._(u[(|{-[=Wbx7TJCvSVvjiTB.|Ug`~w|#U5IkGYdh38Y. Proprietary 5th generation battery chemistry that offers more than 10 years of battery life without the need to recharge, providing patients with more freedom and less maintenance. %PDF-1.4 % REFERENCE