0000009182 00000 n endstream endobj 307 0 obj <>stream The purpose of the MR safety expert is to minimize risk and optimize scan plans. (8^T?Z$$0r Some of these interactions, especially heating, are potentially hazardous and can lead to serious or permanent patient injury. I~!#N*~aw+*EtOb_WF[#NEf0S)$9>! 0000023020 00000 n Considering that the InterStim is a ubiquitous presence in the bladder department, MRI safety is a must. 0000006501 00000 n b Power-on-reset (POR) turns OFF stimulation by resetting the amplitude to 0.0 V and all electrodes to OFF. The Interstim II device can be safely scanned at 1.5 T. However, to safely achieve this feat, it is important to choose a suitable coil, use a corresponding hand coil, and position the patient in a way that minimizes the likelihood of heating. 0000002263 00000 n 2013;100:959968. In addition, a thorough investigation must be conducted before any MR equipment is placed in a facility. MRI systems generate powerful electromagnetic fields that can produce a number of interactions with implanted components of the neurostimulation system. 0000004494 00000 n You may choose to re-enter your serial number, or contact Medtronic at one of the numbers below: Information for Healthcare Providers US Technical Services Department. How sacral nerve stimulation neuromodulation works. Magnetic Resonance Imaging (MRI) Guidelines for the Axonics System. 0000024733 00000 n <<643BDC4F02F463BA264A9A2366C35000>]>> Medtronic plc, headquartered in Dublin, Ireland, is the leading global healthcare technology company that boldly attacks the most challenging health problems facing humanity by searching out and finding solutions. 0000006231 00000 n xUMHTQ=gS?X J"!sR$$JQH]"(AAPHm@D1DE6y|#Asw;J Copyright 2022 / interstim.net - All rights reserved! The Interstim II device can be safely scanned at 1.5 T. 0000006023 00000 n Contact Medtronic at the appropriate address or phone number listed at the back of this manual if you have any questions. InterStim II. 0000015970 00000 n 0000006657 00000 n Aside from the aforementioned medical conditions, there is no shortage of people with urinary tract infections (UTIs). 2013;100:959968. Ll2@108 The Axonics Sacral Neuromodulation (SNM) System is a sacral nerve stimulation (SNS) system that is intended to treat urinary retention and the symptoms of overactive bladder. THE LATEST INFORMATION MAY BE OBTAINED FROM www.medtronic.com/mri MRI and InterStim Therapy It is important to read this information in its entirety before conducting a magnetic resonance imaging (MRI) head scan on a patient with any implanted component of a Medtronic InterStim Therapy neurostimulation system. United States Census Bureau Web site. MRI: Testing of the VOCARE Bladder System/Finetech-Brindley Bladder System (Vocare) in a 1.5-Tesla scanner with a maximum spatial gradient of 450 gauss/cm or less, exposed to an average Specific Absorption Rate (SAR) of 1.1 W/kg, for a 30 minute duration resulted in localized temperature rises up to 5.5?C in a gel phantom (without blood flow . 756 129 View MRI guidelines in the MRI Resource Library. Shellock R & D Services, Inc. email: Frank.ShellockREMOVE@MRIsafety.com. 0000010551 00000 n 0000003937 00000 n 0000013304 00000 n Please talk to your doctor to decide whether these therapies are right for you. 0000014626 00000 n 2. These therapies are not for everyone. Hg1}Y@d3}quQ D~+ If you are a doctor, you should be familiar with MRI safety guidelines. 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: - 1.5-Tesla (T) horizontal closed bore - Maximum spatial gradient of 19 T/m (1900 gauss/cm) - RF transmit/receive head coil only (no RF transmit body coil) - Gradient slew rate limited to 200 T/m/s - Normal operating mode (Scanning frequency of approximately 64 MHz only) - If possible, do not sedate the patient - Model 3058 and eligible Model 3023 Neurostimulators: Turn the neurostimulator off - Eligible Model 3023 Neurostimulators only: Disable the magnet switch Scanning under different conditions may result in severe patient injury or device malfunction. Exercise caution for patients with heart problems. 0000023719 00000 n 0000011736 00000 n hVmO8+j-oVH%v!Rno"dR/6M]q&PeY3gI"C%L)|"=9}Hp9>.H/)")KK0 AI>sOX$fEF\E\y [> MRI of the lumbar and pelvic regions with the Medtronic Interstim II (model 3058) stimulator has been shown to be safe. Available at: https://www.census.gov/quickfacts/table/ PST045215/00. This is important, as there are some very serious consequences if you are not aware of the right procedures to follow. Leng WW, Chancellor MB. 0000008245 00000 n 0000006555 00000 n 1-(800)-723-4636 (Tachy) 1-(800)-505-4636 (Brady) International Technical Centers. 0000009598 00000 n If you have an implanted neurostimulator and are going to undergo an MRI scan, you should take the following steps: 1. Due to increased risk of neurostimulator damage, patients implanted with InterStim Model 3023 Neurostimulators with the following serial numbers should not have MRI scans. This unintended stimulation may be uncomfortable (e.g., tingling, shocking, or jolting). 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). 0000009317 00000 n It is safe and effective. 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). Medtronic Bladder Control Therapy delivered by the NURO system treats overactive bladder and associated symptoms of urinary urgency, urinary frequency, and urge incontinence. 0000009912 00000 n Fecal incontinence in US adults: epidemiology and risk factors. %%EOF by Model Number (such as 9528, 3875-45, 305U219, ENSP30030W) by Product Name (such as Revo MRI, SynchroMed, Endeavor, Mosaic, Delta, InterStim) by Device Type (such as pacemaker, stent, otology implants, drug pump) Warning: Do not use magnetic resonance imaging (MRI) on a patient who has an implanted device until you review the following: ", "We're on a mission to expand access to proven nerve stimulation therapies through technology advancements like InterStim X, InterStim Micro, SureScan MRI technology and the smart programmer, by offering patients personalized therapy options and by reaching them through direct-to-consumer marketing," said Mira Sahney, president of the Pelvic Health business, which is part of the Neuroscience Portfolio at Medtronic. The Subcutaneous Electro-optical Crystal (SEC) has an electro-optical crystal that changes refractive indexes depending on the applied E-field. ?? 0000027856 00000 n 0000011192 00000 n 0000124808 00000 n 0000010222 00000 n 0000018245 00000 n The Medtronic InterStim II Model 3058 Neurostimulator is used with a lead and the Medtronic InterStim Model 3023 Neurostimulator is used with a lead and an . 0000012969 00000 n j Home 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. [UeK[Xe;vmy65R$yFi 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. This therapy isappropriatefor bladder control patients who: This therapy isnot appropriatefor bladder control patients who: Many patients with chronic FI have poor or reduced quality of life because of their symptoms. 0000018445 00000 n 0000005583 00000 n Impact of overactive bladder on women in the United States: results of anational survey. It should be used after you have tried other treatments such as medications and behavioral therapy and they have not worked, or you could not tolerate them. Regulatory Statements 2. 0000018809 00000 n Sacral Neuromodulation Systems 0000008924 00000 n 2 InterStim Micro treats patients with overactive bladder, fecal incontinence, and non-obstructive urinary retention by delivering SNM therapy. Patton V, Wiklendt L, Arkwright JW, Lubowski DZ, Dinning PG. 0000008727 00000 n More information (see more) 0000008298 00000 n The Interstim system contains the aforementioned smart programmer, as well as a subcutaneous pulse generator (SPG) threaded through the S3 neural foramen. 0000013358 00000 n More information (see more) 0000010503 00000 n 0000009782 00000 n Medtronic Manuals: Region Manual Library Instructions for use and product manuals for healthcare professionals Please select your region. InterStim systems are the standard of care in advanced therapy options, and the most personalized system, to deliver sacral neuromodulation (SNM) therapy. 0000009830 00000 n 0000025529 00000 n It is also about being aware of the proper way to conduct your exams and to ensure the safety of everyone involved. Gastroenterology. 0000065437 00000 n 0000000016 00000 n 0000014674 00000 n endstream endobj 306 0 obj <>stream 0 See approved labeling for details. Methods: Eight MRI examinations at 1.5Tesla were conducted in areas outside the pelvis on six patients with implanted sacral nerve stimulator (InterStim neurostimulator; Medtronic, Inc, Minneapolis, MN, USA). All patients had their parameters recorded; then the IPGs were put to "nominal" status. 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'[. For further information, please call Medtronic at 1-800-328-0810 and/or consult Medtronics website at www.medtronic.com. Br J Surg. The effect of sacral nerve stimulation on distal colonic motility in patients with fecal incontinence. 0000004995 00000 n 0000014881 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). 427 20 0000025647 00000 n 0000008051 00000 n 0000009883 00000 n 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 For applicable products, consult instructions for use onwww.medtronic.com/manuals. 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. MRI systems generate powerful electromagnetic fields that can produce a number of interactions with implanted components of the neurostimulation system. The powerful magnetic field of the MR system can also attract these metals, resulting in danger to people inside the room. De Wachter S. et al New Technologies and Applications in Sacral Neuromodulation: An Update Adv Ther 37, 637-643 (2020). The new Medtronic scanning parameters 1 increases SAR limits for 1.5 Tesla scans from 0.5 W/kg to 2.0 W/kg; and for 3 Tesla scans from 0.5 W/kg to 1.4 W/kg. 0000007383 00000 n 0000006684 00000 n 0000005793 00000 n Sacral Neuromodulation Systems If you continue, you may go to a site run by someone else. In fact, many of them might be considering the InterStim in the near future. 0000009993 00000 n Safety and effectiveness have not been established for pregnancy and delivery; patients under the age of 16; or for patients with neurological disease origins. 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