FAQ Percutaneous Tibial Neuromodulation (PTNM)
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Check your battery level. If there is not sufficient battery power to last for a 30-minute session, the NURO device will not start. Charging the NURO device for 15 minutes will provide enough power for one 30-minute session. A fully charged battery will provide up to 15 therapy sessions.
No, there is no time limit. If the start button is not pressed to initiate the therapy session, the device will shut itself off after 3 minutes.
Yes. If the system connections are not complete — ground pad to device to needle holder to needle — and the Start button is pressed, the system will give an error message: "ERROR. CHECK SETUP" or "ERROR 1."
Once the tibial nerve is identified via toe flexation, there is no need to continue toe flexation. One therapy level down from toe flexation will stimulate the tibial nerve and avoid potential patient discomfort during the 30-minute session.
Yes, the device beeps three times when the 30-minute session is complete.
The LCD screen will display either "Error 1" or "Error: Check Setup, Restart" for 5 minutes. The first time it disconnects, the 30-minute timer will pause. Reconnect the lead, needle, or ground pad, then press and hold start for 2 seconds. If the device does not successfully detect the pulse going through the patient, the device beeps and continues to display that message. This also resets the 5-minute timer.
If you received your device after November 2018, you may adjust the level of stimulation in the middle of the session.
Hold the Power button for 2 seconds or disconnect the clip from the needle to stop a session.
Yes. There is no limit on the number of times the therapy can be interrupted and restarted, so you can resume therapy at any time without losing a session.
To get started with NURO, please contact your sale representative or Medtronic customer service. They will be able to set up access to order your NURO device through the method that works best for you, either through Medtronic Connect, EDI, or your sales rep.
You can order therapy session kits the same way you order InterStim or by logging into your Medtronic Connect account.
If you need to order a NURO device, please contact your sales rep.
Yes. For each NURO device that you order, we will ask you to accept the product placement agreement.
Shipped with your NURO device will be a wall charger and a USB cable. Therapy kits are ordered separately.
A NURO therapy session kit includes the materials needed to deliver one 30-minute therapy session to a patient. Each therapy session kit contains 2 sterile needles, a needle holder, a ground pad, and two alcohol pads.
You can order additional kits from Medtronic Connect or by contacting either your sales rep or Medtronic customer service.
No, once you accept the agreement, it will remain valid while the NURO device is in your possession.
The device will NOT start without enough charge in the battery to deliver a full session. A blank screen indicates a depleted battery.
It takes about 15 minutes to charge the device enough to complete a 30-minute session.
The device can be fully charged in about 4 hours.
Up to 20 therapy sessions can be delivered on a full battery charge.
Please note, if you received your device after November 2018, you do not need to use the NURO portal. Please visit Medtronic Connect to order therapy session kits for your NURO system.
Click here to log in.
Your user name is the email address you used to request access. You can reset your password here.
You can order these supplemental items from the My Devices page on the NURO website.
No. Therapy sessions are offered as part of the therapy package.
Log into your account and click on "Order History." Click on the order number for the NURO device and on the order detail page you can access the return form. Go to Order History. Refer to the product placement agreement for terms.
Purchases of therapy packages are final. Refer to the terms of sale that appear when you place an order for a therapy session package.
No. The stimulation is adjustable only during Stimulation Level Adjust Mode. Stimulation is not adjustable during Therapy Mode.
Hold the Power button for 2 seconds or disconnect the clip from the needle to stop a session.
No. The number of available sessions will be reduced by one after you start a session, even if you stop the session before completion.
Please note, if you received your device after November 2018, you do not need to activate your device. If you received your device before November 2018, use the NURO software installed on your PC and the USB cable to activate your NURO device. Log into your account, then connect the NURO device to your PC using the USB cable. If you have activated a NURO device in the past, click on “Activate a new NURO device” at the bottom of the My Devices page and the Activate Your Device screen will appear. If you are activating your first NURO device, the Activate Your Device screen will automatically appear when you log in and the system will guide you through the process. In either case, if this screen does not appear it may mean you have not installed the driver, which allows the NURO device to communicate with your PC.
To activate your NURO device and load therapy sessions onto your NURO device from your PC, you will need to install software on your PC:
The FTDI Windows driver will download as an .exe file to install on your PC. You must have this driver installed in order to use the NURO PC application. Install the driver first, then download and install the app.
You may need administrator rights to install the driver and NURO PC application.
Not sure which Windows operating system your computer is running? Find out how to check your operating system information.
To install and use the NURO PC application, your PC must meet these requirements:
iOS is not supported at this time for activating NURO devices and loading therapy sessions (i.e., any activity that requires the NURO device to be connected to the computer).
Find the serial number on the back of your NURO device and type in the numbers manually.
Assigning a unique identifier to your NURO device is important if you have more than one NURO device. A unique color and/or nickname will help you select the intended NURO device when ordering therapy packages, transferring sessions, and managing your account settings such as the shipping address.
Please note, if you received your device after November 2018, you will not need to load therapy sessions. If you received your device before November 2018, you will need the NURO software and driver installed on your PC to load therapy sessions onto your NURO device. Log in to your account and connect the NURO device to your PC using the USB cable. The NURO application will display a window as shown here.
To transfer sessions, log in and on your My Devices page click on “Transfer sessions,” and the system will guide you through the process.
You can transfer therapy sessions only if they have been purchased but not yet been loaded onto a NURO device. Once therapy sessions are loaded onto a NURO device they can be used only by that device.
One emergency session is available to load onto your NURO device if you need to deliver therapy for a patient, but you have no sessions available on your NURO device and no purchased sessions available for loading. When you load this emergency session onto your NURO device, a notification will be sent to your administrator and the session will be deducted from the next purchase. When therapy sessions have been purchased you will again have access to one emergency session.
When activating your NURO device, you can set up notifications to alert members of your staff to let them know there are sessions available to load the device. You can change these notifications later by going to the My Devices page and clicking on "Edit details" right beneath the image of the device you want to associate with the notifications.
You can send a purchase request from the NURO PC application that opens when you load therapy sessions onto your NURO device.
Go to the My Devices page and click on "Edit details" right beneath the image of the device associated with the notification settings you want to modify.
You can view the status of online orders for the active facility from the Order History page. Click on the order number to view the order details. Within the order detail, you will see a status of the order.
You should also receive an email with a tracking number once your order has shipped.
You can get a copy of an invoice for online orders on the Order History page. Click on the order number to view the order details. Within the order detail, you will see a tab labeled Invoices.
If the Activate Your Device screen does not appear it may mean you have not installed the driver, which allows the NURO device to communicate with your PC. See section “Activating Your NURO Device” for instructions about how to download the correct driver.
You can transfer therapy sessions only if they have been purchased and not yet been loaded onto a NURO device. Once therapy sessions are loaded onto a NURO device they can be used only by that device.
Only NURO devices that are activated will appear on the My Devices page. To activate a NURO device, connect it to your computer using the USB cable. If your NURO device was previously displayed on the My Devices page and is no longer, it may have been deactivated. Check with your administrator.
If you have used the NURO PC application with success in the past but it is not working, Contact customer support. If you are using the NURO PC application for the first time, make sure you have downloaded both the PC app and the driver or download and install them again. Download the required software.
If you meet the requirements above try the following:
If you are still having trouble, contact customer support at: (844) 558-6651 or contact us via email.