FAQ Percutaneous Tibial Neuromodulation (PTNM)

Is there a time limit on how long I can adjust the +/- buttons prior to starting therapy?

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.

Does the ground pad need to be attached to the patient before I start the device?

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 1."

Why do instructions indicate to decrease therapy by one level after seeing a toe flexion?

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.

Does the device make a sound when it finishes?

Yes, the device beeps three times when the 30-minute session is complete.

What happens when the needle detaches from the patient Or system is disconnected for another reason?

The LCD screen will display "Error 1" for 10 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.

Is there a way to adjust amplitude mid-session?

Yes. You may press the stimulation up or down buttons during the session to adjust the amplitude.

How do I stop a session once it has started?

Hold the Power button for 2 seconds or disconnect the clip from the needle to stop a session.

Can I resume a session if I stop it before completion?

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.

How can I get started with the NURO system?

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.

How do I order a NURO device?

You can order a Starter Pack the same way you order InterStim, by logging into your Medtronic Connect account, or by contacting your sales rep. 

A Starter Pack contains both a NURO device and therapy kits. If you do not need additional NURO devices, you only need to order therapy kits (3533K).

Can I order more than one NURO device?

Yes. There is one NURO device in each Starter Pack. There are no NURO devices contained in a Therapy Kit. If you need more than one NURO device, you can order additional Starter Packs as needed.

What is a therapy session kit?

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.

How can I order additional therapy session kits?

You can order additional kits from Medtronic Connect or by contacting either your sales rep or Medtronic customer service.

How does the device battery indicate that it can no longer deliver therapy?

The device will NOT start without enough charge in the battery to deliver a full session. A blank screen indicates a depleted battery.

How long does it take to charge enough to deliver one therapy session?

It takes about 15 minutes to charge the device enough to complete a 30-minute session.

How long does it take to fully charge the battery?

The device can be fully charged in about 4 hours.

How many sessions are delivered on a full battery charge?

Up to 20 therapy sessions can be delivered on a full battery charge.