The animation below shows how to deliver PTNM with the NURO™ device.
Percutaneous Tibial Neuromodulation (PTNM) involves placing the needle electrode into the lower, inner aspect of either leg, slightly cephalad to the medial malleolus. A ground pad is snapped to a fitting on the underside of the NURO device, and then adhered to the instep of the foot or the medial aspect of the calcaneous on the same leg. Then the needle holder is connected to the needle.
The NURO device produces an adjustable electrical pulse that travels to the sacral nerve plexus via the tibial nerve. Among other functions, the sacral nerve plexus regulates bladder and pelvic floor function.
Treatment duration and sequence
The patient is typically treated once per week for 30 minutes for a period of 12 weeks. No decision regarding therapy effectiveness should be made until the patient completes the 12 therapy sessions.
For patients responding to treatment, the time between therapy sessions may be slowly increased after the initial 12 therapy sessions, with the patient closely monitored for the return of symptoms. If symptoms reappear or increase in severity, the patient’s treatment schedule should revert to the last previously effective treatment schedule.
How to administer a session: step by step
Before you begin, make sure the NURO device is charged. (Device will not deliver a session without sufficient battery power.) Ensure at least one therapy session kit is available and at least one therapy session loaded on the device.
Firmly insert device cable to needle holder.
Snap ground pad to back of NURO device.
Remove ground pad adhesive and attach to instep of foot.
Clean skin with alcohol pad. Locate needle insertion site on inner portion of lower leg.
Insert needle at 60 degree angle. Gently tap needle to pierce skin. Remove guide tube. Advance approximately 2cm using rotating motion.
Connect J hook of needle holder to needle.
Hold power button to turn on device. Press the power button again to get to the Stimulation Level Adjust Mode. Increase stimulation level and observe for patient response. Then reduce setting by one level and press “Start” to begin session.
Once 30 minutes have elapsed, Therapy Mode will automatically end. Remove needle. Unsnap and remove ground pad. Turn off device.