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Sacral Neuromodulation

  • Education and Training
  • Efficacy
  • Products and Procedures
  • Reimbursement and Practice Management
  • Indications, Safety, and Warnings
  • Training

    Online Learning

    Introduction to Sacral Neuromodulation for Bladder Control and Bowel Control

    For: Urologists, urogynecologists, gynecologists, and OB/GYNs who would like to learn about treatment options for urinary and fecal incontinence.

    Objective: Understand the potential value of Sacral Neuromodulation for treating certain types of incontinence.

    Description: This course is the first step to become trained on using the InterStim® System. Topics include anatomy and physiology, clinical results, patient selection, test stimulation and implant, reading fluoroscopy, and how to get started with the InterStim System.

    Log in to take the Bladder and Bowel Control course


    Introduction to Sacral Neuromodulation for Bowel Control

    For: Colorectal and general surgeons who would like to learn about treatment options for fecal incontinence.

    Objective: Understand the potential value of Sacral Neuromodulation for treating chronic fecal incontinence.

    Description: This course is the first step to become trained on using the InterStim System. Topics include anatomy and physiology, clinical results, patient selection, test stimulation and implant, reading fluoroscopy, and how to get started with the InterStim System.

    Log in to take the Bowel Control course


    Ultrasound Guided Needle Placement for Basic Evaluation

    For: Clinicians who perform the basic evaluation for Sacral Neuromodulation

    Objective: Learn to use diagnostic ultrasound to place foramen needles as part of a basic evaluation for Sacral Neuromodulation.

    Description: This course provides an overview for using diagnostic ultrasound imagining to guide needle placement during a basic evaluation (also known as a PNE). Participants will learn how to identify sacral anatomy with diagnostic ultrasound; recognize landmarks; locate S3; and place the needle in S3.

    Log in to take the Ultrasound course


    Programming and Manage-By-Fact

    For: Clinicians who manage patients with the InterStim System.

    Objective: Become skilled at programming the InterStim System for optimal therapy outcomes.

    Description: This course provides a basic overview of the functionality of the N’Vision Clinician Programmer used for programming the InterStim System, the basics of electrode configurations and programming parameters, and an introduction to a simplified, objective approach to programming and post-implant patient management, called Manage-By-Fact.

    Log in to take the Programming course


    Verify Evaluation System

    For: Clinicians who initiate the evaluation for Sacral Neuromodulation or manage patients during the evaluation.

    Objective: Understand how to use the Verify Evaluation System for the advanced evaluation.

    Description: This course provides an overview of the set-up and use of the Verify Evaluation System for advanced evaluations. It includes training on setting up a controller and pairing with a Verify ENS, intraoperative testing, and post-operative adjustments.

    Log in to take the Verify Evaluation System course


     

    Requirements

    Medtronic provides comprehensive clinician education and training opportunities about Sacral Neuromodulation, to provide clinicians with the skills and knowledge necessary for using InterStim® System safely and effectively.

    The requirements for physician training include:

    Sacral Neuromodulation for Bladder Control
    • The prescribing clinician should be experienced in the diagnosis and treatment of lower urinary tract disorders. The clinician should also be trained in the use of the InterStim System
    • The implanting clinician should be trained in the implant and use of the the InterStim System
    Sacral Neuromodulation for Bowel Control
    • The prescribing clinician should be experienced in the diagnosis and treatment of fecal incontinence. The clinician should also be trained in the use of the InterStim System
    • The implanting clinician should be trained in the implant and use of the InterStim System

    Initial Training Options for Implanting Clinicians

      Description
    One-day Fulfillment

    Attend a "Theory and Technique" course, which includes a half-day of interactive lecture and a half-day of hands-on training with a cadaver. This course offers physicians the complete training required for implanting the InterStim® System, and outlines the successful integration of the therapy into their clinical practice.

    Phased Fulfillment

    Complete the online course.

    Introduction to Sacral Neuromodulation for Bladder and Bowel Control (for urologists, urogynecologists and OB/GYN's)
    Go to the Bladder Control and Bowel Control course

    or

    Introduction to Sacral Neuromodulation for Bowel Control (for colorectal and general surgeons)
    Go to the Bowel Control course

    At a later date, participate in one of the following options to fulfill the procedural training requirement:

    • Option 1. Observe the InterStim System chronic lead placement at an experienced clinician site
    • Option 2. Have an experienced clinician serve as a proctor for the first implantation of a chronic lead. (The trainer provides verbal coaching only, and does not scrub in.)
    • Option 3. Train for the InterStim System with a simulator

    United States