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PATIENT MANAGEMENT GUIDE
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PATIENT MANAGEMENT GUIDE - 1

Sacral Neuromodulation with the InterStim* System PATIENT MANAGEMENT GUIDE

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PATIENT MANAGEMENT GUIDE - 2

This document offers suggested best practices for implementing Manage-By-Fact in a practice. Programming decisions are the responsibility of the clinician and are based on the ability to establish settings that will provide optimal patient symptom relief, minimize patient discomfort and maintain neurostimulator battery life to the best possible extent. Symptom Return or Patient Can’t Feel Stimulation Intermittent Stimulation Instruct patient to turn device on with iCon™ Patient Programmer. Ask questions under Symptom Return or Patient Can’t Feel Stimulation. Is the stimulation positional?...

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PATIENT MANAGEMENT GUIDE - 3

Ask questions under Symptom Return or Patient Can’t Feel Stimulation. Instruct patient to turn device off. Do you still feel pain? Yes The pain is unlikely related to stimulation. Rule out “non-stimulation” pain (e.g., incision healing/pulling, seroma, skin staples, infection, falls/ trauma, etc.). Instruct patient to follow their physician’s recommendations for assessment and treatment. Patient will need to schedule an office visit. You may decide to change settings using the N’Vision® Clinician Programmer. If electrode setting is unipolar, program a bipolar setting using the standard...

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PATIENT MANAGEMENT GUIDE - 4

Indications for Use: InterStim® Therapy for Urinary Control is indicated for the treatment of urinary retention and the symptoms of overactive bladder, including urinary urge incontinence and significant symptoms of urgency-frequency alone or in combination, in patients who have failed or could not tolerate more conservative treatments. The following Warning applies only to InterStim Therapy for Urinary Control: Warning: This therapy is not intended for patients with mechanical obstruction such as benign prostatic hypertrophy, cancer, or urethral stricture. InterStim® Therapy for Bowel...

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