Cogentix Medical Urgent PC User manual

For complete instructions for use, storage, warnings, indications, contraindications, precautions, adverse reactions and disclaimer of
warranties, please refer to the insert accompanying each Urgent PC product or online at www.cogentixmedical.com.
Step 1: Check Battery
Prior to beginning treatment, check battery level. To turn on the
stimulator, hold down the Power button for two seconds. Change battery
when there is only one line remaining in the Battery icon. Turn off
Stimulator.
Step 2: Locate Needle
Insertion Site
On the inner leg, use the width of 3
ngers to measure approximately 2
inches from the center of the ankle
bone (2A). Move the top nger back
¾ - 1 inch (2B). Your nger should
be positioned just behind the tibia.
2B
2A
Treatment Steps

For complete instructions for use, storage, warnings, indications, contraindications, precautions, adverse reactions and disclaimer of
warranties, please refer to the insert accompanying each Urgent PC product or online at www.cogentixmedical.com.
Step 5: Advance Needle Electrode
Using a rotating motion, advance the Needle Electrode until approximately
2 cm, or half of the bottom portion, is inserted into the leg.
Step 4: Insert Needle Electrode
Gently tap the top of the Needle Electrode to pierce the skin. Remove the
guide tube.
Step 7: Place Surface Electrode
Remove adhesive backing from the Surface Electrode. Place the Surface
Electrode on the inside arch of the foot on the treatment leg.
Step 6: Connect Lead Wire to Stimulator
Step 3: Place Needle Electrode at 60° Angle
Clean the insertion site with the provided alcohol pad. Before removing
the clear guide tube or pink stop plug, place the Needle Electrode over the
insertion location. The needle should be at a 60° angle from the ankle.
Remove stop plug.

For complete instructions for use, storage, warnings, indications, contraindications, precautions, adverse reactions and disclaimer of
warranties, please refer to the insert accompanying each Urgent PC product or online at www.cogentixmedical.com.
Step 10: Identify Treatment Level
Using Current Adjustment button, slowly increase setting while observing
patient’s foot for a response and periodically asking the patient if they feel
any sensation in their leg or foot.
Step 9: Begin Treatment
Before turning on the Stimulator, talk to your patient about how you will
conrm that the stimulation is reaching the tibial nerve. Patient response
may be either motor or sensory; for some patients it may be both. Ask your
patient to let you know if they start to feel a sensation in their leg or foot.
After turning the Stimulator on, enter Test Mode by holding down the
yellow Test button for 2 seconds.
Step 8: Attach Needle Electrode Clip
Attach Needle Electrode Clip by depressing the plunger and hooking it
around the Needle Electrode, close to the skin.
Step 11: Conrm Patient Response
Motor response is usually a toe ex (11A), toe fan (11B) or toe twitch.
Sensory response (11C) is generally described as a mild pulsing sensation
which travels away from the insertion site, towards the heel, arch, toes or
up the leg.
» If the patient is uncomfortable, reduce current setting, reposition
needle electrode or try the other leg.
» If the sensation is localized to the immediate area around the insertion
site, the needle electrode may need to be inserted further. About half
of the bottom portion of the electrode should be inserted in the leg.
» If there is neither a motor or sensory response, adjust the needle
electrode. If there is still no response, discard the needle electrode
and try the other ankle.
» Note that an individual patient’s response may vary from treatment
to treatment, based on the needle electrode depth and location.
11A
11C
11B

Urgent is a registered trademark. Urgent PC is manufactured by Uroplasty LLC.
© 2015 Cogentix Medical. All rights reserved. 20154E 05/17
Cogentix Medical
5420 Feltl Road
Minnetonka, MN 55343
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Step 13: Patient Receives
Treatment with Urgent PC
Neuromodulation System
The patient is seated comfortably
during treatment.
Step 14: Complete Treatment
Session
Therapy mode will automatically
end after 30 minutes. At this point,
the Stimulator will display the
word “End” and emit a series of
three beeps. Turn off Stimulator
and remove the Needle Electrode
and other components.
Step 12: Therapy Mode
Reduce current setting by one increment and press the green Therapy
button for 2 seconds. Therapy mode is automatically set for 30 minutes.
Urgent PC is indicated for the treatment of Overactive Bladder and associated symptoms of urinary urgency, urinary frequency and urge incontinence. CONTRAINDICATIONS:
Treatment with Urgent PC is contraindicated for patients with pacemakers or implantable debrillators, patients prone to excessive bleeding, patients with nerve damage that could
impact either percutaneous tibial nerve or pelvic oor function, or patients who are pregnant or planning to become pregnant during the duration of the treatment. PRECAUTIONS:
Exercise caution for patients with heart problems related to pacing. Most patients don’t experience side-effects. If side-effects occur, they are typically temporary and include mild
pain and skin inammation at or near the stimulation site. CAUTION: Federal law (USA) restricts this device to sale by or on the order of a physician. For complete instructions for
use, storage, warnings, indications, contraindications, precautions, adverse reactions and disclaimer of warranties, please refer to the insert accompanying each Urgent PC product
or online at www.cogentixmedical.com.