Trial Outcomes & Findings for Sacral Nerve Stimulation Therapy for the Treatment of Chronic Fecal Incontinence (NCT NCT00200057)

NCT ID: NCT00200057

Last Updated: 2013-01-24

Results Overview

The primary efficacy objective was to demonstrate that at least 50% of subjects will achieve at least 50% reduction in the number of fecal incontinent episodes per week at 12 months post-implant compared to baseline. Subjects who achieve at least 50% reduction in the number of fecal incontinent episodes per week at 12 months post-implant compared to baseline are considered "successes." The observed therapeutic success rate is calculated as the proportion of implanted subjects who achieve at least 50% reduction in the number of incontinent episodes per week from baseline to twelve months.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

285 participants

Primary outcome timeframe

Baseline and 12 months

Results posted on

2013-01-24

Participant Flow

The clinical investigation began on January 14, 2002, and the first implant occurred on May 03, 2002. The study was closed to enrollments on June 15, 2006, and the last implant occurred on August 04, 2006.

All patients who signed an informed consent were considered enrolled in the study. Of the 285 subjects who enrolled in the study, 132 subjects underwent acute test stimulation with 129 proceeding to the sub-chronic test stimulation phase. Of these, 120 subjects qualified for permanent implant. All 120 patients were successfully implanted.

Participant milestones

Participant milestones
Measure
Implanted Subjects
Subjects implanted with Sacral Nerve Stimulation (SNS) device.
Overall Study
STARTED
120
Overall Study
1 Month Follow-up
117
Overall Study
3 Month Follow-up
116
Overall Study
6 Month Follow-up
114
Overall Study
12 Month Follow-up
111
Overall Study
COMPLETED
111
Overall Study
NOT COMPLETED
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Implanted Subjects
Subjects implanted with Sacral Nerve Stimulation (SNS) device.
Overall Study
Lack of Efficacy
3
Overall Study
Exited due to terminal illness of PI
2
Overall Study
Withdrawal by Subject
1
Overall Study
Change in medical condition
1
Overall Study
Infection
1
Overall Study
Death
1

Baseline Characteristics

Sacral Nerve Stimulation Therapy for the Treatment of Chronic Fecal Incontinence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Implanted Subjects
n=120 Participants
Subjects implanted with Sacral Nerve Stimulation (SNS) device.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
71 Participants
n=99 Participants
Age, Categorical
>=65 years
49 Participants
n=99 Participants
Age Continuous
60.5 years
STANDARD_DEVIATION 12.5 • n=99 Participants
Sex: Female, Male
Female
110 Participants
n=99 Participants
Sex: Female, Male
Male
10 Participants
n=99 Participants
Region of Enrollment
United States
87 participants
n=99 Participants
Region of Enrollment
Canada
19 participants
n=99 Participants
Region of Enrollment
Australia
14 participants
n=99 Participants
Weekly Fecal Incontinent Episodes
9.39 incontinent episodes per week
STANDARD_DEVIATION 7.27 • n=99 Participants
Weekly Fecal Incontinent Days
4.51 incontinent days per week
STANDARD_DEVIATION 1.61 • n=99 Participants
Weekly Urgent Fecal Incontinent Episodes
4.95 urgent incontinent episodes per week
STANDARD_DEVIATION 4.88 • n=99 Participants
Fecal Incontinence Quality of Life (FIQOL) Scale 1 - Lifestyle
2.31 units on a scale
STANDARD_DEVIATION 0.85 • n=99 Participants
FIQOL Scale 2 - Coping/Behavior
1.49 units on a scale
STANDARD_DEVIATION 0.53 • n=99 Participants
FIQOL Scale 3 - Depression/Self-Perception
2.53 units on a scale
STANDARD_DEVIATION 0.81 • n=99 Participants
FIQOL Scale 4 - Embarrassment
1.60 units on a scale
STANDARD_DEVIATION 0.63 • n=99 Participants

PRIMARY outcome

Timeframe: Baseline and 12 months

Population: All subjects who were successfully implanted were included in the analysis. A modified worst-case analysis was used for missing data, where all subjects who were missing 12-month data were classified as failures, unless there was a subsequent diary available, in which case the subsequent diary was substituted for the missing 12-month data.

The primary efficacy objective was to demonstrate that at least 50% of subjects will achieve at least 50% reduction in the number of fecal incontinent episodes per week at 12 months post-implant compared to baseline. Subjects who achieve at least 50% reduction in the number of fecal incontinent episodes per week at 12 months post-implant compared to baseline are considered "successes." The observed therapeutic success rate is calculated as the proportion of implanted subjects who achieve at least 50% reduction in the number of incontinent episodes per week from baseline to twelve months.

Outcome measures

Outcome measures
Measure
Implanted Subjects
n=120 Participants
Subjects implanted with Sacral Nerve Stimulation (SNS) device.
Proportion of Subjects With at Least 50% Reduction in Number of Incontinent Episodes Per Week
0.73 proportion of subjects
Interval 0.64 to 0.81

SECONDARY outcome

Timeframe: Baseline and 12 months

Population: All subjects who were successfully implanted were included in the analysis. A modified worst-case analysis was used for missing data, where all subjects who were missing 12-month data were classified as failures unless there was a subsequent diary available, in which case the subsequent diary was substituted for the missing 12-month data.

This secondary objective was to demonstrate that at least 50% of subjects achieved at least 50% reduction in the number of incontinent days per week at 12 months post-implant compared to baseline. Subjects who achieve at least 50% reduction in the number of fecal incontinent days per week at 12 months post-implant compared to baseline are considered "successes." The observed therapeutic success rate is calculated as the proportion of implanted subjects who achieve at least 50% reduction in the number of incontinent days per week from baseline to twelve months.

Outcome measures

Outcome measures
Measure
Implanted Subjects
n=120 Participants
Subjects implanted with Sacral Nerve Stimulation (SNS) device.
Proportion of Subjects With at Least 50% Reduction in Number of Incontinent Days Per Week
0.73 proportion of subjects
Interval 0.64 to 0.81

SECONDARY outcome

Timeframe: Baseline and 12 months

Population: All subjects who were successfully implanted were included in the analysis. The modified worst-case analysis was used to account for subjects who did not complete the FIQOL questionnaire at either baseline or 12 months; these subjects were classified as no change from baseline.

This secondary efficacy objective was to demonstrate improvement in Fecal Incontinence Quality of Life (FIQOL) scores at 12 months post-implant compared to baseline. Scales range from 1 to 5, with a 1 indicating a lower functional status of quality of life. The four component scales of the FIQOL instrument were evaluated separately.

Outcome measures

Outcome measures
Measure
Implanted Subjects
n=120 Participants
Subjects implanted with Sacral Nerve Stimulation (SNS) device.
Change in Quality of Life From Baseline to 12 Months: Scale 1 - Lifestyle
0.92 units on a scale
Standard Deviation 0.92

SECONDARY outcome

Timeframe: Baseline and 12 Months

Population: All subjects who were successfully implanted were included in the analysis. The modified worst-case analysis was used to account for subjects who did not complete the FIQOL questionnaire at either baseline or 12 months; these subjects were classified as no change from baseline.

This secondary efficacy objective was to demonstrate improvement in Fecal Incontinence Quality of Life (FIQOL) scores at 12 months post-implant compared to baseline. Scales range from 1 to 5, with a 1 indicating a lower functional status of quality of life. The four component scales of the FIQOL instrument were evaluated separately.

Outcome measures

Outcome measures
Measure
Implanted Subjects
n=120 Participants
Subjects implanted with Sacral Nerve Stimulation (SNS) device.
Change in Quality of Life From Baseline to 12 Months: Scale 2 - Coping/Behavior
1.12 units on a scale
Standard Deviation 0.99

SECONDARY outcome

Timeframe: Baseline and 12 Months

Population: All subjects who were successfully implanted were included in the analysis. The modified worst-case analysis was used to account for subjects who did not complete the FIQOL questionnaire at either baseline or 12 months; these subjects were classified as no change from baseline.

This secondary efficacy objective was to demonstrate improvement in Fecal Incontinence Quality of Life (FIQOL) scores at 12 months post-implant compared to baseline. Scales range from 1 to 5, with a 1 indicating a lower functional status of quality of life. The four component scales of the FIQOL instrument were evaluated separately.

Outcome measures

Outcome measures
Measure
Implanted Subjects
n=120 Participants
Subjects implanted with Sacral Nerve Stimulation (SNS) device.
Change in Quality of Life From Baseline to 12 Months: Scale 3 - Depression/Self-Perception
0.86 units on a scale
Standard Deviation 0.96

SECONDARY outcome

Timeframe: Baseline and 12 Months

Population: All subjects who were successfully implanted were included in the analysis. The modified worst-case analysis was used to account for subjects who did not complete the FIQOL questionnaire at either baseline or 12 months; these subjects were classified as no change from baseline.

This secondary efficacy objective was to demonstrate improvement in Fecal Incontinence Quality of Life (FIQOL) scores at 12 months post-implant compared to baseline. Scales range from 1 to 5, with a 1 indicating a lower functional status of quality of life. The four component scales of the FIQOL instrument were evaluated separately.

Outcome measures

Outcome measures
Measure
Implanted Subjects
n=120 Participants
Subjects implanted with Sacral Nerve Stimulation (SNS) device.
Change in Quality of Life From Baseline to 12 Months: Scale 4 - Embarrassment
1.06 units on a scale
Standard Deviation 1.00

SECONDARY outcome

Timeframe: Baseline and 12 months

Population: All subjects who were successfully implanted were included in this analysis. The modified worst-case analysis for missing data was used, so that all subjects with missing 12-month data were classified as failures, unless there was a subsequent diary available, in which case the subsequent diary was substituted for the missing 12-month data.

This secondary objective was to demonstrate that at least 50% of subjects achieved at least 50% reduction in the number of urgent incontinent episodes per week at 12 months post-implant compared to baseline. Subjects who achieve at least 50% reduction in the number of urgent fecal incontinent episodes per week at 12 months post-implant compared to baseline are considered "successes." The observed therapeutic success rate is calculated as the proportion of implanted subjects who achieve at least 50% reduction in the number of urgent incontinent episodes per week from baseline to 12 months.

Outcome measures

Outcome measures
Measure
Implanted Subjects
n=120 Participants
Subjects implanted with Sacral Nerve Stimulation (SNS) device.
Proportion of Subjects With at Least 50% Reduction in Number of Urgent Incontinent Episodes Per Week
0.71 proportion of subjects
Interval 0.62 to 0.79

Adverse Events

Implanted Subjects

Serious events: 41 serious events
Other events: 88 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Implanted Subjects
n=120 participants at risk
Subjects implanted with Sacral Nerve Stimulation (SNS) device.
Infections and infestations
Implant site infection
4.2%
5/120 • Number of events 5 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Infections and infestations
Urinary tract infection
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Infections and infestations
Diverticulitis
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Infections and infestations
Perianal abscess
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Infections and infestations
Pneumonia
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign neoplasm of adrenal gland
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer metastatic
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Metabolism and nutrition disorders
Electrolyte imbalance
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Psychiatric disorders
Depression
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Psychiatric disorders
Delirium
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Psychiatric disorders
Eating disorder
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Nervous system disorders
Transient ischaemic attack
1.7%
2/120 • Number of events 3 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Nervous system disorders
Carotid artery occlusion
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Nervous system disorders
Cervical myelopathy
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Nervous system disorders
Epilepsy
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Cardiac disorders
Myocardial infarction
0.83%
1/120 • Number of events 2 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Cardiac disorders
Angina pectoris
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Vascular disorders
Hypertension
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Vascular disorders
Deep vein thrombosis
1.7%
2/120 • Number of events 2 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Vascular disorders
Varicose vein
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Respiratory, thoracic and mediastinal disorders
Pleurisy
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Gastrointestinal disorders
Diarrhoea
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Gastrointestinal disorders
Proctalgia
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Gastrointestinal disorders
Abdominal pain
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Gastrointestinal disorders
Rectal prolapse
4.2%
5/120 • Number of events 7 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Gastrointestinal disorders
Pancreatitis
1.7%
2/120 • Number of events 2 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Gastrointestinal disorders
Small intestinal obstruction
0.83%
1/120 • Number of events 3 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Gastrointestinal disorders
Duodenitis
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Gastrointestinal disorders
Volvulus of bowel
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Hepatobiliary disorders
Cholecystitis
1.7%
2/120 • Number of events 2 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Hepatobiliary disorders
Cholelithiasis
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Skin and subcutaneous tissue disorders
Skin ulcer
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Musculoskeletal and connective tissue disorders
Back pain
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Renal and urinary disorders
Urinary retention
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Renal and urinary disorders
Haematuria
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Renal and urinary disorders
Renal failure chronic
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Reproductive system and breast disorders
Vaginal pain
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
General disorders
Implant site pain
3.3%
4/120 • Number of events 4 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
General disorders
Therapeutic product ineffective
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
General disorders
Implant site erosion
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
General disorders
Ulcer
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Injury, poisoning and procedural complications
Seroma
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Injury, poisoning and procedural complications
Overdose
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Injury, poisoning and procedural complications
Spinal fracture
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Surgical and medical procedures
Knee arthroplasty
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
General disorders
Lead migration/dislodgment
0.83%
1/120 • Number of events 1 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.

Other adverse events

Other adverse events
Measure
Implanted Subjects
n=120 participants at risk
Subjects implanted with Sacral Nerve Stimulation (SNS) device.
Infections and infestations
Implant site infection
6.7%
8/120 • Number of events 8 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Infections and infestations
Urinary tract infection
6.7%
8/120 • Number of events 10 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Psychiatric disorders
Insomnia
5.0%
6/120 • Number of events 6 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Nervous system disorders
Paraesthesia
10.8%
13/120 • Number of events 16 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Gastrointestinal disorders
Faecal incontinence
24.2%
29/120 • Number of events 35 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Gastrointestinal disorders
Diarrhoea
13.3%
16/120 • Number of events 20 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Gastrointestinal disorders
Proctalgia
5.0%
6/120 • Number of events 7 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Gastrointestinal disorders
Constipation
5.8%
7/120 • Number of events 7 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Gastrointestinal disorders
Haemorrhoids
5.8%
7/120 • Number of events 7 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Musculoskeletal and connective tissue disorders
Back pain
9.2%
11/120 • Number of events 12 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Musculoskeletal and connective tissue disorders
Pain in extremity
9.2%
11/120 • Number of events 11 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Renal and urinary disorders
Urinary incontinence
11.7%
14/120 • Number of events 14 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
General disorders
Implant site pain
23.3%
28/120 • Number of events 33 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
General disorders
Pain
6.7%
8/120 • Number of events 8 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
Investigations
Laboratory test abnormal
6.7%
8/120 • Number of events 13 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.
General disorders
Change in sensation of stimulation
5.8%
7/120 • Number of events 9 • One hundred twenty subjects were implanted with the InterStim system, accumulating 2758 device months of experience (ranging from 2.2 to 61 months, averaging 23 months) through the data cutoff date of May 27, 2008.
Adverse events listed below were collected after permanent implant of the device through the data cutoff date.

Additional Information

Chad Giese

Medtronic Neuromodulation

Phone: 763-377-5955

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place