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Application of Internet+-based Tsinghua PINS Remote Tech to improve sacral neuromodulation programming procedure

  • Urology - Original Paper
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Abstract

Objective

To explore the feasibility and safety of the Tsinghua PINS Remote Tech to facilitate sacral neuromodulation programming procedure.

Method

For 22 patients who had previously participated in the phase III clinical trial for treating overactive bladder with the Tsinghua PINS sacral neuromodulation system during several Hospital, PINS Remote Tech was applied to perform postoperative parameter adjustment in order to evaluate the safety and reliability of this new technique. Telephone surveys on Remote Tech-related questionnaires were also conducted.

Results

17/22 patients underwent 26 parameter adjustments, average adjustment frequency was 1.53 times per person; the average adjustment time was 23.4 ± 5.1 min (15–32 min). The total effective rate of the Remote control was 14/17 (82.3%). 7/17 (41.1%) patients’ symptoms recurrence due to not knowing how to handle patient controller, these patients were instructed on how to use it correctly through Remote Tech even without reprogramming it. Other 10 patients received reprogramming. There was no discomfort during and after parameter adjustment. The questionnaire survey showed that the remote technology saved patients’ time and lowered financial costs, significantly improved patient satisfaction. All patients expressed their willingness to recommend it to other patients.

Conclusion

The PINS Remote Tech can significantly reduce the financial cost and provide a remote reprogram control service that is as safe and reliable as outpatient program control.

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Acknowledgements

This study was supported by a grant from High Level Technical Talents in Beijing Health System (Grant No. 2015‑3‑030).

Author information

Author notes

  1. Peng Zhang, Yao-guang Zhang, Li Min Liao, Jian-wu Shen, and Yun-bo Yang are co-authors and contributed equally to this paper.

Authors and Affiliations

  1. Department of Urology, Institute of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, People’s Republic of China

    Peng Zhang, Jian-zhong Zhang, Li-yang Wu & Xiao-dong Zhang

  2. Department of Urology, Beijing Hospital, National Center of Gerontology, Beijing, 100730, People’s Republic of China

    Yao-guang Zhang

  3. Department of Urology, China Rehabilitation Research Centre, Rehabilitation School of Capital Medical University, Beijing, 100068, People’s Republic of China

    Li Min Liao

  4. Urology Department of Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing, People’s Republic of China

    Jian-wu Shen

  5. Urology Department, Hebei Yanda hospital, Beijing, People’s Republic of China

    Yun-bo Yang

Authors
  1. Peng Zhang
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  2. Yao-guang Zhang
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  3. Li Min Liao
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  8. Xiao-dong Zhang
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Corresponding author

Correspondence to Peng Zhang.

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Appendix

Appendix

Self-designed questionnaire


1: Impressions of remote program control: ( ) (single answer)

A: very satisfaction B: satisfaction C: Basic satisfaction D: poor result


2: Expected program control frequency: ( ) (single answer)

A: once per week B: once every 1–3 months C: once every 3 months D none


3: Possible financial costs for each outpatient program control: ( ) (single answer)

A: 200 yuan B: 200–500 yuan C: 500–1000 yuan D: more than 1000 yuan


4: How remote program control can help patients: ( ) (multiple answers)

A: remote control program could provide expert-level

B: timely program control

C: obviate traveling, save costs

D: improve SNM efficiency probably

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Zhang, P., Zhang, Yg., Liao, L.M. et al. Application of Internet+-based Tsinghua PINS Remote Tech to improve sacral neuromodulation programming procedure. Int Urol Nephrol 51, 627–632 (2019). https://doi.org/10.1007/s11255-019-02115-3

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  • DOI: https://doi.org/10.1007/s11255-019-02115-3

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