eCoin®
What is eCoin®?
eCoin® is a tibial implant for Urge Urinary Incontinence (UUI). The coin sized neurostimulator is placed under the skin near the ankle during a consistent, minimally invasive procedure using only local anesthetic. The eCoin® device provides automatic stimulation on the tibial nerve via a forgiving dome shaped field. eCoin eliminates lead wires optimized by precise placement, patient management of the device with external remotes, recharge requirements, general anesthesia or sedation with placement.
How does the eCoin® device deliver therapy?
Your qualified physician places a coin-sized device using only local anesthetic near the ankle. After the small incision has healed, the device is activated and the eCoin provides automatic twice weekly stimulation to the tibial nerve in the lower leg. This restorative therapy helps many patients reduce their Urge Urinary Incontinence.
How soon after the procedure might I experience a therapeutic response?
Many experience relief 4 weeks after activation with even greater reduction in Urge Urinary Incontinence 8 weeks after activation.*
Will I have to manage my eCoin device?
No patient management is required to deliver therapy.
What happens during the recovery period?
The incision is kept dry for 2 weeks using a leg shower bag. Appropriate footwear during the first 4 weeks should be flat. Vigorous activity such as biking, running or swimming should be avoided for 8 weeks. Your doctor will monitor the incision and only activate the eCoin when the incision is well healed.
What clinical data is available for the eCoin device?
Data from clinical studies has been published in peer-reviewed medical publications demonstrating both the safety and effectiveness for the eCoin device. To learn more about the clinical data available, visit ecoin.us.
The eCoin device is delivered with a minimally invasive procedure that reduces Urge Urinary Incontinence after activation.3
- 97% of patients said the procedure was explained adequately to them3
- 89% of patients would recommend eCoin to friends and family3
- 81% of eCoin patients reported being “better” to “very much better” with therapy 1 year after the procedure5
- 75% of eCoin patients were “responders” with at least a 50% reduction in Urge Urinary Incontinence episodes at 1 year+5
- The preferred therapy for Urge Urinary Incontinence with only 4% of patients studied desiring another treatment option3
+In the pivotal study, 68% of patients were responders with at least a 50% reduction in UUI at 48 weeks in the intent to treat population. 75% of patients were responders in the per protocol population.
*In the pivotal study, 73 out of 123 patients had at least 50% reduction of UUI at 4 weeks and 85 out of 121 had at least 50% reduction at 8 weeks. NCT03556891.
References:
3. Rogers A, Bragg S, Ferrante K, et al. Pivotal study of leadless tibial nerve stimulation with eCoin® for urgency urinary incontinence. Urology Video Journal. June 2021.
5. eCoin physician manual.