For the treatment of Male and Female Stress, Urge and Mixed Urinary Incontinence AND Fecal Incontinence.InToneMV treats the underlying causes of incontinence—weak pelvic floor muscles and an over-active detrusor muscle. IntoneMV combines the non-invasive treatment approaches of electrical stimulation and biofeedback with voice-guided exercises for a patient to use in the privacy of home. InTone MV results are guaranteed.
How It Works
IntoneMV provides a Voice Guided Exercise Program, Visual Biofeedback, an Inflatable Rectal or Vaginal Probe and Muscle Stimulation at specific frequencies in an alternating manner to cure Urinary and Fecal Incontinence. In addition, InToneMV provides you with Objective, Quantifiable Data to demonstrate patient progress and assist in clinical decision making.
Voice Guided Exercise Program
InToneMV provides a 12 minute voice-guided therapy session, similar to a PT session in the privacy of the patient’s home. The session instructs the patient to complete both short (3 second) and long (10 second) voluntary contractions, the variation ensures both fast and slow twitch muscle fibers are recruited.
Voice Guidance improves compliance and ease of use.
The lighted visual biofeedback graph encourages patients to contract slowly, maintain the lights then release at end of contraction timer.
Objective, Quantifiable Data
InTone and InToneMV are the only products of their kind that provide objective, quantifiable data to track your patient’s progress, ensuring compliance while assisting you in clinical decision making.
- Inflation customizes fit to each patient and presses stimulation contacts against the muscle wall ensuring a deep muscle contraction and patient comfort
- Provides active resistance for pelvic floor muscles to contract against, resulting in a full muscle contraction
- The probe repositions musculature into a resting position between contractions, avoiding concerns for tonic contraction
High Frequency Stimulation: strengthens the levator ani of the pelvic floor—including the puborectalis which provides support around the anal canal and creates the anorectal angle , the external urethral sphincter, external anal sphincter, and elicits a full contraction of the pelvic floor providing neuromuscular re-training
Low Frequency Stimulation: calms spasms of the detrusor muscle
Physician Office Visits
InTone and InToneMV require 5-7 physician office visits (99214) based upon diagnosis to initially set up and program the device to the individual patient. Subsequent visits include review of subjective and objective data and adjustment of stimulation to maximize progress.
InToneMV sessions are completed in the privacy of the patient's home. Each session is approximately 12 minutes and are completed 6 days per week. Once desired results are achieved, patients continue with once or twice per week sessions to maintain gains.
Stress Urinary Incontinence symptoms typically resolve within 10-14 weeks. Patients often notice improvement within a few weeks of use.
Urge Incontinence and Fecal Incontinence symptoms can take up to 26 weeks to resolve depending upon the severity of the individual's symptoms at beginning of therapy. Patients will notice gradual improvement in symptoms over time. Once desired results are achieved, patients move to a maintenance protocol of 1-2 times per week to maintain results.
- NOTE: InToneMV may be used Intravaginally for women who cannot accommodate the insertion size of the InTone device (4 inch insertion, 1 1⁄2 inch diameter.)
Current Clinical Studies
Utilizing ApexM, Intra-vaginal Electrical Stimulation Device Compared to Sham Device for Chronic Pelvic Pain
Northwestern University Chicago
Utilizing ApexM, Vaginal Electrical Stimulation for Postpartum Neuromuscular Recovery (VESPR)
Georgia Regents Medical Center
Utilizing InToneMV, Home Versus Office Biofeedback Therapy for Fecal Incontinence
Insurance plans vary in coverage and we have found that it is best practice to have patients self-submit to insurance for their device. Even without insurance coverage, InControl products, your first-line treatments for incontinence, are the least expensive treatment options.
HCPCS code for Apex, ApexM and InTone is E0740-NU. InToneMV is a private pay only device.
InTone® and InTone®MV are prescriptive medical devices and may qualify for Health Savings Accounts and insurance deductibles. The Apex® and Apex®M do not require a prescription, however a prescription is recommended if a patient is going to seek reimbursement.
For Medicare Eligible Patients: Medicare covers HCPCS code E0740 as a capped rental (E0740-RR). Your clinic must be a Medicare Accredited DME provider to supply medical devices to Medicare patients. If your office is not an Accredited DME provider, please utilize our partner, Globe Drug & Surgical to provide devices to your Medicare patients.