NICE has been notified about this procedure and it is part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
 
Status In progress
Process IP
ID number 1782
Description In this procedure, an external stimulator (eTNS) is worn on the clothes and is attached by wires to adhesive patch electrodes placed bilaterally over the V1 branches of the trigeminal nerve on the forehead. The external stimulator provides bilateral stimulation of V1 trigeminal nerve branches for approximately 8 hours nightly. In children the stimulator is controlled by the parents or carers. For further information, please see the following instructional video produced by the manufacturer. Note that this demonstrates the use of eTNS in children. The CE mark permits use in adults and children aged 7 years and older. https://www.youtube.com/watch?v=qP2l5wU0Zb8 The exact mechanism of action is not completely understood, but the trigeminal nerve may be connected with regions in the brain associated with selective maintenance of attention and it is thought that its stimulation improves the symptoms of ADHD.

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For further information on how we develop guidance, please see our page about NICE interventional procedures guidance