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 Please be aware that the website you have requested is intended for the residents of a particular country or region, as noted on that siteNevro hf10 reviews Find a Physician - HF10

Average of 6 Customer Reviews. The FDA approved Nevro's novel spinal cord stimulation system Friday,. Access to the clinical evidence portfolio supporting our therapy. Nevro is a medical device company headquartered in Redwood City, California, that has the simple goal of helping more patients suffering from chronic pain achieve lasting relief. This has been getting very frustrating. HF10 has demonstrated significant relief for both back and leg pain. Nevro HFX Chronic Pain Relief. 1800 Bridge Parkway. HFX logo. Dr Mekhail has received personal fees from Boston Scientific, Sollis Therapeutics, Saluda Medical, Abbott Laboratories (formerly Spinal. HF10 can be left on 24 hours a day, 7 days a week because it calms the nerves while allowing you to feel everything you should. No physicians have paid or received a fee to be listed on this site. We started with a simple mission to help more patients suffering from chronic pain. About Nevro Headquartered in Redwood City, California , Nevro is a global medical device company focused on providingNevro routinely posts information that may. 20, 2023 /PRNewswire/ -- Nevro Corp. Spinal cord stimulation is most effective for chronic nerve pain. HFX offers the widest range of frequencies and waveforms available to individualize your relief. Thank you. Senza HFX iQ is the first and only Artificial Intelligence-based SCS system that learns. The procedures cause MASSIVE flares, but without them I am at risk if heart failure + bleeding problems so stopping isn’t really an option. 1 Kapural L. HF10 is able to be implanted through a minimally invasive outpatient procedure that allows patients to go home the same day. Easily pair the widest array of waveform types, including paresthesia-based. For some folks with the HF10. de. Well I went to charge the unit last night and for the life of. S. Avvo Rating: 10. Biologic Complications The study found HFX provided significantly better and longer-lasting pain relief from back and leg pain than other spinal cord stimulators 4-5. 73% of employees would recommend working at Nevro to a friend and 75% have a positive outlook for the business. This past February I had enough and opted for multi level fusion L1-Si. I have RSD or CRPS as it's sometimes called. This is particularly important for the many patients with current SCS systems that are not getting optimal results. Been in Dr's office with Nevro Rep several times to re- adjust level and frequency. a different manufacturer attached to the Nevro IPG. METHODS: A pragmatic randomized,. --Nevro Corp. In May 2015, Nevro’s Senza® SCS system, which is the only SCS system that delivers HF10 therapy, was approved by the FDA. Full Name * Required. The Senza spinal cord stimulation (SCS) system (Nevro) is a neuromodulation device that delivers electrical impulses to the spinal cord. It can help a person rely less on stronger pain medications. This article reviews Nevro Corporation's (CA, USA) Senza System high-frequency spinal cord stimulator (HF10 SCS). Nevro HFX has been proven to safely treat chronic pain for over 10 years in over 100,000 patients by delivering mild electrical pulses to the nerves, interrupting the transmission of pain signals to the brain, thus reducing pain. The average price target represents an increase of 24. . I had an unfortunate outcome with my back surgery that I had 8 months ago. The CF10 trial was a complete success for me, and am. All questions or concerns about Nevro Corp. Important safety, side effects, and risks information. HFX is a small, FDA-approved device that safely works inside your body to significantly reduce your pain and restore your quality of life. m. (NYSE: NVRO), a global medical device company that is providing innovative evidence-based solutions for the treatment of chronic pain, today announced that the first commercial case has been performed in the United States under the company's May 8th, 2015 FDA approval for commercial use of the Senza® spinal cord. If your doctor is okay with you flying, remember to keep your charger and. Proven and trusted by physicians. 5’ Patient Contact Material Titanium, Silicone rubber, Epoxy Product Specifications Product Specification SheetNevro HF10, Indianapolis, Indiana. Nevro is a medical device company headquartered in Redwood City, California that has the goal of helping more people living with chronic pain achieve lasting relief. The system is programmed to provide most waveforms in a single product, solely or when paired with HF10. That program helped immensely and I got off 5 meds. Traction of HF10: after the trial was completed in 2015 and approved, Nevro’s product grew pretty rapidly to over $300M in sales. 88% of patients treated with 10 kHz Therapy are more independent because of their reduced pain. High frequency technology also requires no paresthesia, rendering the sensor device completely obsolete. The phone numbers provided in this directory. Minimal restrictions and reversible. HFX isn’t addictive and doesn’t cloud your thoughts, cause drowsiness. Comparison of 10-kHz High-Frequency and Traditional Low-Frequency Spinal Cord Stimulation for the Treatment of Chronic Back and Leg Pain: 24-month Results from a Multicenter. , et al. An FDA review of adverse events involving spinal cord stimulators found that nearly a third were reports of unsatisfactory pain relief. The primary endpoint of the study is the difference in proportion of. , May 22, 2015 /PRNewswire/ -- Nevro Corp. Jude Eon Mini, 174 for the St. Study design: A review of preclinical and clinical studies regarding the use of paresthesia-free HF-SCS for various chronic pain states. SurgeonFor over 10 years, Nevro HFX has been proven to safely treat chronic pain in tens of thousands of patients worldwide. 650. S. But to me, it seems you may need, if you haven't had it already, is to have it adjusted and programmed again. retrospectively reviewed data from all patients with CRPS at one center that underwent HF10-SCS trial and permanent implantation . al. HFX TM is the most advanced spinal cord stimulator (SCS) available, offering a wide range of benefits: HFX has demonstrated significant relief for both back and leg pain. , et al. Visit Website. 5. 3 |. This breakthrough treatment is the first system that offers pain relief without resulting in a tingling. Important Safety Information. MENLO PARK, Calif. Overview; How HFX Works; What to Expect;. decreased to a greater degree with HF10 therapy (65. Database includes US Physicians only. Here are a pair of other trick and reviews for the Nevro HF10: First, the HF10 can sometimes act in ampere counter-intuitive way. S. Message * Required. The Chronic Pain Solution. 5 times as. The potential uses for spinal cord stimulation include heart-related chest pain, nerve pain, and spine or back pain. Nevro today announced it has received approval from the US Food and Drug Administration (FDA) for the Senza Omnia spinal cord stimulation (SCS) system. You are a poor surgical risk. Un Tratamiento Innovador Para el Dolor Crónico. While we wait for others to join in, here's a list of related discussions on Connect that you may wish to review and ask. Data on file. The Nevro HF10 is a type of Spinal Cord Stimulation (SCS) and is named for its ability to deliver high-frequency stimulation at 10 kHz. 24 $24. Nevro's SENZA-PDN study, the largest randomized clinical trial (RCT) of spinal cord stimulation treatment conducted thus far, compares HF10 therapy plus Conventional Medical Management (CMM) to. Yes, that's a drug for epilepsy but it also is supposed to block nerve pain. Warnings, precautions and side effects: Refer to the Patient Manual prior to use and consult your physician. Ability to provide or blend 2 distinct mechanisms of action. Posted by elsa @elsa, Jul 26, 2020. Nevro Corp. It is a non-addictive, minimally. Novel 10-kHz High-frequency Therapy (HF10 Therapy) Is Superior to Traditional Low-frequency Spinal Cord Stimulation for the Treatment of Chronic Back and Leg Pain. With the right treatment, people do not have to live in pain. 251. The pilot study demonstrated that patients experienced significant pain reduction, with VAS reduced from 7. 1800 Bridge Parkway Redwood City, CA 94065 USA Tel: +1. Refer to the Nevro MRI Guidelines Manual (P/N 10001162) for detailed information on MRI safety and conditions for MRI scanning of patients implanted with Nevro products. Nevro's comprehensive HFX™ spinal cord stimulation (SCS) platform includes a Senza SCS system and support services for the treatment of chronic pain of the trunk and limb and painful diabetic. All questions or concerns about Nevro products should be forwarded to: Nevro Corp. The table below contains the HCPCS Level II codes, as well as the L-codes that might be listed in a medical policy or commercial contract. Within the SENZA-PDN, 10 kHz Therapy demonstrated exceptional outcomes across responder rates, pain relief. This innovative therapy relies on advanced spinal cord stimulation (SCS) science. (NYSE: NVRO ), a global medical device company that is providing innovative evidence-based solutions for the treatment of chronic pain. Mr Gliner has a patent for HF10 therapy and related issued to Nevro Corp. Mainly burning in. Has anyone tried a device called HF10 ? It’s a device which stimulates your spinal cord to help relieve back and leg pain. This can provide long-term relief from limb pain while still allowing patients. Food and Drug Administration in 1984. I had the Nevro back stim planted 2 1/2 years ago and have have alot if problems starting @ least one year ago. full market launch of its HFX iQ spinal cord stimulation (SCS) system, following the completion of a successful limited market. If you need support, please call: +1-844-331-1001. We have 2 Nevro HF10 manuals available for free PDF download: Booklet, Accessory Manuals . I have had 3 spinal fusions – 2005, 2011 and 2019 (L3-S1 & C5 – C7). SurgeonREDWOOD CITY, Calif. 0% 6 40. , Jan. The system is programmed to provide most waveforms in a single product, solely or when paired with HF10. Jude Prodigy, 17 for the Medtronic (Minneapolis, MN) Restore, 1 for the. Kapural L. If surgery is performed in a. NEVRO CORP. 3 Million and Plans to Update Guidance When It Reports Second. HF10 does not use over-the-counter or prescription medication, including opioids. In addition to Nevro's proprietary HF10 waveform, Omnia offers the most waveforms on one device and can be programmed to provide waveforms independently or paired with HF10. 19, 2021 /PRNewswire/ -- Nevro Corp. nevro hfx spinal cord stimulator reviews. Product Manuals. 16×3;. NEVRO CORP. I'm tagging a few members like @sbrown293 @martyk @marieh @pusher @scruffy1 @dogsma @chefmike2010 @lifetimepain @jimhd who have experience with spine stimulators, some of whom had the Nevro HF10. Spinal cord stimulation (SCS) delivered at 10 kHz (as in HF10 therapy) may provide pain relief without the paresthesias typical of. My issues was learning the controls of the monitor. I have dealt with chronic nerve pain (neuropathy and radiculopathy) ever since. marie04822 lisa_77285. About Nevro. The X in HFX signifies that our solution now is more than 10 kHz high-frequency stimulation. No major surgery is required. To highlight these differences between September 1st, 2015, and September 30th, 2018, 903 adverse events were reported regarding the Nevro Senza HF10 device, 1213 for the St. The company started with a simple mission to help more patients suffering from debilitating. Nevro HFX iQ™ Patient Application Manual. Introducing HFXTM. The Senza ® System, Senza II™ System, and the Senza ® Omnia™ System are the only SCS systems that deliver Nevro's proprietary HF10 ® therapy. All physicians are active users of the HFX solution. I must say; " i didn't expect a 5" incision and I didn't expect the procedure to be as painful as it was". This includes one-sided or two-sided pain associated with failed back surgery syndrome, intractable low back pain, and leg pain. Safety Information. October 2020 Wells Fargo Securities, LLC (Wells Fargo) provided an update to the ongoing patent litigation between Nevro Corp. Patient Reviews Resources Resources Existing patients Webinar Find a Doctor Safety. The Senza system is the only SCS system that delivers Nevro's proprietary HF10 therapy. (Exact name of registrant as specified in its charter). An SCS system capable of delivering stimulation frequencies up to 10 kHz has been developed (Senza® SCS system, Nevro Corp, Menlo Park, CA, USA). Class action. 650. Now Available, FDA-Approved, Artificial Intelligence-based HFX iQ™. Find out what real patients have to say about HF10. Kapural L. S. m. “It’s just a big waste of time, and an absolute. And the good news is since spinal cord stimulation is a well-established therapy it’s covered by most major insurance plans. . No neuropathy thankfully. Published May 8, 2015. I have been suffering chronic foot and left thigh, calf burning pain ever since. 4; Voxel 0. Page 1 dance H F 1 0 I M P L A N T O M N I A S C S S Y S T E M take a trip garden ride a bike play catch hit the gym Free to explore shop go out on the. Clinical Data Presented at 2021 North American Neuromodulation Society (NANS) Virtual Meeting Reinforce Significant Benefits of Nevro's HF10® TherapyThe rechargeable Senza ® SCS system (Nevro Corp. You dont say what make your stimulator is or where it was fitted but i can only tell you this:- mine is a nevro scs unit fitted at in my buttock at st thomas hospital london ,i had no complications afterwards but did follow all the rules set about over stretching in the begining to avoid the wires moving,and returned to work on a phased. Additionally, Nevro's system does require daily recharging, but it is only for 30 minutes a day. , et al. S. 1. HF10 has demonstrated significant relief for both back and leg pain. The most common complications of spinal cord stimulation (SCS) therapy are generally related to surgical site infection and hardware malfunction. The system delivers SCS frequencies between 2Hz and 10,000Hz, along with the company’s HF10 therapy, which combines a 10kHz frequency. and international patents. Then asks to chart the changes if any. 33 to a high of $78. S. Kapural, L. HFX spinal cord stimulation has the. Senza, HF10, Nevro and the Nevro logo are. Considering the Nevro HF10–but must be implanted by a neurosurgeon. I would say I was sleeping "uncomfortably" for about 3-4 days. 1; Reconstruction matrix 512 512; Sense no 1. 1 like. (NYSE: NVRO), a global medical device company that is delivering comprehensive, life-changing solutions for the treatment of chronic. Jun 2009 - Feb 20188 years 9 months. 132. I have had 8 back surgeries over the last 3 1/2 years, the last ones January 2018 which L1-L5 was fused. Thin, flexible wires, called leads, are placed beneath the skin and next to the spine. Complications of Spinal Cord Stimulation and Peripheral Nerve Stimulation Techniques: A Review of the. HF10 is delivered by the Senza Spinal Cord Stimulation system. Adam Young received a stimulator to treat back pain caused by two prolapsed discs in his spine. In 2006 I had that unit replaced by the newer model which is supposed to last up to 9 years and is rechargeable. Austria: +49 157 35998005. Nevro, and my pain, no help. June 7, 2022. 9415 [email protected] HF10. Nevro and the specialist have been notably quieter since it was clear the implant was not a 'very' successful one, but they are still supportive. 0005 Fax: +1. The trial went okay. It delivers HF10™ SCS therapy, a therapy that uses proprietary waveform with stimulation frequencies up to 10 kHz. In 2018, Gill et al. We have developed HF10™ therapy, an innovative, evidence-based neuromodulation platform for the treatment of chronic pain. I have had the Nevro hf10 trial and am about 5 weeks post op for the permanent surgery. A spinal cord stimulator is an implanted device that is controlled outside the body by the patient. I've lived with severe chronic pain in my legs and lumbar spine for the past ten years. This article reviews Nevro Corporation's (CA, USA) Senza System high-frequency spinal cord stimulator (HF10 SCS). , Nevro develops products for patients suffering from debilitating chronic pain. After 12 months of treatment with 10-kHz SCS. * Some other rechargeable systems are not approved for full body MRI scans. HF10 Therapy is a revolutionary parasthesia free spinal cord stimulator for pain. HFX is placed in your lower back or buttocks area (your doctor will help decide which location is right for you). Quick, outpatient & minimally invasive. All questions or concerns about Nevro Corp. "This submission is a significant milestone in the evaluation of Nevro's proprietary HF10 high frequency spinal cord stimulation therapy to address the many. Adam Young received a stimulator to treat back pain caused by two prolapsed discs in his spine. Nevro, an innovative new medical device company, has developed a disruptive technology with HF10 Therapy. Methods: We reviewed available literatures on HF-SCS, including Nevro's paresthesia-free ultra high-frequency 10 kHz therapy (HF10-SCS). Senza, Senza II, Senza Omnia, HF10, Nevro and. ddry999. 1001 to 5,000. Throughout this website all referenced devices including the Implant, Leads, and Patient Accessories are a part. Some of its highest paying competitors, Genentech, Medtronic, and Centocor, pay $97,473, $73,671, and $73,664, respectively. The SENZA system is the only SCS system that deliver’s Nevro’s proprietary HF10 therapy. 8%) had a successful trial stimulation and proceeded to a permanent implant. Follow. 650. While traditional spinal cord stimulation (SCS) has. The safety of HFX has been thoroughly studied and proven. HFX is the most advanced spinal cord stimulator available offering the widest range of frequencies and waveforms to. S. The web page reviews the advantages and disadvantages of spinal cord stimulation, including the novel 10-kHz high-frequency therapy (HF10) that has better results than traditional low-frequency therapy. It can be left on 24 hours a day, 7. S. We developed 10 kHz high-frequency therapy, or HF10™, to help more people living with chronic pain achieve lasting relief. That program helped immensely and I got off 5 meds I. I have complete confidence in this unit because the temporary one that they inserted worked unbelievably well. HFX has been clinically proven to provide more and longer-lasting pain relief from chronic back and leg pain than other spinal cord stimulation systems 6. For this reason, always talk to your doctor if you have questions about your condition. The safety of HFX has been thoroughly studied and proven. All physicians are active users of HFX TM solution and have completed HFX training. you may need to have the battery adjusted, and you may need to replace it, That's all I know. I talked to my dr and a Nervo HF10 rep today. then it became more manageable. Jude Protégé, 63 for the St. “Before HF10 my pain was an 8 on a scale of 10 but now my average pain score is 2-3,” said Hillary, who struggled with debilitating pain for decades as a… Nevro on LinkedIn: #nevro #. hospitals are more likely to have the type of MRI machine that is compatible. products, including any serious incident that has occurred in relation to the device, should be forwarded to: Nevro Corp. ZERO BIAS - scores, article reviews, protocol conditions and moreA Multicenter Real‐world Review Of 10 kHz SCS Outcomes For Treatment Of Chronic Trunk And/or Limb Pain: Link: Amirdelfan K. if you run into any issues just call texhnical support at NEVRO. Food and Drug Administration approval in 2015 for use in the management of chronic intractable pain of the trunk and/or limbs. HF10 Therapy Labeled as Superior to Traditional SCS Therapy for Chronic Back and Leg Pain Conference Call on Monday, May 11 at 8:30 a. 1 like · 8 were here. The risk of using other types of RF coils has not been evaluated. If you are STRUGGLING with PAIN, then get your expert diagnosis and treatment plan for pain relief now - click here This treatment i. The most recent systematic and comprehensive review of the effectiveness of SCS in treating chronic spinal. Redwood City, CA 94065 USANevro Corp. CONCLUSION: This study demonstrates long-term superiority of HF10 therapy com-pared with traditional SCS in treating both back and leg pain. my lower legs. Considering getting removed. 76% of people with back pain and 73% of people with leg pain experienced at least 50% pain relief with HFX. my Nevro was installed in July, 2017, On the advice from my neurosurgery Doctor, he referred me to a pain specialist an he installed the Nevro H10. Jump to this post . I've lived with severe chronic pain in my legs and lumbar spine for the past ten years. , et al. my Nevro was installed in July, 2017, On the advice from my neurosurgery Doctor, he referred me to a pain specialist an he installed the Nevro H10. Nevro’s HF10® therapy is an innovative method of treating pain, which provides a possible solution which could restore both your independence and enjoyment in life. -based. Nevro HF10 . Nevro HF10. Switzerland: +41 26 539 1028. and international patents. The Senza SCS. Nevro has developed and commercialized the Senza spinal cord stimulation (SCS) system, an evidence-based, non-pharmacologic neuromodulation platform for the treatment of chronic pain. Nevro's battery is designed to last 10+ years at all common programming settings. Novel 10-kHz High-frequency Therapy (HF10 Therapy) Is Superior to Traditional Low-frequency Spinal Cord Stimulation for the Treatment of Chronic Back and Leg Pain. To represent these additional offerings, we changed the brand name HF10 to HFX. Nevro Medical Limited (acting through Nevro Germany GmbH) Email: nevro@iitr. 1800 Bridge Pkwy. Impressive. Patient Ambassadors are a community of people who use HFX to manage their chronic pain and have volunteered to share their personal experiences and answer your questions. This document is a supplement to the Senza system Physician Implant and Patient Manuals and is related only to the use of a transmit/receive radio frequency (RF) head or local coils of a 1. This application allows patients to input their daily pain, medication use and activity levels to provide a personalized therapy. 11095-ENG Rev K PAGE 2 . Spinal cord stimulation doesn’t work best for acute and mechanical pain. Watch an educational webinar on Nevro HFX. I had back surgery (fusions) 2 1/2 years ago and it was a failure. No major surgery is required. REDWOOD CITY, Calif. 75. I have deduced the either my surgery was not necessary, or wrong surgical. Nevro's comprehensive HFX™ spinal cord stimulation (SCS) platform includes a Senza SCS system and support services for the treatment of chronic pain of the trunk and limb and painful diabetic. they will call NEVRO and get the specs doe the MRI machine. SOURCE Nevro Corp. MR Conditional . The Omnia system is comprised. 4040 Campbell Avenue, Suite 210. Summary. Spinal cord stimulation is most effective for chronic nerve pain. Ask for Nevro HFX to treat your PDN. Stimulation OFF Button 3. (NYSE: NVRO), a global medical device company that is delivering comprehensive, life-changing solutions for the treatment of chronic pain, today announced that Nevro's HFX 10 kHz Therapy is the only form of spinal cord stimulation (SCS) therapy to be referenced by the American Association of Clinical Endocrinology. The Senza RCT is a Level I study design run from 2012 with an estimated primary completion in 2015. This system delivers electrical stimulation pulses at high frequency (10,000 Hz) as compared with traditional low-frequency SCS systems (typically around 50 Hz. Now issues with bone spurs pressing on sciatic nerve and continued disc generation and vertebrae movement above L3. 1. Nevro has developed and commercialized the Senza spinal cord stimulation (SCS) system, an evidence-based, non-pharmacologic neuromodulation platform for the treatment of chronic pain. Hello to all my British friends. Analysts say stimulators and the surgery to implant them costs between $32,000 and $50,000, with the device itself constituting $20,000 to $25,000 of that amount. Unlike other chronic pain treatment options or surgery, with a spinal cord stimulator trial, you can try a temporary system first and see if spinal cord stimulation helps relieve your pain before you decide to…. Minimal restrictions and reversible. All you have to do is tell the place where you are having your MRI (preferrably a hospital) that you have a NEVRO HF10. Nevro: A Leader in Neuromodulation. Nevro's comprehensive HFX™ spinal cord stimulation (SCS) platform includes a Senza SCS system and support services for the treatment of chronic pain of the trunk and limb and painful diabetic. Data on file. SENZA OMNIA, OMNIA, SURPASS, SURPASS-C, HF10, the HF10 logo, HFX, the HFX logo, HFX iQ, the HFX iQ logo, HFX CONNECT, the HFX Connect logo, HFX ACCESS, the HFX. SENZA II, SENZA OMNIA, OMNIA, SURPASS, SURPASS-C, HF10, the HF10 logo, HFX, the HFX logo, HFX iQ, the HFX iQ logo, HFX CONNECT, the HFX Connect logo, HFX ACCESS, the HFX Access. Nevro IPG(s) NIPG1000, NIPG1500, NIPG2000, NIPG2500 Nevro Percutaneous Leads LEAD10x8-xxB: LEAD1058-50B, LEAD1058-70B, LEAD1058-90B Surpass® Surgical Lead LEAD3005-xxB: LEAD3005-50B, LEAD3005-70B, LEAD3005-90B Surpass-C™ Surgical Lead LEAD2005-xxB: LEAD2005-50B, LEAD2005-70B, LEAD2005-90B"Nevro is proud to continue our longstanding commitment to investing in the field of neuromodulation and expanding our growing body of clinical evidence," said D. High frequency technology also requires no paresthesia, rendering the sensor device completely obsolete. The database was queried from 2013 to May 2019. Learn how HFX works, how to get it, and what to expect. Now Available, FDA-Approved, Artificial Intelligence-based HFX iQ™. (650) 251-0005. 9×1. Many people say they feel an increase in pain as soon as they wake up from surgery. (NYSE: NVRO), a global medical device company that is providing innovative, evidence-based solutions for the treatment of chronic pain, today announced the results from data presentations at NANS supporting the use of HF10® therapy for patients with chronic. This article reviews Nevro Corporation's (CA, USA) Senza System high-frequency spinal cord stimulator (HF10 SCS). Who we are. Senza, Senza II, Senza Omnia, HF10, Nevro and. The Dr wants to do additional surgery. Complete the form below so a Nevro HFX Care Team Member can contact you to answer your questions and help you find an HFX-trained doctor. Parameter Routine imaging With Nevro1 HF10 Repetition time 3,692 2,903 Time to echo 120 120 Number of excitations 2 1. At each stage of development, our research was subject to. My name is Glen and i have had the Nevro HF10 spinal stimulator implanted since Sept 1, 2021 and the company rep hasn't been able to dial it in on my terrible lower back pain yet. Traditional spinal cord stimulators only offer one. I had my Nevro HF10 implanted 1 month ago and I now have a Serious Infection and seeing an Infectious Disease Dr.