NALU PNS

One of Four Peripheral Nerve Stimulators (PNS)

Nalu PNS utilizes mild electrical impulses to block pain signals before they reach your brain. Here’s how it works:

Placement of Leads: Thin wires, called leads, are placed under the skin near the nerves associated with the pain.
Implantable Pulse Generator (IPG): An IPG is implanted under the skin and connected to the leads. It provides the electrical impulses.
Blocking Pain Signals: The leads send a signal to the brain through the nerves that normally carry the pain signal. As long as the stimulation signal is active, the pain signal cannot get through.
Comfort Trial: Before committing to the system, patients can try it temporarily. During this trial, they wear an adhesive clip and non-functioning Therapy Disc to determine the best location for the Therapy Disc and IPG.
Permanent Implant: If successful, a minimally invasive surgical procedure places permanent leads and the Nalu micro-IPG in the optimal location for specific pain management.

Trial Period: Nalu, just as Curonix, has a 7-day trial period per the FDA.

Patients receive two therapy discs and a charger so one can always be on the charger.

Adhesive or Wearable?

Adhesive

Note: To hold the Therapy Disc, Nalu uses a clear plastic clip-on (same shape)

with a special medical adhesive called hydrocolloid.

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Photo 1 - In person picture taken by us of woman, 5'3", holdiing the Nalu therapy disk

to give an idea of its size. You should do the same if you are considering Nalu to see if

the device's size and weight works for you.

Photo 2 - Nalu IPG from their website - Surgically implanted. Nalu is the only PNS with an additional (second) implanted device other than the thin lead implanted by all 4 manufacturers. We're not sure why and are still

investigating. The IPG does not at all less the quality of this PNS, it's simply that it's

an additional implantation.

Components in picture on a table:

Two Nalu Therapy Disks (one with charger hookup)
Nalu Disk Charger
Tined Lead PNS Kit (4 contact, 40cm)
PNS Lead Kit (8 contact, 60 cm)
Pocket Tunneling Tool blue & white (10 cm) on left - handheld device that is used to create a subcutaneous tunnel and/or pocket for the placement of the IPG
IPG (two prongs)- Implantable pulse generator is placed surgically under the skin and connected to the leads to provide the electrical impulses.

Components in picture on a table:

A 14-gauge Spoonbill (introducer) needle used to gain access under skin for implantation of the ported leads
Tined Lead PNS Kit (4 contact, 40cm)
PNS Lead Kit (8 contact, 60 cm) - not used for PN

What is a tine? It's a small, slender pointed projecting part or a prong.to prevent a lead from migrating

or falling out.

Photo - Diagram from website showing disc adhesive clip and the therapy disc snapped inside

the clip so it attaches to the body.

Sample of placement of surgically implanted IPG (Implantable Pulse Generator). Again, only Nalu uses an IPG. We could not find an image for the pudendal nerve so we are showing a diagram for superior lateral genicular nerve (SLGN) around the knee as an example of the distance of the IPG from the site of the pain and where the lead receiver will be placed.

<- SLGN Nerves

VIDEOS: LINK - they are at the bottom of the page. One shows an implantation of a Nalu PNS.

https://nalumed.com/product-information/

Doctor Training for PNS

U.S. states do not require doctors to train in person under an experienced doctor on living people to be accredited to implant any PNS. They only need to attend a lecture with a slide presentation. Doctors can practice on cadavers if they choose. We feel this is clearly medically unethical when it comes to patient safety and the laws need to change now.

We suspect that for almost all U.S. doctors, you will be the FIRST patient for PN implant (guinea pig) for, regardless of the brand the doctor uses.

Twilight Sedation for PNS

Doctors WILL give twilight sedation during the introducer portion of the implantation. It is usually a mixer of fentanyl and midazolam. You will be awake, but the drugs will help you to not remember and will reduce the pain. This is NOT like sedation with propofol where you are unconscious and feel no pain. This is used for Botox injections.

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Pudendal Neuralgia Alliance

contact@pudendalneuralgiaalliance.org

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