Cloudy with a Chance of PNS

In this presentation, Jeremy Koff explores the evolving landscape of Peripheral Nerve Stimulation (PNS), drawing on over 30 years of experience in neuromodulation. The talk highlights key drivers of PNS adoption, including reimbursement (especially the Medicare vs. private payer divide), representative support, clinician preferences, and patient needs. It outlines the variety of PNS systems available, compares their features, and examines trends such as short-term stimulation and the debated carry-over effect. The speaker also contrasts PNS with off-label SCS use and emphasizes the growing complexity and crowding of the market, urging for more data, collaboration, and strategic differentiation.