Dr. Jason Kim

There are multiple publications that show the compliance rate is poor.

About five, six years ago, one of my residents looked at our compliance rates, and for patients who were considered successes at one year, only 40% continued.

And that's starting to get similar to the compliance rate with medications at one year, right?

So it's not great.

Patients in New York, a lot of them are snowboards.

They have to go down to Florida for the winter, and it got to the point where oftentimes we had to make connections with offices in Florida to find places for them to continue PT&S, and we found people dropped off.

I think implantable tibial nerve stimulation is promising because it allows us to give more sessions in an automatic fashion and the patients don't have to come in the office.

So oftentimes transportation is an issue for the patients or even time for the patients who are working.

We've been lucky in our practice that we actually have a PTNS suite with four reclined chairs and patients basically could come in any time during business hours.

But I know that's a complete luxury that we have.

But even with that, we're still doing a lot of implantable tibial nerve stimulation.

The devices last anywhere from three years to more than 10 years.

Even long-term, you're getting sessions daily or twice a week, whereas with PT&S, you would typically be getting monthly maintenance sessions, and a lot of that was due to insurance limitations.

Yes.

Well, I was part of the Medtronic trial, so I've implanted their Titan device in the trial.

I have not implanted one commercially yet.

I have my first implant coming up.

I've implanted Blue Wind and also Equine.

Sure.

So right away, one of the most basic differences is that