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The Nalu System for Peripheral Nerve Stimulation (PNS)

A long-term, personalized solution to chronic focal neuropathic pain

The Nalu System is purpose-built to provide profound, clinically proven pain relief and deliver PNS therapy in ways not possible by other systems.1-17

A woman in a bright red, patterned athletic outfit is shown from the side, with a small round device attached to her lower back. A person holds a smartphone while viewing a mobile application screen.

What is the Nalu System?

The Nalu System is a drug-free, minimally invasive therapy that delivers gentle electrical stimulation to peripheral nerves to interrupt pain signals.18 The system is designed to provide a personalized, long-term treatment that integrates comfortably into the lives of patients struggling with chronic focal neuropathic pain.

Components of the Nalu System

Nalu micro-Implantable Pulse Generator (mIPG).

micro-Implantable Pulse Generator (mIPG) that delivers stimulation

Nalu therapy disc.

Externally worn “Therapy Disc” that wirelessly powers the system

Nalu tined and non-tined leads.

Implanted, flexible leads for targeted nerve stimulation

Nalu adhesive clip.

Comfortable wearables designed to maintain secure placement of the Therapy Disc

Nalu patient remote controller.

A patient Remote Control app for minor therapy adjustments

Why choose the Nalu System

Advanced programming capabilities that enable sophisticated therapy customization

Real-time bi-directional (two-way) communication between the mIPG and Therapy Disc to ensure reliable therapy delivery

A discreet wearable designed without external leads or wires for comfortable wear under clothing and therapy delivery only when needed

Miniaturized, implanted components that allow for a streamlined, minimally invasive outpatient procedure designed for rapid recovery

Level 1 clinical evidence that supports sustained pain relief across four anatomical regions and clinically meaningful functional improvements over 24 months19,20

Discover the clinical evidence

The Nalu System is supported by a robust collection of peer-reviewed, published clinical evidence demonstrating sustained pain relief and clinically meaningful functional improvements in clinical trials and real-world application. 

The Nalu System has demonstrated sustained pain relief across 4 anatomical regions and clinically meaningful functional improvements over 24 months.19

85%

Responder rate*

74%

Reported improvement in disability**

96%

Patient satisfactionŦ

* ≥50% pain relief from baseline
** On the Oswestry Disability Index (ODI)
Ŧ Defined as “very much,” “much” or “minimally improved” on the Likert Scale 


Reproducible performance across four anatomical regions2

67%

average pain relief at 24 months19

Illustration of a human figure with a highlighted nervous system with callouts to the shoulder, low back, knee, and foot or ankle.

Sustained pain relief replicated across clinical trials

Numeric Rating Scale (NRS) scores decreased from 7.5 to 2.520

NRS Pain Scores Over 24 Months
Line chart showing NRS pain scores decreasing from 7.5 to 2.5 over 24 months for COMFORT participants.

Integrate PNS into your practice

The Nalu System delivers personalized therapy through advanced programming and flexible treatment options.

When evaluating PNS options for chronic focal neuropathic pain, consider the system that delivers pain relief with PROFOUND impact, is PROVEN by clinical data, and is DIFFERENT by design. 

Reimbursement support

Access resources to guide you through the reimbursement process, support procedure access for patients, and educate insurance companies.

Pain management

Discover products and technologies to help treat your chronic pain patients and access the latest education, training, and support.

A group of medical professionals dressed in blue surgical gowns and masks are seen inside a modern operating room.

Education and training

Nalu System medical education and training are coming to EDUCARE.

†Nalu Neurostimulation System
Results from clinical studies are not predictive of results in other studies. Results in other studies may vary.

References

  1. Nalu Medical, MA-000013, Rev. R, Nalu Clinician Programmer Application User Guide​

  2. Nalu Medical 510k, K232415​

  3. Nalu Medical, MA-000114, Rev. D, Nalu Remote Control Application User Guide​

  4. Nalu Medical, MA000007, Rev. K, Nalu Neurostimulation System User Instructions for Use​

  5. Nalu Medical, MA-000071, Rev. S, Nalu Nerostimulation System Surgical Instructions for Use, Ported Implantable Pulse Generator and Leads​

  6. Nalu Medical, MA-000116, Rev. H, Nalu TD2 User Kit Instructions for Use​

  7. Nalu Medical, 510k, K233801​

  8. Curonix LLC.  05-20915 Rev 9 Transmitter Assembly Instructions for Use for Freedom® Neurostimulation Systems.​

  9. SPR Therapeutics, Inc. SPRINT® PNS System – Clinician Instructions for Use [L0241(A)]. Cleveland, OH: SPR Therapeutics, Inc.; 2023. Accessed May 12, 2026​

  10. StimRouter 510k, K200482​

  11. Sprint 510k, K223306​

  12. Nalu Medical, MA-000105, Rev. A, MRI Safety Manual​

  13. Curonix, 05-20200, Rev. 8, Implantation Instructions for Use​

  14. Curonix, 05-20500, Rev. 6, MRI Instructions for Use ​

  15. Curonix 510k, K233162​

  16. Bioness Inc., LBL-000706, Rev. C, Clinician Guide​

  17. Bioness Inc., LBL-000694, Rev. A., MRI Guide 

  18. Pain and Spine Specialists. (n.d.). How does peripheral nerve stimulation work? https://painandspinespecialists.com/how-does-peripheral-nerve-stimulation-work/
  19. Engle MP, Hersel A, Gutierrez G, Khemlani V, Kapural L, et al. (2026) Long-Term Clinical Outcomes (24 Months) of Peripheral Nerve Stimulation in the Treatment of Chronic Pain - COMFORT RCT. Chron Pain Manag 10: 179. DOI: 10.29011/2576-957X.100079
  20. Engle M, Gutierrez G, Hersel A, Netzel C, Khemlani V (2025) A Confirmatory Randomized Controlled Trial Evaluating a Micro-Implantable Pulse Generator for the Treatment of Peripheral Neuropathic Pain: 3- and 6-Month Results from the COMFORT 2 Study. Chron Pain Manag 9: 171. DOI: 10.29011/2576-957X.1000171