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Home/Legal & Regulatory and Reimbursement/Spinal Cord Stim Company Nevro vs. Boston Scientific
Legal & Regulatory and Reimbursement

Spinal Cord Stim Company Nevro vs. Boston Scientific

November 4, 2020 1 min read Premium comments

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Spinal Cord Stim Company Nevro vs. Boston Scientific
Courtesy of Nevro Corp + Boston Scientific Corporation
#nevrocorpSecondary#patentlitigation#spinalstimulation

October 2020 Wells Fargo Securities, LLC (Wells Fargo) provided an update to the ongoing patent litigation between Nevro Corp. and Boston Scientific Corporation indicating the potential for a speedy resolution.

The litigation revolves around several of Nevro’s patents related to its high-frequency spinal cord stimulation system. Its focus is on Boston Scientific’s U.S. manufacturing efforts. Boston Scientific does not currently provide a high-frequency spinal cord stimulation system in the United States.

In its research, Wells Fargo stated that its patent consultant believes “that Nevro’s patents are valid.” This optimism and recent court rulings in Nevro’s favor may prove significant in the future.

Wells Fargo’s patent consultant suggested that the court might be motivated to decide the case on summary judgment allowing for a speedy resolution. It was pointed out that many of the issues in the matter have already been addressed by the Federal Circuit. Additionally, the consultant highlighted that the COVID-19 pandemic has created a backlog that the courts are eager to clear. Summary judgment rulings and other pressures on the parties help courts encourage parties to settle and clear dockets. At present, a hearing is scheduled for January 2021.

Wells Fargo research analysts seem to have confidence in Nevro. In its equity research, it indicated that it believes Nevro’s stock should perform better in the future. This is because Nevro has new management and it believes that the spinal cord stimulation market “remains a healthy and underpenetrated market.” Furthermore, Wells Fargo believes that Nevro “has a strong and under-appreciated pipeline.”

Wells Fargo research analysts identified several risks for Nevro including its patent litigation. Other potential risks include “market related issues, new competition, [and] slower than expected market growth.”

Growth does appear to be in Nevro’s future with plans to expand its manufacturing to Costa Rica. For OTW’s coverage of this expansion see “Nevro Expands Spine Cord Stim Mfg to Costa Rica.”

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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