Clinical Study Of a Micro-Implantable Pulse Generator For The Treatment of Peripheral Neuropathic Pain

Inclusion Criteria:

1. Subject is between 18 to 80 years of age at the time of enrollment.

2. Subject would have been prescribed PNS therapy regardless of participation in thisstudy; the use of the Nalu device must be on-label.

3. Subject has been diagnosed with one or more of the conditions listed below in thelow back, shoulder, knee, or foot (including ankle):Post-surgical/post-traumaticperipheral neuralgia including but not limited to pain due to peripheral nerveinjury, post-surgical scar formation, nerve entrapment; Mononeuropathy, specified orunspecified or in diseases classified elsewhere; Other neuralgia or neuropathicpain; Osteoarthritic pain.

4. Subject has chronic (defined as at least 6 months duration), intractable peripheralneuropathic pain, exclusive of the craniofacial region; any nociceptive pain must beless prominent than the neuropathic pain. Pain should have a predominant neuropathiccomponent as per the investigator's clinical assessment.

5. Subject should have a pain score of at least 6, in the target area of pain, asrecorded on the BPI-Q5 (NRS) at screening.

6. Subject is willing to cooperate with the study requirements including, compliancewith the study procedures and completion of all study visits.

7. Subject reported stable pain (non-escalating) for 60 days prior to signing informedconsent.

8. Subject is currently receiving CMM and has had stable pain medication use and dosagefor 30 days prior to signing informed consent.

9. Subject is psychologically qualified to receive a peripheral nerve stimulator as perthe clinician's standard clinical practice and judgment and does not have clinicallyrelevant psychological condition(s) that would interfere with their ability toaccurately report outcomes or complete study procedures.

10. Subject has demonstrated the ability to appropriately place the adhesive clip in thelocation where the IPG is most likely to be implanted. Alternatively, subject isable to appropriately use the relief belt and/or limb cuff to keep the Therapy Discin place.

Exclusion Criteria:

1. Subject currently has an active implantable medical device such as a drug pump,spinal cord stimulator, peripheral nerve stimulator, sacral nerve stimulator, deepbrain stimulator, and/or cardiac pacemaker.

2. Subject has previously failed PNS or Spinal Cord Stimulation (SCS) or Dorsal RootGanglion (DRG) therapy (trial or permanent implant)

3. Pain is completely absent at rest.

4. Patient has clinical evidence of complex regional pain syndrome (CRPS), peripheralneuralgia of metabolic origin, post-herpetic neuralgia, biochemical evidence of ametabolic or genetic neuropathy (e.g., Charcot'- Marie- Tooth Disease) or mixedmotor/sensory polyneuropathy.

5. Subject has a medical condition that would prevent them from participating in thecurrent study per investigator's or medical monitor's judgment.

6. Subject has had a successful (≥ 50% pain relief) interventional procedure within thepast 3 months to treat the same pain condition(s) being examined in this studyincluding, nerve blocks.

7. Uncontrolled depression or uncontrolled psychiatric disorders

8. Subject is currently participating in another clinical investigation with an activetreatment arm.

9. Subject is allergic or sensitive to materials used in the device componentsincluding, skin adhesives or does not tolerate the wearable aspect of the device.

10. Subject has pending or ongoing legal issues (including unresolved worker'scompensation claims or equivalent) or other conflicting secondary gain issuesrelated to their chronic pain condition.

11. Subject has a current diagnosis of a coagulation disorder, bleeding diathesis, orprogressive peripheral vascular disease that has not been medically corrected.

12. Subject has an active systemic infection.

13. Subject is unable to read and/or write in English or give informed consent.

14. Subject has a life expectancy of less than 1 year.

15. Subject has an active malignant neoplasm (metastatic or local) or evidence ofparaneoplastic syndrome.

16. Subject with uncontrolled diabetes mellitus, showing signs of diabetic neuropathy,as evidenced by a neurological exam and a HbA1c test.

17. Subject has evidence of an alcohol or drug dependency within the last 6 months priorto enrollment.

18. Subject is pregnant (if female and sexually active, subject must be using a reliableform of birth control, be surgically sterile or be at least 1 year post-menopausal).

19. Subject is nursing/breastfeeding.

20. Subject is on ≥90 mg-morphine equivalents per 24 hours.

21. Subject has undergone an ablative treatment of the target peripheral nerve, orproximal nerve trunk giving rise to the target nerve, or dorsal roots (and DRGs)that ultimately make up the target nerve. No ablative procedures directed at thespinal cord, dorsal roots, or peripheral nerve(s) being treated in the study. Tonote, subjects who have undergone RF ablation of the dorsal rami, cool pulsed RF ofthe facet innervation may be considered for enrollment.