We collect several types of information from and about users of our Site, products, and services, and users who otherwise communicate with us, including:
We collect this information:
Vertos Medical may disclose Personal Information or other information about you to any affiliate, subsidiary, or successor of Vertos Medical, or if required to do so by law or in the good faith belief that such action is necessary to: (1) conform to the requirements of applicable laws or comply with legal process served on Vertos Medical or this Site; (2) protect and defend the rights or property of Vertos Medical; or (3) act in urgent circumstances to protect the personal safety of users of Vertos Medical, our Site, products, and services or the public. We may also disclose or transfer your Personal Information and other information to a third party in the event of any proposed or actual reorganization, merger, sale, joint venture, assignment, transfer, or other disposition of all or any portion of our business, assets or stock (including in connection with any bankruptcy or similar proceedings). Such third parties may include, for example, an acquiring entity and its advisors. We may aggregate and/or de-identify data about visitors to our Site and use and disclose it for any purpose, including product and service development and improvement activities.
We may share certain information, including Personal Information, that we collect about you with our service providers who perform functions on our behalf. These service providers may collect information based upon your use of our Site. These providers perform such functions as hosting our web servers, analyzing data, providing development and IT and telecommunication support, providing social media services, and providing advertising services, marketing assistance and customer service. If you request information about doctors certified to use our products or services (e.g., about your experience with your doctor), we may share that information, including Personal Information, with medical providers, with your consent, for them to contact you directly.
Additionally, our third party social media and advertising providers (e.g., Facebook and Google) may place or recognize cookies, pixel tags, web beacons or other technology to track certain information about our Site users, including when you visit their sites or services. For example, in the course of serving certain advertisements, an advertiser may place or recognize a unique cookie on your browser in order to collect certain information about your use of the service. An advertiser or ad server may also be able to collect your device’s unique identifier in the course of serving an ad. In many cases, this information could be used to show you ads on other websites based on your interests.
We may ask for your consent to collect, use, or share your Personal Information, when we are required to do so by law.
We may use “cookies”, or small text files that are stored on your computer’s hard drive. Cookies ensure that our Site’s content is presented in the most effective manner for you and your computer.
Strictly Necessary Cookies
These cookies are essential in order to enable you to move around our Site and use its features. Without these cookies, services you have requested, such as remembering your submitted information, cannot be provided.
These cookies collect anonymous information on how people use our Site. For example, we may use Google Analytics cookies to help us understand how individuals arrive at our Site, browse or use our Site, and highlight areas where we can improve such as navigation and marketing. The data stored by these cookies never shows personal details from which your individual identity can be established.
These cookies remember choices you make such as the country from which you visit our Site, language, and search parameters. These can then be used to provide you with an experience more appropriate to your selections and to make the visits more tailored. The information these cookies collect may be anonymized, and these cookies cannot track your browsing activity on other websites.
Targeting Cookies or Advertising Cookies
These cookies collect information about your browsing habits in order to make advertising more relevant to you and your interests. They are also used to limit the number of times you see an ad as well as to help measure the effectiveness of an advertising campaign. The cookies are usually placed by third party advertising networks. They remember the websites you visit, and that information is shared with other parties such as advertisers.
Social Media Cookies
These cookies allow you to share what you have been doing on our Site on social media, such as Facebook and Twitter. These cookies are not within our control and are therefore subject to a third party’s rules and policies. Social media companies may have their own privacy policies, which we strongly suggest you review if you use those websites or apps.
We may use different kinds of cookies, including session ID cookies and persistent cookies. Session ID cookies are used to personalize your user experience, and to determine ways to improve our Site and the products and services we offer. These cookies are deleted when you close your browser session. Persistent cookies are used to collect information such as IP addresses, browser type, Internet Service Provider (ISP), referring/exit pages, platform type, date/time stamp, and number of clicks.
You can change your settings for cookies and similar technologies by clicking on the cookie consent box on our Site. In addition, you can refuse or accept cookies from our Site at any time by activating the settings on your browser. You are always free to decline our cookies if your browser permits, but some parts of our Site may not work properly if you do. Check the “Help” menu of your browser to learn how to change your cookie preferences. To find out more about cookies, visit www.aboutcookies.org.
Other parties, including Google, Facebook, and LinkedIn, may or do collect Personal Information about your online activities over time and across different websites and services by using cookies and other tracking information. If you access their websites through our Site or access our Site through their services, these companies may use this information to track you in this manner.
Our Site uses Google Analytics, a web analytics service provided by Google, to understand how our customers interact with our Site. Google Analytics collects IP addresses, which are used to provide the analytic services and to identify from which location visitors to our Site arrive. Google Analytics mainly relies on cookies to retain your information in persistent storage. Google Analytics transmits the information it obtains to Google, which stores it on its servers in the United States or around the world. Google will use this information for analyzing your use of our Site, generating reports on website activity for us and providing other services relating to website activity and internet usage. We obtain data about the website from which visitors come to our Site, which pages visitors visit, and how often and for what duration visitors visit particular pages on our Site. Google may transfer this information to third parties when required to do so by law, or where such third parties process the information on Google’s behalf.
Additionally, our Site is controlled and operated by us from the United States and is not intended to subject us to the laws or jurisdiction of any state, country, or territory other than that of the United States.
The internet browsers that you use to visit our Site may provide certain “Do Not Track” capabilities. Generally, browsers that have these features send a signal to websites that inform the site operator that you do not wish for the site to track you. Currently, we do not track your or any other users’ Personal Information over time and across third party websites. We therefore do not respond to these signals.
Access to Specific Information and Personal Information Portability Rights
California consumers have the right, subject to certain exceptions defined in the CCPA and other applicable laws and regulations, to request that companies disclose certain information to you about their collection and use of your Personal Information over the past 12 months. This right of access includes information about:
Deletion Request Rights
California consumers have the right, subject to certain exceptions defined in the CCPA and other applicable laws and regulations, to request that a company delete any of your Personal Information that it has collected from you and retained, subject to certain exceptions.
California consumers also have the right not to receive discriminatory treatment if they exercise the rights listed above.
Exercising Access, Personal Information Portability, and Deletion Rights
When you make a request, we may require that you provide information and follow procedures so that we can verify the request and your jurisdiction before responding to it. The verification steps we take may differ depending on the request you make. We will match the information that you provide in your request to information we already have on file to verify your identity. If we are able to verify your request, we will process it. If we cannot verify your request, we may ask you for additional information to help us verify your request. Please provide as much of the requested information as possible to help us verify the request. We will only use the information received in a request for the purposes of responding to the request.
We are not required to respond to a consumer’s requests for access or disclosure of Personal Information more than twice in a 12-month period.
The CCPA permits California consumers to use an authorized agent to make privacy rights requests. We require the authorized agent to provide us with proof of the California consumer’s written permission (for example, a power of attorney) that shows the authorized agent has the authority to submit a request for the California consumer. An authorized agent must follow the process described above to make a request. The authorized agent must also verify his/her own identity. We will confirm the agent’s authority with the California consumer about whom the request was made.
Information Exempt From the CCPA
Note that certain information that is governed by the California Confidentiality of Medical Information Act (CMIA), HIPAA, or certain clinical research requirements is not considered Personal Information with respect to the rights of California residents noted above. However, additional rights might be available under those laws and standards. Please contact us through any of the methods noted below.
Sharing and Selling of Personal Information
We do not share Personal Information with other people or non-affiliated businesses for their direct marketing purposes. We are not currently selling your Personal Information.
Nevada Residents Rights
Although Vertos Medical does not sell Personal Information, Nevada residents have the right to submit a verified request directing us not to sell their Personal Information. If you are a Nevada resident, and would like to submit such a request, please send your request through any of the methods noted below.
To exercise any of the rights described above, you can get in touch with us by:
We do not knowingly collect or store any Personal Information from children except as permitted by applicable law. If you are under 18, and have posted content or information on our Site or social media pages, you or your parent/guardian may ask us to remove content or information that you have posted by contacting us by email or postal mail at the addresses provided below. Your request, however, does not ensure complete or comprehensive removal of the content or information, as we do not have control over our third party providers.
We make every effort to ensure the security of your data in accordance with the applicable data protection laws. No Site is completely secure; therefore, we do not guarantee that your Personal Information will be secure from theft, loss, or unauthorized access or use, and we make no representation as to the reasonableness, efficacy, or appropriateness of the measures we use to safeguard such Personal Information. Please exercise caution when using the Internet or any form of electronic communication.
If you have reason to believe that your interaction with us is no longer secure, please immediately notify us by emailing us.
Benyamin RM, Staats PS, MiDAS ENCORE Investigators. mild® is an effective treatment for lumbar spinal stenosis with neurogenic claudication: MiDAS ENCORE Randomized Controlled Trial. Pain Physician. 2016;19(4):229-242.
Mekhail N, Costandi S, Abraham B, Samuel SW. Functional and patient-reported outcomes in symptomatic lumbar spinal stenosis following percutaneous decompression. Pain Pract. 2012;12(6):417-425. doi:10.1111/j.1533-2500.2012.00565.x.
2012 data from Health Market Sciences report for Vertos Medical 2013.
Data on file with Vertos Medical.
Staats PS, Chafin TB, Golvac S, et al. Long-term safety and efficacy of minimally invasive lumbar decompression procedure for the treatment of lumbar spinal stenosis with neurogenic claudication: 2-year results of MiDAS ENCORE. Reg Anesth Pain Med. 2018;43:789-794. doi:10.1097/AAP.0000000000000868.
Based on mild® Procedure data collected in all clinical studies. Major complications are defined as dural tear and blood loss requiring transfusion.
MiDAS ENCORE responder data. On file with Vertos Medical.
Jain S, Deer TR, Sayed D, et al. Minimally invasive lumbar decompression: a review of indications, techniques, efficacy and safety. Pain Manag. 2020;10(5). https://doi.org/10.2217/pmt-2020-0037. Accessed June 1, 2020.
Deer TR, Grider JS, Pope JE, et al. The MIST Guidelines: the Lumbar Spinal Stenosis Consensus Group guidelines for minimally invasive spine treatment. Pain Pract. 2019;19(3)250-274. doi:10.1111/papr.12744.
Hansson T, Suzuki N, Hebelka H, Gaulitz A. The narrowing of the lumbar spinal canal during loaded MRI: the effects of the disc and ligamentum flavum. Eur Spine J. 2009;18(5):679-686. doi:10.1007/s00586-009-0919-7.
Treatment options shown are commonly offered once conservative therapies (e.g., physical therapy, pain medications, chiropractic) are not providing adequate relief. This is not intended to be a complete list of all treatments available. Doctors typically recommend treatments based on their safety profile, typically prioritizing low risk/less aggressive procedures before higher risk/more aggressive procedures, but will determine which treatments are appropriate for their patients.
Although the complication rate for the mild® Procedure is low, as with most surgical procedures, serious adverse events, some of which can be fatal, can occur, including heart attack, cardiac arrest (heart stops beating), stroke, and embolism (blood or fat that migrates to the lungs or heart). Other risks include infection and bleeding, spinal cord and nerve injury that can, in rare instances, cause paralysis. This procedure is not for everyone. Physicians should discuss potential risks with patients. For complete information regarding indications for use, warnings, precautions, and methods of use, please reference the devices’ Instructions for Use.
Patient stories on this website reflect the results experienced by individuals who have undergone the mild® Procedure. Patients are not compensated for their testimonial. The mild® Procedure is intended to treat lumbar spinal stenosis (LSS) caused by ligamentum flavum hypertrophy. Although patients may experience relief from the procedure, individual results may vary. Individuals may have symptoms persist or evolve or other conditions that require ongoing medication or additional treatments. Please consult with your doctor to determine if this procedure is right for you.
Reimbursement, especially coding, is dynamic and changes every year. Laws and regulations involving reimbursement are also complex and change frequently. Providers are responsible for determining medical necessity and reporting the codes that accurately describe the work that is done and the products and procedures that are furnished to patients. For this reason, Vertos Medical strongly recommends that you consult with your payers, your specialty society, or the AMA CPT regarding coding, coverage and payment.
Vertos Medical cannot guarantee coding, coverage, or payment for products or procedures. View our Billing Guide.
Vertos is an equal employment opportunity workplace committed to pursuing and hiring a diverse workforce. We strive to grow our team with highly skilled people who share our culture and values. All qualified applicants will receive consideration for employment without regard to sex, age, color, race, religion, marital status, national origin, ancestry, sexual orientation, gender identity, physical & mental disability, medical condition, genetic information, veteran status, or any other basis protected by federal, state or local law.
Hall S, Bartleson JD, Onofrio BM, Baker HL Jr, Okazaki H, O’Duffy JD. Lumbar spinal stenosis. Clinical features, diagnostic procedures, and results of surgical treatment in 68 patients. Ann Intern Med. 1985;103(2):271-275. doi:10.7326/0003-4819-103-2-271.
Kalichman L, Cole R, Kim DH, et al. Spinal stenosis prevalence & association with symptoms: The Framingham Study. Spine J. 2009;9(7):545-550. doi:10.1016/j.spinee.2009.03.005.
Fukusaki M, Kobayashi I, Hara T, Sumikawa K. Symptoms of spinal stenosis do not improve after epidural steroid injection. Clin J Pain. 1998;14(2):148-151. doi:10.1097/00002508-199806000-00010.
Mekhail N, Costandi S, Nageeb G, Ekladios C, Saied O. The durability of minimally invasive lumbar decompression procedure in patients with symptomatic lumbar spinal stenosis: Long-term follow-up [published online ahead of print, 2021 May 4]. Pain Pract. 2021;10.1111/papr.13020. doi:10.1111/papr.13020
Friedly JL, Comstock BA, Turner JA, et al. Long-Term Effects of Repeated Injections of Local Anesthetic With or Without Corticosteroid for Lumbar Spinal Stenosis: A Randomized Trial. Arch Phys Med Rehabil. 2017;98(8):1499-1507.e2. doi:10.1016/j.apmr.2017.02.029
Pope J, Deer TR, Falowski SM. A retrospective, single-center, quantitative analysis of adverse events in patients undergoing spinal stenosis with neurogenic claudication using a novel percutaneous direct lumbar decompression strategy. J Pain Res. 2021;14:1909-1913. doi: 10.2147/JPR.S304997
Pryzbylkowski P, Bux A, Chandwani K, et al. Minimally invasive direct decompression for lumbar spinal stenosis: impact of multiple prior epidural steroid injections [published online ahead of print, 2021 Aug 4]. Pain Manag. 2021;10.2217/pmt-2021-0056. doi:10.2217/pmt-2021-0056
Abstract presented at: American Society of Pain and Neuroscience Annual Conference; July 22-25, 2021; Miami Beach, FL.
Mobility Matters: Low Back Pain in America, Harris Poll Survey, 2022. View data and full summary at knowyourbackstory.com.