THESE TERMS CONTAIN A MANDATORY ARBITRATION PROVISION THAT, AS SET FORTH IN THE SECTION ENTITLED “ARBITRATION” BELOW, REQUIRES YOU TO ARBITRATE CLAIMS YOU MAY HAVE AGAINST VERTOS MEDICAL, INC. ON AN INDIVIDUAL BASIS, MEANING YOU CANNOT BRING CLAIMS AGAINST VERTOS MEDICAL, INC. IN COURT, AND CONFIRMS YOUR AGREEMENT TO A CLASS ACTION WAIVER IN ARBITRATION. PLEASE READ IT CAREFULLY AS IT IMPACTS YOUR LEGAL RIGHTS.
Vertos Medical, Inc. (“Vertos Medical”) authorizes you to view and download the information and other materials at or through this Website (“Site”) only for your personal, non-commercial use, provided that you retain all copyright and other proprietary notices contained in the original materials on any copies of the materials. The entire content of the Site, including any images or text, is copyrighted and may not be distributed, reproduced, publicly displayed, downloaded, modified, reused, reposted, or otherwise used except as provided herein without the express prior written permission of Vertos Medical. For purposes of these Terms, any use of these materials on any other Website or networked computer environment for any purpose is prohibited. All product names, regardless of whether or not they appear in large print or with a trademark symbol, are trademarks of Vertos Medical, its affiliates, related companies, or its licensors or joint venture partners unless otherwise noted.
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This Site is administered by Vertos Medical from its offices in Aliso Viejo, CA and this Site and these Terms (including without limitation the validity, construction and performance of duties related to the Terms) will be governed by and construed in accordance with the laws of the United States of America and more particularly the laws of the State of California without giving effect to any principles of conflicts of laws. Vertos Medical makes no representation that information, materials, products or services at or available through this Site are appropriate or available for use outside the United States, and access to them from territories where their contents are illegal is prohibited. You may not use or export or re-export the information, materials, products or services at or available through this Site or any copy or adaptation in violation of any applicable laws or regulations including without limitation U.S. export laws and regulations. If you choose to access this Site from outside the United States, you do so on your own initiative and are responsible for compliance with applicable local laws. Vertos Medical makes no representations that information, materials, products or services at or available through this Site or made available through this Site are appropriate or available for use in other locations, and access to this Site and any information, materials, products or services available at or through this Site from locations where such information, materials, products or services are illegal is prohibited. You agree that any cause of action or claim that you may have relating to this Site must be made or instituted within one year of when the cause of action or claim accrued.
Any controversy or claim arising out of or relating to these Terms, or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association (“AAA”) in accordance with its Commercial Arbitration Rules by a sole arbitrator. The parties hereto shall endeavor to agree upon the arbitrator, and if they fail to do so within twenty-one (21) days of the commencement of the arbitration, the appointment shall be made by the AAA in accordance with the Commercial Arbitration Rules. The place, or legal seat of arbitration, shall be New York, and the language of the arbitration shall be English.
You may only bring claims in your individual capacity on your own behalf, and not in any representative capacity or on behalf of any class or purported class, and no arbitration you commence hereunder may be joined with or include any claims by any other persons. Each party shall bear its own arbitration filing fees.
The arbitrator shall issue a reasoned award and shall have the power to grant any interim or provisional measures that the arbitrator deems appropriate, including, but not limited to, injunctive relief and specific performance, and any interim or provisional measures ordered by the arbitrator may be specifically enforced by any court of competent jurisdiction as a final award. Nothing herein, however, shall authorize the arbitrator to act as amiable compositeurs or to proceed ex aequo et bono. Each party hereto retains the right to seek interim measures from a judicial authority, and any such request shall not be deemed incompatible with the agreement to arbitrate or a waiver of the right to arbitrate. The arbitrator shall award the prevailing party, if any as determined by the arbitrator, its reasonable costs, including reasonable attorney’s fees. Judgment on any award rendered by the arbitrator may be entered in any court of competent jurisdiction. No information concerning an arbitration, beyond the names of the parties, their counsel or the relief requested, may be unilaterally disclosed to a third party by any party unless required by law. Any documentary or other evidence given by any party or witness in any arbitration shall be treated as confidential by any party whose access to such evidence arises exclusively because of its participation in the arbitration and shall not be disclosed to any third party (other than a witness or expert), except as may be required by law. Any party who commences any judicial proceeding in connection with an arbitration initiated hereunder shall endeavor to have the judicial record of any such proceeding sealed to the extent permitted by law.
Anyone linking to any Vertos Medical’s Website must comply with the Guidelines for Linking to Vertos Medical’s Website, which are detailed below and form a part of these Terms for all purposes, and all applicable state, federal, local and international laws. We regard the use of our registered and unregistered trademarks and service marks in metatags and/or hidden text as trademark infringement, and treat the use of these terms in page text, metatags, and/or hidden text for purposes of gaining higher rankings from search engines as unfair competition.
Vertos Medical may revise these Terms at any time by updating this posting. You should visit this page from time to time to review the then-current Terms because they are binding on you. Certain provisions of these Terms may be superseded by expressly designated legal notices or terms located on particular pages at this Site. If for any reason a court of competent jurisdiction finds any provision or portion of these Terms to be unenforceable, the remainder of these Terms will continue in full force and effect. These Terms constitute the entire agreement between the parties with respect to the subject matter hereof and supersede and replace all prior or contemporaneous understandings or agreements, written or oral, regarding such subject matter. Any waiver of any provision of these Terms will be effective only if in writing and signed by Vertos Medical.
If you have comments on the Site or any information, materials, products or services made available at or through the Site, or ideas on how to improve the Site or such information, materials, products or services, please contact us. Please note that by doing so, you also grant Vertos Medical and third parties permission to use and incorporate your ideas or comments into the Site or such information, materials, products or services (or third party software or content) without further compensation or approval.
If you link to Vertos Medical’s Website, you agree that you at all times may link to, but not replicate, Vertos Medical content. In addition you:
The Vertos Medical Facebook, Instagram and Vertos Medical LinkedIn pages (collectively, “social media channels”) are social media sites on Facebook, Instagram, Google (YouTube), and LinkedIn (collectively, “social media platforms”) for users of the Site, users of the social media channels, and others to learn about Vertos Medical and for Vertos Medical to provide information, images, video, posts, and other content (collectively, “Content”) about Vertos Medical’s products. The Site links to third party social media platforms, including Facebook, Instagram, Google (YouTube), and LinkedIn, that provide the social media channels and contain message boards, personal web pages or profiles, forums, and other interactive features (collectively, “Interactive Services”) that in some cases allow users of the Site, users of the social media channels, and others accessing the social media platforms to post, submit, publish, display, or transmit to other users or other persons (hereinafter, “post”) posts, comments, suggestions, ideas, enhancements, requests, feedback, recommendations, information, content or materials (collectively, “User Contributions”) on or through the social media channels or the Site. Vertos Medical may discontinue its use of any of its social media channels at any time.
Vertos Medical encourages open communication and values transparency, but Vertos Medical or the social media platforms may remove Content or User Contributions on the social media channels in order to meet industry regulations or applicable law or to uphold the intent of the social media channels. Vertos Medical and the social media platforms may also remove User Contributions containing things such as: inappropriate language, promotion of off-label use of products, irrelevant content, medical advice, request for medical advice, personally identifiable information, customer service issues, or requests. Vertos Medical reserves the right to delete any Content or User Contributions at its sole discretion. Vertos Medical may also prohibit disruptive users from accessing or using the social media channels or any part of the Interactive Services provided by them, and Vertos Medical may ban anyone that it deems disruptive from making User Contributions on the social media channels.
You should not construe any discussion of medical and health topics on the social media channels as constituting medical advice. If you need medical advice, please contact a qualified healthcare professional near you. Vertos Medical makes no representations or warranties that the information or content on the social media channels, including the User Contributions, is accurate, complete, reliable, useful, timely, or current except to the minimum extent required under applicable law. Do not rely on the information or advice in any User Contribution. Your use of the social media channels and reliance upon any information or content provided on or through them is entirely at your own risk.
You represent, warrant, and covenant that:
You are responsible for any User Contributions you submit or contribute, and you, not Vertos Medical, have full responsibility for such content, including its legality, reliability, accuracy, and appropriateness. By submitting User Contributions, you waive any right to inspect or approve of such uses and agree to defend and hold harmless Vertos Medical and all others identified above from any and all claims you, your heirs, executors or assigns may at any time have against Vertos Medical on account of the license that you have granted Vertos Medical, the social media platforms, and the respective licensees described above or arising out of or relating to Vertos Medical’s use of the content of your User Contributions.
Vertos Medical is not responsible or liable to you or any third party for the content or accuracy of any User Contributions posted by you or any other user of the Site or social media channel, including any user who is an employee or contractor of Vertos Medical who posts to the Site in his or her personal capacity and not as an agent of Vertos Medical posting to the within the scope of his or her employment or engagement. Vertos Medical does not create, control, represent, or endorse any opinions or statements expressed by others within its social media channels, including those that follow or like Vertos Medical, and any content posted by anyone other than Vertos Medical is the responsibility of the submitter and not Vertos Medical. Vertos Medical does not control the social media platforms (including the social media channels) and other sites that are linked from pages on our Site or on social media channels that take you out of our social media channels or the Site. Vertos Medical offers these links to you only as a convenience, and you should not interpret the inclusion of any link as implying that Vertos Medical endorses the linked site. In the event that Vertos Medical “likes” another page, “favorites,” shares, or otherwise re-posts any third party content, including User Contributions, Vertos Medical is not expressly or impliedly endorsing such content.
Vertos Medical appreciates your feedback and your use of the Vertos Medical social media channels. Thank you for making our social media communities safe and welcoming. Nothing in the Terms shall be deemed or construed by you or by any third party, including any social media platform, to create the relationship of principal and agent or of partnership or of joint venture among you, Vertos Medical, or any social media platform.
All product names, trademarks and registered trademarks are property of their respective owners. All company, product and service names used in this Site and our social media channels are for identification purposes only. Use of these names, trademarks and brands does not imply endorsement.
These content standards apply to any and all User Contributions and use of Interactive Services. User Contributions must in their entirety comply with all applicable federal, state, local, and international laws and regulations. Without limiting the foregoing, User Contributions must not:
Vertos Medical takes claims of copyright infringement seriously. Vertos Medical will respond to notices of alleged copyright infringement that comply with applicable law. If you believe any Content accessible on or from the Site or our social media platforms infringe your copyright, you may request removal of those materials (or access to them) from the Website by submitting written notification to our copyright agent designated below. In accordance with the Online Copyright Infringement Liability Limitation Act of the Digital Millennium Copyright Act (17 U.S.C. § 512) (“DMCA”), the written notice (the “DMCA Notice”) must include substantially the following:
Vertos Medical’s designated copyright agent to receive DMCA Notices is:
95 Enterprise, Suite 325
If you fail to comply with all of the requirements of Section 512(c)(3) of the DMCA, your DMCA Notice may not be effective.
Please be aware that if you knowingly materially misrepresent that material or activity on the Site or our social media channels is infringing your copyright, you may be held liable for damages (including costs and attorneys’ fees) under Section 512(f) of the DMCA.
If you believe that material you posted on the Site or our social media channels was removed or access to it was disabled by mistake or misidentification, you may file a counter notification with Vertos Medical (a “Counter Notice”) by submitting written notification to our copyright agent designated above. Pursuant to the DMCA, the Counter Notice must include substantially the following:
The DMCA allows Vertos Medical to restore the removed content if the party filing the original DMCA Notice does not file a court action against you within ten business days of receiving the copy of your Counter Notice.
Please be aware that if you knowingly materially misrepresent that material or activity on the Website or our social media channels was removed or disabled by mistake or misidentification, you may be held liable for damages (including costs and attorneys’ fees) under Section 512(f) of the DMCA.
It is Vertos Medical’s policy in appropriate circumstances to disable and/or terminate the accounts of users who are repeat infringers.
You agree to defend, indemnify, and hold harmless Vertos Medical, its affiliates, licensors, and service providers, and its and their respective officers, directors, managers, employees, contractors, agents, licensors, suppliers, successors, and assigns from and against any claims, liabilities, damages, judgments, awards, losses, costs, expenses, or fees (including reasonable attorneys’ fees) arising out of, or relating to, your violation of these Terms or your use of the Website including, but not limited to, any use of the Website’s content, services, and products other than as expressly authorized in these Terms or your use of any information obtained from the Website.
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. We do not discriminate on the basis of sex, age, color, race, religion, marital status, national origin, ancestry, sexual orientation, 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 decompression for lumbar spinal stenosis: the impact of moving to Mild directly or after initial epidural steroid injection (ESI) failure on clinical performance – a six center retrospective report. Abstract presented at: American Society of Pain and Neuroscience Annual Conference; July 22-25, 2021; Miami Beach, FL.