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  "documentTitle": "Nevro Corp. (NVRO)",
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  "authorName": "Kir Kahlon",
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  "notes": "The slide uses a 'villain' framing by associating the company with the opioid crisis and the Insys fentanyl scandal.",
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      "text": "But the stimulators — devices that use electrical currents to block pain signals before they reach the brain — are more dangerous than many patients know, an Associated Press investigation found. They account for the third-highest number of medical device injury reports to the U.S. Food and Drug Administration, with more than 80,000 incidents flagged since 2008. Patients report that they have been shocked or burned or have suffered spinal-cord nerve damage ranging from muscle weakness to paraplegia, FDA data shows. Among the 4,000 types of devices tracked by the FDA, only metal hip replacements and insulin pumps have logged more injury reports. The FDA data contains more than 500 reports of people with spinal-cord stimulators who died, but details are scant...",
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      "text": "But the stimulators — devices that use electrical currents to block pain signals before they reach the brain — are more dangerous than many patients know, an Associated Press investigation found.",
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      "text": "The AP reported on spinal stimulators as part of a nearly yearlong joint investigation of the global medical devices industry that included NBC, the International Consortium of Investigative Journalists and more than 50 other media partners around the world. Reporters collected and analyzed millions of medical records, recall notices and other product safety warnings, in addition to interviewing doctors, patients, researchers and company whistleblowers.",
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      "text": "Devices with Essure’s profile - lack of efficacy plus severe side effects - are inherently high-risk businesses that tend to gradually fade or abruptly implode. We note Penumbra’s device recall the other week following an investigative short report. While Wall Street has endowed spinal cord stimulation with institutional respectability, now that there’s a pure play stock that pays banking fees, Nevro is just another menu offering at the same sketchy pain clinics responsible for some of the worst abuses in healthcare, such as the opioid crisis and the Insys fentanyl racket. We note a number of long-form investigations of abuses in the stimulator space, which report that the devices typically fail to work and have one of the worst safety records of all medical devices.",
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      "text": "By MITCH WEISS and HOLBROOK MOHR November 26, 2018",
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      "text": "“But the stimulators — devices that use electrical currents to block pain signals before they reach the brain — are more dangerous than many patients know, an Associated Press investigation found. They account for the third-highest number of medical device injury reports to the U.S. Food and Drug Administration, with more than 80,000 incidents flagged since 2008.” — Associated Press",
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      "text": "Source: https://apnews.com/article/38145385944248b5bf8d442579505258",
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      "text": "1. Introduction to Nevro",
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