The Process

1. Complete our Getting Started Survey

Complete our simple survey to see if Vivistim might be right for you. A Vivistim representative will review your survey submission.

2. Connect with a Vivistim Rep

If you meet the survey criteria, you will be contacted by one of our representatives who will guide you through the evaluation process.

3. Eligibility & Candidacy Evaluation

To determine if you are eligible for Vivistim Therapy, a rehabilitation professional will evaluate your current hand and arm function. You will then be referred for a consultation with a surgeon to determine if you are a good candidate for the implantation procedure.

4. Insurance Coverage and Cost

Vivistim is reimbursed by Medicare and covered by Medicaid and private insurance, with prior authorization on a case-by-case basis. Patient out-of-pocket costs for the Vivistim placement procedure and associated therapy vary depending on a patient's medical insurance plan, type of coverage and provider charges. The procedure may also require prior authorization. The Vivistim Pre‐Service Clearance Program can assist you and your provider’s office to secure prior authorization or pre-certification.

5. Simple, Outpatient Procedure

In a short, same-day outpatient procedure, a surgeon makes a small incision in the neck, to place the lead, and another small incision in the chest, to place the Vivistim implant. Within a few weeks, your doctor will likely clear you for rehab therapy.

6. Participate in Consistent Vivistim Therapy

In-Clinic Therapy

In-clinic rehabilitation therapy typically lasts 6 weeks, a few times per week. The sessions are focused on active movement tasks while your therapist signals the Vivistim implant to deliver a gentle pulse to the vagus nerve. The tasks will be selected by you and your therapist and will be based on functional goals that you want to improve.

Self-Activated Therapy

You can activate Vivistim with a simple Magnet swipe at home, during rehab exercises or daily activities, as you work to continue improving what matters most to you. Ongoing at-home use of Vivistim during your daily activities can lead to greater improvements in hand and arm function.