Deep Brain Stimulation, Parkinson Disease
Conditions
Keywords
Parkinson Disease, Deep Brain Stimulation, Microelectrodes recording, HaGuide, Alpha Omega Engineering Ltd.
Brief summary
HaGuide version 1.0 (Neuro-Omega Ltd.) is a software module add-on to the FDA cleared Neuro-Omega System (K123796). It was designed to facilitate the use of Neuro-Omega's system by automatically mapping visually the depth of STN landmarks intra-operatively. HaGuide algorithm computes and displays the STN entry and exit, as well as introduces a detection of a distinct DLOR-VMNR boundary. HaGuide visual display is added to the UI and it is supplementing and not replacing the previously cleared standard display (visual and audio) of the system.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patient was diagnosed with Parkinson's disease; 2. Patient underwent implantation of DBS electrode in the STN for the treatment of Parkinson's disease, using the Neuro-Omega device for navigation; 3. Procedure's MER digital recorded data is available;
Exclusion criteria
1. DBS performed for any other movement disorder other than Parkinson's Disease including Parkinsonism; 2. The recording has a high intensity of noise that will not allow re-analysis using the HaGuide software, in such cases the HaGuide software indicates that the signal is not valid for analysis; 3. Missing data for primary end-point on the respective patient medical chart; 4. The collected data that is used for the validation is with high step size resolution;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HaGuide vs. Neurosurgeon measurements | 2 weeks | Percent agreement between HaGuide software measurements and expert Neurosurgeon/Electrophysiologist measurements |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| DLOR vs. VMNR | 2 weeks | Length (mm) of Dorso-Lateral Oscillatory Region (DLOR) vs. Ventro-Medial Non-Oscillatory Region (VMNR); |
| DLOR Entry/exit | 2 weeks | Entry/exit from DLOR (depth in mm) |
| STN Length | 2 weeks | Length of STN track (mm |
| DBS implant optimal track Identification | 2 weeks | Percent agreement in DBS implant optimal track Identification by percent agreement between HaGuide and Neurosurgeon choice of optimal track for DBS implant |
| Sites/Users comparison | 2 weeks | Sub-group analysis to determine the variation between sites by percent agreement between HaGuide software measurements and expert Neurosurgeon/Electrophysiologist measurements |