Amyotrophic Lateral Sclerosis, Locked-in Syndrome, Motor Neuron Disease, Muscular Dystrophies, Spinal Cord Injuries, Tetraplegia, Tetraplegia/Tetraparesis
Conditions
Brief summary
This study aims to evaluate the safety of a wireless implantable neurodevice microsystem in tetraplegic patients, as well as the efficacy of the electrodes for long-term recording of neural activities and the successful control of an external device.
Detailed description
The goal of this study is to develop a miniaturized wireless implantable neurodevice microsystem that records and transmits signals from the motor cortex of tetraplegic patients, bypassing the damaged nervous tissue, to control an external assistive device that restores some form of independence to patients in terms of communication or mobility.
Interventions
DEVICEBrainConnexion
A 4.4mm by 4.2mm electrode array is placed onto the surface of the motor cortex which is then connected to a miniaturized neural recording microsystem that transmits signals wirelessly to control an external assistive device. Neural signals are recorded at least once every week for 12 months or longer.
Sponsors
Institute of Microelectronics
Institute of Molecular and Cell Biology
Institute for Infocomm Research
Nanyang Technological University
National Neuroscience Institute
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. 21 years old and older 2. Tetraparesis 3. Written informed consent obtained from the patient or legal representative (in the event where the patient is unable to provide consent) prior to entry into the study in accordance with local EC/IRB regulations and/or other application regulations for surrogate consent. 4. Able to perform the pre-operation Brain Computer Interface training as judged by the research team.
Exclusion criteria
1. Significant medical co-morbidities e.g. cardiac disease 2. Bleeding disorders 3. Any contraindication to surgery 4. Other concomitant intracranial pathologies 5. History of seizures or epilepsy disorder 6. Complications of coagulopathy 7. Surgically unfit 8. Significant psychological issues e.g. Depression 9. Poor psychological support 10. Pregnancy 11. No means of communication 12. Any disease, in the opinion of the Investigator, that is unstable or which could jeopardise the safety of the patient If applicable, psychological assessment may be performed prior to selection as the implantation process will be a long a stressful event, requiring a significant degree of patient cooperation and resilience.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The number of serious adverse events (SAEs) and adverse events (AEs) reported per patient 12 months post-implantation. | 6 months post-implant | The primary objective of this study is to determine the safety of the device. This will be assessed based on the number of SAEs and AEs reported for each patient during the 12 months post-implantation evaluation. This measure will considered a success if the device is not removed for safety reasons within 12-months after implantation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The signal quality of the electrodes for long-term recording of neural signals. | Day 1 to Day 365 post-implant | Signal quality will be measured by the number of channels with identifiable single units tracked across each day for 12 months. |
| Decoding accuracy per training session. | Day 1 to Day 365 post-implant | Decoding accuracy will be measured in percentage (%). |
| Number of successful trials per session | Day 1 to Day 365 post-implant | The number of successful trials per training session will be measured in percentage (%). |
| Time taken to complete each trial per session | Day 1 to Day 365 post-implant | This will be measured in seconds (s). |
Countries
Singapore
Outcome results
None listed