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Evaluation of the 24/7 EEG SubQ System for Ultra Long-Term Recording of Patients with Temporal Lobe Epilepsy

Not Applicable
Recruiting
Conditions
G40.2
Localization-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures
Registration Number
DRKS00025526
Lead Sponsor
EEG Medical A/S
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
15
Inclusion Criteria

1. Semiology of seizures compatible with temporal lobe involvement
2. Paraclinical findings supporting temporal seizure focus. Such proof may consist of: - previous EEG recording interpreted as compatible with temporal involvement OR - radiological findings demonstrating pathology in the temporal area (CT, MRI, FDG-PET or SPECT).
3. Uncontrolled epileptic seizures
4. Subject has planned clinical EMU admission with an admission goal, including capturing epileptic seizures, within 12 weeks after the date of UNEEG™ SubQ implantation.
5. Subject is willing and able to provide written informed consent.
6. Subject is able to complete all study-required procedures, assessments and follow-up.

Exclusion Criteria

1.Subject has a condition that places him/her at a high risk of surgical complications, such as an active systemic infection or a haemorrhagic disease.
2.Subject receives frequent (more than 2 days per week) treatment with the following types of drugs:
a.anti-platelets
b.anticoagulants
c.chemotherapeutics
d.non-steroid anti-inflammatory drugs (NSAID)
3.Subject has skeletal deformities or damage at the proposed implantation site to the extent that it impedes correct electrode placement.
4.Subject has an active deep brain stimulation device.
5.Subject has or is exposed to a medical device that delivers electrical energy into the area around the implant.
6.Subject has a cochlear implant(s).
7.Subject is pregnant, intends to become pregnant, is breastfeeding, or is a female of childbearing potential not using an adequate contraceptive method during the study period. Adequate methods of birth control include stable hormonal contraception, intrauterine device, double barrier (e.g. condom with spermicide), tubal ligation, sole vasectomized partner, or consistent abstinence.
8.Subject has a profession or hobby that includes activity imposing extreme variations in pressure , e.g. diving or parachuting. Diving/snorkelling is allowed to a depth of 5 meters.
9.Subject has a profession or hobby that includes activity imposing an unacceptable risk of trauma to the device or implant site, e.g. martial arts or boxing.
10.Subject is scheduled to undergo any of the following treatments within 4 months of enrolment:
a.MRI scan (it is not known if the UNEEG™ SubQ implant is MRI safe)
b.Therapeutic ionizing radiation treatment close to the implantation site, e.g. radiation therapy for cancer.
c.Therapeutic ultrasound treatment close to the implantation site.
d.Electrical current induced close to the implant (e.g. electro knife, electroconvulsive therapy).
11.Subject operates an MRI scanner.
12.Subject has an infection at the implantation site.
13.Subject has a contraindication to the use of local anaesthetic drugs used during implantation- and explantation.
14.Subject is unable, or does not have the necessary assistance, to properly operate the device system.
15.Subject has abnormal laboratory findings as follows
-Serum creatinine = 3 times upper reference value
-Alanine aminotransferase (ALT), alkaline phosphatase or bilirubin = 3 times upper reference value
-Activated Partial Thromboplastin Time (APTT) > 50 seconds
-thrombocyte count < 50 or >1000 x 109/L
-International Normalised Ratio (INR) = 1.6
-Any other clinical or paraclinical finding that, in the opinion of the investigator, would interfere with participation in the study, or would confound interpretation of the study results.

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To demonstrate the electrographic seizure recording effectiveness of the 24/7 EEG™ SubQ system by comparison to simultaneous inpatient video-EEG data.
Secondary Outcome Measures
NameTimeMethod
• To compare the rate of electrographic seizures recorded by the 24/7 EEG™ SubQ system to self-reported seizure counts in log books during outpatient recording.<br>• To demonstrate the effectiveness of the 24/7 EEG™ SubQ system as a reliable ultra long-term ambulatory EEG recorder.<br>• To evaluate long-term safety of the 24/7 EEG™ SubQ system during outpatient recording.<br>• To evaluate the user satisfaction of the 24/7 EEG™ SubQ system during outpatient recording.<br><br>
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