Diagnosing Epilepsy To EffeCT Change

Description

The purpose of this research is to address the challenges of diagnosing and long-term management of epilepsy in participants whose seizures are not well captured by standard electroencephalography (EEG) tests and who cannot use or are not able to use more standard monitoring techniques. This research will compare the Minder System to standard of care in providing reliable seizure data. The Minder System was granted De Novo classification by the U.S. Food and Drug Administration (FDA) and is not investigational. Participants will consent to join the study and be implanted with the Minder device; or consent to join the study and continue with their Standard of Care (SOC) as a control group. Participants chose to be implanted with the Minder device will have the device implanted under their scalp. After implantation, participants will be randomly assigned to a group where their treating physician will have access to the EEG data collected by the Minder System or a group where their treating physician does not have access to the EEG data collected by the Minder System. Participants receiving the Minder System will not know which group they are in (blinded) until the study ends. All participants will continue to be followed by their treating physician and undergo assessments and visits until enough information is available to determine a treatment plan or the 6-month follow-up visit.

Interventions

• Receipt of the Minder System (implantable sub-scalp continuous electroencephalographic (EEG) monitoring (iCEM) system) (Device)
  The Minder System consists of an implanted device containing an electrode lead and telemetry unit. The electrode lead contains four electrodes that are placed under the patient's scalp to record electrical activity (EEGs) from both sides of the brain. The electrode lead is connected to the telemetry unit that continuously transmits these signals to the external Minder devices to remotely show EEGs for clinician review.

Eligibility criteria

Conditions

Locations

• UAB Epilepsy Center — Birmingham, Alabama, United States
• Mayo Clinic - Arizona — Phoenix, Arizona, United States
• University of California, Irvine Medical Center — Irvine, California, United States
• Stanford — Palo Alto, California, United States
• Yale School of Medicine — New Haven, Connecticut, United States
• Mayo Clinic - Florida — Jacksonville, Florida, United States
• Nicklaus Children's Hospital — Miami, Florida, United States
• USF Health — Tampa, Florida, United States
• IU Health Neuroscience Center — Indianapolis, Indiana, United States
• Massachusetts General Hospital — Boston, Massachusetts, United States
• Beth Israel Deaconess Medical Center — Boston, Massachusetts, United States
• Michigan Medicine — Ann Arbor, Michigan, United States
• University of Minnesota — Minneapolis, Minnesota, United States
• Mayo Clinic - Rochester — Rochester, Minnesota, United States
• Washington University — St Louis, Missouri, United States
• Billings Clinic — Billings, Montana, United States
• Atrium Health Neurosciences Institute - Charlotte — Charlotte, North Carolina, United States
• Duke University — Durham, North Carolina, United States
• University Hospitals Cleveland Medical Center — Clevland, Ohio, United States
• University of Pennsylvania — Philadelphia, Pennsylvania, United States
• University of Texas Health Science Center at Houston — Houston, Texas, United States