Study to Test Sensitivity and Specificity of Passive Wave Pressure Device in Determining Ischemic Stroke
That the Jan Medical Nautilus NeuroWaveTM system provides significantly higher sensitivity to hyper acute ischemic stroke than does CT.
|Study Design:||Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Diagnostic
|Official Title:||A Non-Randomized, Multi-center, Non-Sig Risk Study With a Non-Inv, Passive Pressure Wave Method of Diagnosing Cerebral Anomalies to Develop a Diag. Algorithm for Cerebral Ischemia and to Test Sens./Spec. of This Algorithm in Determining Ischemic Stroke|
- sensitivity, specificity and predictive values of the Jan Medical DC1 System in detecting ischemia within 12 hours of known stroke onset in comparison to follow up CT and MRI. [ Time Frame: At study completion- approximately 8 months ] [ Designated as safety issue: No ]
- Determine the location to left, right, deep, and/or back of the cranium [ Time Frame: At study completion- approximately 8 months ] [ Designated as safety issue: No ]
- Incidence of device related adverse events [ Time Frame: At study completion- approximately 8 months ] [ Designated as safety issue: Yes ]
- Nautilus NeuroWaveTM recording in MRI Normal population (no cerebrovascular disease per MRI) [ Time Frame: At study completion- approximately 8 months ] [ Designated as safety issue: No ]
|Study Start Date:||June 2012|
|Study Completion Date:||December 2012|
|Primary Completion Date:||December 2012 (Final data collection date for primary outcome measure)|
|Neuro Wave Recording Arm||
Device: Nautilus NeuroWaveTM System
Non-invasive device designed to detect pressure signals from the skull to aid in the diagnosis of ischemic stroke.
In spite of the fact that approximately 800,000 strokes are diagnosed in the United States each year, many physicians and patients have approached the management of stroke with a sense of futility. However, within the past 2 decades, following the advent of computerized tomography (CT), medical interest has turned toward stroke and effective interventions to treat and prevent it have received attention.
CT and/or magnetic resonance imaging (MRI) are the typical diagnostic tools used in the event of a stroke alert. These studies are done on an emergent or urgent basis, since, to be effective, treatments for ischemic and hemorrhagic stroke must be delivered soon after onset of the illness. In an effort to institute an appropriate therapeutic regime, laboratory and structural diagnostic studies are required to be done as rapidly as possible to determine pathological etiology, size, and location of concern.
The speed at which a diagnosis is made and a treatment plan established often determines patient outcome and any associated complications. This is especially true when evaluating patients for ischemic stroke where there is a narrow 3 hour window of opportunity in which to resolve the clot with IV .before permanent neurological impairment results, and up to 8 additional hours with the use if intra arterial (IA) t-PA or interventional mechanical embolectomy procedures are utilized. Current treatment modalities include pharmacologic thrombolytic drugs utilized to disrupt or dissolve clots located in the distal vasculature or mechanical intervention in larger vessels. Since many patients do not recognize the symptoms of stroke they do not seek medical attention immediately. Significant time is then often lost from the onset of the stroke before seeking medical help / treatment.
Although the current technologies are quite adequate as diagnostic tools for hemorrhagic stroke and for identifying subdural hematomas, and other pooled blood abnormalities which would preclude t-PA therapy, they are largely ineffective at positively identifying stroke during the limited therapeutic window of time. Positive identification of ischemia itself is rarely possible or practical with CT or within the limited therapeutic window. As such the diagnostic determination and associated treatment decisions are based on the unsatisfactory basis of exclusion.
|United States, Maryland|
|Johns Hopkins Hospital|
|Baltimore, Maryland, United States, 21205-1911|
|Johns Hopkins Bayview Medical Center|
|Baltimore, Maryland, United States, 21224|
|Howard County General Hospital|
|Columbia, Maryland, United States, 21044|
|Principal Investigator:||Paul Nyquist||Johns Hopkins Medicine|