About this trial
The VOICE Study is an early feasibility study to evaluate the initial clinical safety and efficacy of the N1 and R1 Systems device design concept in providing an ability to communicate. The Neuralink N1 Implant is intended to provide the ability to communicate to individuals with severe and irreversible speech production impairment. It is indicated for adults with neurological conditions of the central speech pathways who have impaired upper limb function. The N1 Implant is a skull-mounted, wireless, rechargeable implant connected to electrode threads that are implanted in the brain by the R1 Robot, a robotic electrode thread inserter.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Life expectancy ≥ 12 months.
Ability to communicate in English
Presence of a stable caregiver
Disqualifiers
Moderate to high risk for serious perioperative adverse events
Morbid obesity (Body Mass Index > 40)
History of poorly controlled seizures or epilepsy
History of poorly controlled diabetes
Trial design
Single group
Treatments tested in this trial
N1 Implant
DeviceThe N1 Implant is a type of implantable brain-computer interface
R1 Robot
DeviceThe R1 Robot is a robotic electrode thread inserter that implants the N1 Implant.
Treatment groups
Trial outcomes
Primary outcomes
Device-Related Adverse Events (AE)
The proportion of subjects with device-related adverse events (AEs) at the 12-month follow-up visit.
Procedure-Related Adverse Events (AE)
The proportion of subjects with procedure-related adverse events (AEs) at the 12-month follow-up visit.
Secondary outcomes
Long-term Device-Related Adverse Events (AE)
The proportion of subjects with device-related adverse events (AEs) up to the 48-month long-term follow-up visit.
Long-term Procedure-Related Adverse Events (AE)
The proportion of subjects with procedure-related adverse events (AEs) up to the 48-month follow-up visit.
Preliminary efficacy of the R1 Robot
Preliminary efficacy of the R1 Robot will be evaluated by measuring the following percent of electrodes inserted (reported as electrodes inserted / total electrodes).
Preliminary efficacy of the N1 Implant
Preliminary efficacy of the N1 Implant will be evaluated by measuring the following BCI performance for speech, quantified by measuring the monthly maximum correct word per minute (CWPM).
Sponsors and contacts
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