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Anesthetics

VerTouch used to identify and mark, or begin placement of a needle, at an insertion site.

Palpation used to identify and mark an insertion site.

VerTouch device used to identify and mark, or begin placement of a needle at an insertion site. After the device is taken off the back, the procedure will continue in the usual manner.

Tactile Imaging (VerTouch)

Control, palpation used to identify and mark an insertion site.

Control (palpation)

This study will compare the VerTouch device to the conventional palpation technique for performing diagnostic and therapeutic neuraxial procedures.

Neuraxial procedures, in which a needle is inserted into the spinal canal through a gap in the vertebrae, are performed at a rate of nearly 13 million per year in the US, across a myriad of diagnostic and therapeutic clinical scenarios.

The standard of care involves manual palpation of the patient's back to detect the spinous processes (SPs) and estimate the location of the interspinous needle insertion site. While providers are trained to perform these procedures with meticulous precision and attention to detail, this technique remains highly inaccurate, often requiring multiple insertion attempts to properly place the needle. These attempts lead to patient pain and complications, such as traumatic taps and post-dural puncture (PDPH) headaches; unpredictable procedure times; and poor facility throughput.

The VerTouch device uses tactile imaging to offer a non-invasive, untethered, non radiation-producing solution for visualizing spinal anatomy in order to identify an ideal location for needle placement in a neuraxial procedure. The device can be used to mark the identified site with a surgical marker, or to begin placement of a needle or introducer at that site.

Study participants will be recruited in two parallel cohorts: the control (palpation) group or the tactile imaging (VerTouch) group, further stratified by procedure setting, including emergency medicine, neurology, and anesthesiology. Once an insertion site is marked with a marker or shallow placement of a needle or introducer, the procedure will continue in the usual manner for subjects in both groups.

An open-label, parallel, randomized study design

A Study to Test Performance of Needle Placements for Neuraxial Procedures Using Tactile Imaging vs Control

An Open-Label, Parallel, Randomized Study to Evaluate the Performance of Needle Placements for Diagnostic and Therapeutic Neuraxial Procedures, Using a Handheld Tactile Imaging-based Method Versus Palpation

Any forward movement of the needle following puncture of the skin, counted until confirmation of spinal canal access can be assessed.

A case that does not require any reinsertions, but can include any number of redirections.

Any forward movement of the needle in a new direction not preceded by withdrawal from the skin, counted until confirmation of spinal canal access can be assessed.

Any forward movement of the needle, calculated as the sum of insertions and redirections.

A case that does not require reinsertions or redirections.

Evaluated using a 10-point Numeric Pain Rating Scale, where 1 is equivalent to no pain and 10 is equivalent to the worst possible pain.

Evaluated using a 1-5 point Numeric Rating Scale where 1 is equivalent to not at all confident and 5 equivalent to completely confident.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
A Study to Test Performance of Needle Placements for Neuraxial Procedures Using Tactile Imaging vs Control	NCT04796935	Central Nervous... Pseudotumor Cer... Neurological Di... Cancer Obstetric Proce... Orthopedic Proc... Post-Dural Punc...	Tactile Imaging... Control (palpat...	18 Years -	IntuiTap Medical, Inc
A Study to Test Performance of Needle Placements for Neuraxial Procedures Using Tactile Imaging vs Control	NCT04796935	Central Nervous... Pseudotumor Cer... Neurological Di... Cancer Obstetric Proce... Orthopedic Proc... Post-Dural Punc...	Tactile Imaging... Control (palpat...	18 Years -	IntuiTap Medical, Inc
A Study to Test Performance of Needle Placements for Neuraxial Procedures Using Tactile Imaging vs Control	NCT04796935	Central Nervous... Pseudotumor Cer... Neurological Di... Cancer Obstetric Proce... Orthopedic Proc... Post-Dural Punc...	Tactile Imaging... Control (palpat...	18 Years -	IntuiTap Medical, Inc

Spots Global Cancer Trial Database for neuraxial anesthesia