Neurosurgery

Wise first in Europe: brain electrode passes Mdr test

The device, an innovation in brain monitoring, is the first to meet the stringent requirements of the new European standard

Product photography for Wise Neuro

3' min read

3' min read

Wise marks a historic milestone in neurosurgery: it is the first company to have obtained the CE marking according to the European Medical Device Regulation (Mdr) for a cortical strip intended for intraoperative neurophysiological monitoring (Ionm). The device in question is the Wise Cortical Strip (Wcs), an innovative electrode designed to record, monitor and stimulate electrical signals on the surface of the brain during surgery.

"We are the first on this type of device - cortical grids - to have obtained the CE marking according to the new Mdr regulation," emphasises Luca Ravagnan, CEO and co-founder of Wise.

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"We are very happy that we were able to obtain the new Mdr certificate, because this allows us not only to continue selling our products beyond 2027, but also to work on product evolution, which was no longer possible with the old certifications.

The Wcs, already authorised in Europe under the previous Mdd directive and approved by the Fda (US) and Tga (Australia), represents a technological breakthrough in the field of neurosurgery. Unlike traditional strips, which are made of rigid metal elements encapsulated in thick silicone, the Wise Cortical Strip uses stretchable platinum contacts embedded in a thin film of soft silicone. This structure makes it extremely flexible and perfectly adheres to the brain surface, ensuring greater stability and precision.

The increased conformability of the device leads to significant clinical benefits, particularly in epilepsy surgery and oncology, by improving the localisation of epileptogenic areas and the detection of brain signals due to lower impedance.

"We are told stories of patients who have been operated on a second time with our electrode, who have achieved a complete remission of their epilepsy thanks to its conformability. These are cases that repay us for all the effort we put in," says Ravagnan.

The clinical study, conducted on 32 patients in Europe, compared the Wise Cortical Strip with conventional electrodes during neurosurgical interventions.

'The clinical study was crucial in demonstrating the safety and efficacy of our electrode compared to traditional electrodes,' adds the CEO. 'It was completed in 2020, before the pandemic, and was crucial in obtaining the new certification.

The Wise Cortical Strip is the company's flagship product and demonstrates the potential of Supersonic technology, Wise's patented platform for advanced, flexible and minimally invasive neuro-electrodes. The same technology is also behind the Heron lead, the first unidirectional multi-column lead for spinal stimulation currently on the market.

Obtaining Mdr certification allows Wise not only to consolidate its presence in the European market, but also to continue the development of the Wiseneuro Monitoring line and to guarantee continuity in marketing beyond the expiry of the transitional period provided for by the previous regulations.

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"The Mdr regulation has raised the bar a lot: nowadays, obtaining the CE marking is much more difficult and expensive, especially for invasive devices like ours," Ravagnan observes. "The risk is that not all manufacturers will be able or willing to recertify their devices, so there will be a selection: those who have 100 products will probably only keep the most profitable ones.

"Many players are leaving the European market or postponing recertification. In this context, arriving first is an important competitive advantage'.

Wise is already working on new product variants to expand the available range.

"We are expanding the catalogue: we will make a series of product variants both in size and in the number of electrodes or thicknesses," Ravagnan anticipates. "This will give rise to siblings and cousins of our current electrode, also in the neurosurgical field.

With this achievement, Wise confirms its leadership in the field of neurosurgical devices, pushing forward the boundaries of technology in the service of medicine.

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