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Name of Submitter:
Submitter Contact Info (For internal use only):
General information
1. Who is the target population? Pateints with:
Parkinson's Disease Dystonia Myoclonus Tics Tremor Chorea Atypical Parkinson syndromes / Parkinson Plus Ataxia Dystonia Tourette syndrome Other hyperkenetic disorders
2. What language(s) does it use?
3. What does this app measure?
Tremor Bradykinesia Gait/Mobility Falls Cognition Speech Dysmetria Eye Movements Chorea Dyskinesia
Other:
4. What platform(s) and system(s) can this app be used for?
Desktop Tablet Mobile phone (iPhone) Mobile phone (Android) Mobile (Other) Wearable Sensor
Other:
5. What is the current level of development?
Technical Validation (i.e. prototype, only small number of participants/patients, feasibility/proof-of-concept studies)
Clinical Validation here (clinical study, higher number of patients, correlation to clinical characteristics)
Multicenter study ready (not CE-labeled yet)
CE-labeled
FDA-approved
Product status (off-the-shelf)
6. If the app uses any MDS clinical outcome assessments / rating scales? Yes No
If so, please describe:
Does the app use any other rating scales or clinical assessments? If yes, which:
Application Characteristics
7. What user interface(s) does this app provide?
Patient
Caregivers (professional/non-professional)
Researchers, study personnel
Doctors
Therapists
Other:
8. What type of clinical support does this app provide?
Diagnostic Monitoring Prediction Treatment
9. What makes this app unique? 1,000 character limit
Scientific Application
10. What is the maximum number of subjects that can be captured by the app?
11. Is there the possibility of generation of a database?
Yes No
12. Is there control data available?
Yes No
13. Is there support provided for usage/test-setting/analysis?
Yes, free of charge Yes, billable No
Data Management
14. Where is the data stored?
15. Who owns the data?
Scientific Evidence
16. What is the current overall evidence level for the app?
Technical study
Case study
Observational study
Non-randomised interventional study
Non-randomised controlled interventional study
Randomized controlled interventional study
17. What is the sample size of the validation study?
18. What is the key publication?
Article title:
Link to article:
19. Your listing will include public contact information to learn more about the app. What are the public contact details?
Contact or organization name(s):
Website:
Email(s):
Phone number (include country code):