MY01 - An Aid for Diagnosing Acute Compartment Syndrome in Real Time
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 4
- 主要终点
- The correlation of continuous pressure read-outs (high, normal or low) with clinical indications for compartment syndrome in each patient.
研究概览
简要总结
Compartment syndrome can result from extremity trauma. It can also be caused by procedural cases that involve lower or upper extremity surgery. This condition results in muscle death, chronic pain, infection, and possible amputation. Early diagnosis is essential to institute interventions that can avoid complications. Subjective pain of the patient remains the mainstay for diagnosis. A method or device is needed that would improve our accuracy in diagnosing compartment syndrome. Ideally, this would be suited for single and/or continuous pressure read-outs. The aim is to reduce the incidence of missed compartment syndrome and diminish delays that would lead to significant disability.
Despite awareness, delayed diagnosis and treatment occurs in modern orthopaedic practice. As noted in many studies, once a diagnosis has been made, immediate fasciotomy is necessary to provide the best chance for a favourable clinical result. Therefore, there is a need for improved devices in order to obtain an early and reliable diagnosis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Men or women, aged 18 years of age and older
- •Any tibial, foot, femoral, forearm or fracture that is felt by the surgeon to have a reasonable indication that elevated ICP could occur in the patient
- •Mentally fit to provide informed consent
排除标准
- •Patients with fractures that are not felt to be at risk of developing compartment syndrome based on serial clinical evaluation
- •Infected wounds; infected fractures
- •Patients who present with ACS requiring urgent surgical fasciotomy
- •Patients who cannot consent to trial
- •Pregnant women
结局指标
主要结局
The correlation of continuous pressure read-outs (high, normal or low) with clinical indications for compartment syndrome in each patient.
时间窗: 24-48 hours following device insertion, and again during the final follow-up of the participant approximately two weeks after treatment
Routine assessments will be completed by healthcare personnel as per standard of care (the 6P's \[Pain, Paraesthesia, Pallor, Paralysis, Pulselessness, Poikilothermia\]), and compared against the pressure readout \[mmHG\] indicated by MY01's MicroElectroMechanical (MEMS) pressure sensor inserted at the afflicted location.
Clinical ease with which the new compartment pressure monitor was inserted into compartment.
时间窗: 24-48 hours following device insertion
At device insertion, the physician will complete a feedback questionnaire, and routine assessment will be performed in compliance with the standard of care. As part of the feedback questionnaire, the physician will be asked to indicate on a sliding scale "How certain are you the device functioned adequately?" \[0 = not confident\] - \[10 = very confident\]. The scale, administered part of a Clinical Report Form (CRF) titled 'Physician Survey', measures the physicians subjective level of certainty that the device sensor was inserted correctly within a patients muscle compartment. A record of 10 should be considered a very positive scenario, whereas a record of 0 should indicate a very negative scenario.
Ability to monitor in real-time the continuous pressure read-out from the compartment in remote locations such as an I-phone.
时间窗: 24-48 hours following device insertion
At device insertion, the physician will complete a feedback questionnaire, and routine assessment will be performed in compliance with the standard of care. As part of the feedback questionnaire, the physician will be asked to indicate in a Yes or No question "Did the MY01 Application remote data display work properly?" \[Yes\] or \[No\].
次要结局
- Short-term outcomes of the patient following continuous pressure monitoring(24-48 hours following device insertion.)
- Correlation of clinical compartment syndrome release with data from the continuous pressure monitor read-out.(24-48 hours following device insertion, and again during the final follow-up of the participant approximately two weeks after treatment)