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Preliminary Investigation of a Smart Compression Therapy Prototype (PRESUF-VLU)

Primary Purpose

Venous Leg Ulcer, Venous Insufficiency of Leg

Status
Completed
Phase
Not Applicable
Locations
Ireland
Study Type
Interventional
Intervention
Compression Therapy System Prototype
Standard Compression
Sponsored by
DeRoyal Industries, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Venous Leg Ulcer focused on measuring Compression Therapy, Two Layer Compression Wrap

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Intact, healthy skin at the application site in both legs Calf circumferences to be within 30 - 50 cm between the medial and lateral head of the gastrocnemius Able to understand the Patient Information Leaflet Willing and able to give informed consent Able to wear, don and doff the compression device without external help Willing and able to follow the requirements of the clinical investigation plan Presence of pedal pulses identified by hand-held Doppler (8 MHz) Ankle Brachial Pressure Index between 0.9 and 1.4 Exclusion Criteria: History of signs of previous deep or superficial vein thrombosis/pulmonary embolism Peripheral artery disease ( or ABPI < 0.90 or > 1.4), critical limb ischemia, or arterial ulceration Varicose veins, varicose eczema, or venous ulceration Chronic lower limb swelling, edema, lymphedema, or lipoedema Recent surgery within the last three months (such as abdominal, gynecological, hip or knee replacement, or lower limb) that may affect the study in the opinion of the investigator Recent trauma to a lower limb within the last three months Chronic obesity (defined as BMI index >40 kg/m^2) Diabetes mellitus Pregnancy A pulse rate of fewer than 40 beats/minute A sitting systolic blood pressure of > 180 and < 100 mmHg and/or a sitting diastolic pressure of > 100 mmHg Any significant illness during the previous four (4) weeks Participation in any clinical study during the eight (8) weeks preceding the screening period Any evidence of edema or pain Skin diseases, including wounds on the feet or lower limbs Any history of heart, liver, kidney, or vascular diseases History of having been prescribed compression stockings for treatment of a medical condition Serious allergies Dermatitis with oozing or fragile skin Persons currently using NSAID, Diuretics, Vasodilators, and steriods Drivers and Driving Professionals

Sites / Locations

  • RCSI Education and Research Centre

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Compression Therapy System Prototype

Coban 2 (2 Layer Compression Wrap)

Arm Description

Identifies legs randomized to receive the experimental intervention

Identifies the legs randomized to receive the control intervention

Outcomes

Primary Outcome Measures

Time to Apply Intervention by clinician
The time it takes a clinician to place the assigned intervention to each limb
Time to Apply compression therapy prototype by volunteer
The time it takes the volunteer to place the assigned intervention to each limb
Interface Pressure after Application of Intervention
Interface pressure measured by pressure sensor (Pico Press) following application by research clinician
Average Interface Pressure during Walking
The participant walks on a treadmill for 10 minutes. A pressure sensor (Pico Press) continuously measures compression at the medial gastrocnemius head. The interface pressure measurements are averaged over ten minutes of data collection. The analysis compares changes in pressure over the three measurements for each intervention.
Average Interface Pressure during Calf Pumping
The participant pumps each calf independently for 30 seconds. A pressure sensor (Pico Press) continuously measures compression at the medial gastrocnemius head. The interface pressure measurements are averaged over 30 seconds of data collection. The analysis compares changes in pressure over the three measurements for each intervention.
Average Interface Pressure during Standing
The participant stands for 30 seconds. A pressure sensor (Pico Press) continuously measures compression at the medial gastrocnemius head. The interface pressure measurements are averaged over 30 seconds of data collection. The analysis compares changes in pressure over the three measurements for each intervention.
Average Interface Pressure while laying down
The participant lays down on the bed for 30 seconds. A pressure sensor (Pico Press) continuously measures compression at the medial gastrocnemius head. The interface pressure measurements are averaged over 30 seconds of data collection. The analysis compares changes in pressure over the three measurements for each intervention.
Accuracy of Compression Therapy System Prototype compared to Interface Pressure
During data collection on day 1, the pressure sensor (Pico Press) will continuously monitor compression level applied to the calf. Researchers willl compare the pressure applied from the device to the measured pressure at the calf.
Visual Analogue Sensory (Pain) Assessment
Pain assessment completed by a 0 to 10 visual analog scale where 0 represents no pain and 10 represents severe pain.
Visual Analogue Skin Redness Assessment
Visual Analogue Scale between 0 (no redness) to 10 (severe redness)
Usability Assessment
Questionnaire that allows research participants to score each intervention on a 1 (Strongly disagree) to 5 (Strongly agree) scale for the following questions: The intervention stayed in place while you are wearing it. The appearance of the intervention is aesthetically appealing The dimensions of the intervention are appropriate The weight of the intervention is comfortable when wearing it Overall I was able to successfully use the compression therapy prototype The user manual is helpful for me in managing the compression therapy prototype The instructions in the user manual are understandable (compression therapy prototype only) Overall, the Compression Therapy System Prototype is user friendly Overall, I feel comfortable when I use the intervention Overall, I feel confident when I use the intervention Overall I feel there is no risk to me when I use the intervention
At home usability assessment
Questions will be asked to healthy volunteers during three day period at home. Volunteers rate their response on a scale from 1 (strongly disagree) to 5 (strongly agree). I learned to use the compression therapy prototype quickly I learned to use the compression therapy prototype easily I easily remember how to use the compression therapy prototype I quickly became skillful with the compression therapy prototype It isn't necessary to have too much previous knowledge to use the compression therapy prototype The instructions for use are clear and easy to understand The LED signs from the compression therapy prototype is accurate Overall, I was able to successfully interpret the LED signs of the compression therapy prototype The LED signs of the compression therapy prototype are understandable and easy to interpret The LED signs were helpful for me in managing the compression therapy prototype The LED signs allow me to correct mistakes quickly and easily

Secondary Outcome Measures

Full Information

First Posted
November 2, 2022
Last Updated
September 5, 2023
Sponsor
DeRoyal Industries, Inc.
Collaborators
Royal College of Surgeons, Ireland, Tyndall National Institute, Enterprise Ireland
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1. Study Identification

Unique Protocol Identification Number
NCT05610241
Brief Title
Preliminary Investigation of a Smart Compression Therapy Prototype
Acronym
PRESUF-VLU
Official Title
Preliminary Testing of the Safety, Usability and Functionality of an Innovative and Smart Medical Device: Compression Therapy System Prototype for Venous Leg Ulcer Treatment in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
March 4, 2023 (Actual)
Primary Completion Date
March 18, 2023 (Actual)
Study Completion Date
March 21, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
DeRoyal Industries, Inc.
Collaborators
Royal College of Surgeons, Ireland, Tyndall National Institute, Enterprise Ireland

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Compression wraps treat venous leg ulcers when applied correctly. Often, clinicians apply the wraps at the wrong compression, or the wrap loosens, stopping clinical benefits. The study aims to show the feasibility of a smart compression prototype to maintain a set compression level in healthy volunteers. Each volunteer will wear the prototype device on one leg and a standard compression wrap on the other. Volunteers will pump their calves, walk, lie down, and stand at zero, one, and four hours. A pressure sensor placed over each calf will record the compression level during the activities. Volunteers will provide subjective feedback on each device concerning comfort and usability. After four hours, researchers will remove the standard wrap. Volunteers will use the prototype device during daily activities for three days. During the three days, the volunteers will complete a daily journal. The journal will capture the user experience and time the volunteer used the device. A final site visit allows researchers to conduct exit interviews and download the history of applied compression. Researchers will use the data to show that the prototype device maintains therapeutic compression and prove the usability of the device.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Venous Leg Ulcer, Venous Insufficiency of Leg
Keywords
Compression Therapy, Two Layer Compression Wrap

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Healthy volunteer study where participants serve as their own control, the control condition will be assigned to one leg and the experimental condition applied to the other leg.
Masking
Care Provider
Masking Description
The clinical research nurse applying the compression interventions will be blinded from interface pressure measurements
Allocation
Randomized
Enrollment
11 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Compression Therapy System Prototype
Arm Type
Experimental
Arm Description
Identifies legs randomized to receive the experimental intervention
Arm Title
Coban 2 (2 Layer Compression Wrap)
Arm Type
Active Comparator
Arm Description
Identifies the legs randomized to receive the control intervention
Intervention Type
Device
Intervention Name(s)
Compression Therapy System Prototype
Intervention Description
A device designed to deliver compression therapy at a pre-set level to the lower leg for legs with a circumference between 30-50 cm. The device provides compression through a series of three air bladders and is controlled by a battery-powered electronic module that controls compression levels by monitoring bladder pressure.
Intervention Type
Device
Intervention Name(s)
Standard Compression
Other Intervention Name(s)
2 Layer Compression Wrap, 2 Layer Compression Bandage, Coban 2
Intervention Description
Coban 2 represents the standard of care 2-layer compression wrap used to treat venous leg ulcers. The device consists of a comfort layer and a compression layer. A clinician applies the device to establish compression therapy.
Primary Outcome Measure Information:
Title
Time to Apply Intervention by clinician
Description
The time it takes a clinician to place the assigned intervention to each limb
Time Frame
Measured on Day 0
Title
Time to Apply compression therapy prototype by volunteer
Description
The time it takes the volunteer to place the assigned intervention to each limb
Time Frame
Measured on Day 0
Title
Interface Pressure after Application of Intervention
Description
Interface pressure measured by pressure sensor (Pico Press) following application by research clinician
Time Frame
Measured on Day 1
Title
Average Interface Pressure during Walking
Description
The participant walks on a treadmill for 10 minutes. A pressure sensor (Pico Press) continuously measures compression at the medial gastrocnemius head. The interface pressure measurements are averaged over ten minutes of data collection. The analysis compares changes in pressure over the three measurements for each intervention.
Time Frame
Measured at 0 hours, 1 hour, and 4 hours on Day 1
Title
Average Interface Pressure during Calf Pumping
Description
The participant pumps each calf independently for 30 seconds. A pressure sensor (Pico Press) continuously measures compression at the medial gastrocnemius head. The interface pressure measurements are averaged over 30 seconds of data collection. The analysis compares changes in pressure over the three measurements for each intervention.
Time Frame
Measured at 0 hours, 1 hour, and 4 hours on Day 1
Title
Average Interface Pressure during Standing
Description
The participant stands for 30 seconds. A pressure sensor (Pico Press) continuously measures compression at the medial gastrocnemius head. The interface pressure measurements are averaged over 30 seconds of data collection. The analysis compares changes in pressure over the three measurements for each intervention.
Time Frame
Measured at 0 hours, 1 hour, and 4 hours on Day 1
Title
Average Interface Pressure while laying down
Description
The participant lays down on the bed for 30 seconds. A pressure sensor (Pico Press) continuously measures compression at the medial gastrocnemius head. The interface pressure measurements are averaged over 30 seconds of data collection. The analysis compares changes in pressure over the three measurements for each intervention.
Time Frame
Measured at 0 hours, 1 hour, and 4 hours on Day 1
Title
Accuracy of Compression Therapy System Prototype compared to Interface Pressure
Description
During data collection on day 1, the pressure sensor (Pico Press) will continuously monitor compression level applied to the calf. Researchers willl compare the pressure applied from the device to the measured pressure at the calf.
Time Frame
Measured between 0 and 4 hours on day 1
Title
Visual Analogue Sensory (Pain) Assessment
Description
Pain assessment completed by a 0 to 10 visual analog scale where 0 represents no pain and 10 represents severe pain.
Time Frame
Measured on Day 1 at hour 4
Title
Visual Analogue Skin Redness Assessment
Description
Visual Analogue Scale between 0 (no redness) to 10 (severe redness)
Time Frame
Measured on Day 1 at hour 4 for both interventions; Measured on Day 2 - 4 for Compression Therapy System Prototype
Title
Usability Assessment
Description
Questionnaire that allows research participants to score each intervention on a 1 (Strongly disagree) to 5 (Strongly agree) scale for the following questions: The intervention stayed in place while you are wearing it. The appearance of the intervention is aesthetically appealing The dimensions of the intervention are appropriate The weight of the intervention is comfortable when wearing it Overall I was able to successfully use the compression therapy prototype The user manual is helpful for me in managing the compression therapy prototype The instructions in the user manual are understandable (compression therapy prototype only) Overall, the Compression Therapy System Prototype is user friendly Overall, I feel comfortable when I use the intervention Overall, I feel confident when I use the intervention Overall I feel there is no risk to me when I use the intervention
Time Frame
Completed on Day 1 for both interventions and daily on Day 2, 3, and 4 for the compression therapy system prototype
Title
At home usability assessment
Description
Questions will be asked to healthy volunteers during three day period at home. Volunteers rate their response on a scale from 1 (strongly disagree) to 5 (strongly agree). I learned to use the compression therapy prototype quickly I learned to use the compression therapy prototype easily I easily remember how to use the compression therapy prototype I quickly became skillful with the compression therapy prototype It isn't necessary to have too much previous knowledge to use the compression therapy prototype The instructions for use are clear and easy to understand The LED signs from the compression therapy prototype is accurate Overall, I was able to successfully interpret the LED signs of the compression therapy prototype The LED signs of the compression therapy prototype are understandable and easy to interpret The LED signs were helpful for me in managing the compression therapy prototype The LED signs allow me to correct mistakes quickly and easily
Time Frame
Day 2 and 3

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Intact, healthy skin at the application site in both legs Calf circumferences to be within 30 - 50 cm between the medial and lateral head of the gastrocnemius Able to understand the Patient Information Leaflet Willing and able to give informed consent Able to wear, don and doff the compression device without external help Willing and able to follow the requirements of the clinical investigation plan Presence of pedal pulses identified by hand-held Doppler (8 MHz) Ankle Brachial Pressure Index between 0.9 and 1.4 Exclusion Criteria: History of signs of previous deep or superficial vein thrombosis/pulmonary embolism Peripheral artery disease ( or ABPI < 0.90 or > 1.4), critical limb ischemia, or arterial ulceration Varicose veins, varicose eczema, or venous ulceration Chronic lower limb swelling, edema, lymphedema, or lipoedema Recent surgery within the last three months (such as abdominal, gynecological, hip or knee replacement, or lower limb) that may affect the study in the opinion of the investigator Recent trauma to a lower limb within the last three months Chronic obesity (defined as BMI index >40 kg/m^2) Diabetes mellitus Pregnancy A pulse rate of fewer than 40 beats/minute A sitting systolic blood pressure of > 180 and < 100 mmHg and/or a sitting diastolic pressure of > 100 mmHg Any significant illness during the previous four (4) weeks Participation in any clinical study during the eight (8) weeks preceding the screening period Any evidence of edema or pain Skin diseases, including wounds on the feet or lower limbs Any history of heart, liver, kidney, or vascular diseases History of having been prescribed compression stockings for treatment of a medical condition Serious allergies Dermatitis with oozing or fragile skin Persons currently using NSAID, Diuretics, Vasodilators, and steriods Drivers and Driving Professionals
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Declan Patton, PhD
Organizational Affiliation
RCSI University of Medicine and Health Sciences
Official's Role
Study Director
Facility Information:
Facility Name
RCSI Education and Research Centre
City
Dublin
ZIP/Postal Code
YN77
Country
Ireland

12. IPD Sharing Statement

Plan to Share IPD
No

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Preliminary Investigation of a Smart Compression Therapy Prototype

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