Dual System Study: Transvaginal Fetal Pulse Oximetry Measurement Systems
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The Raydiant Data Collection System (DCS) captures red and infrared waveforms that can be post-processed to calculate fetal functional oxygen saturation of arterial oxygen saturation (SpO2) and pulse rate. These waveforms are acquired from the fetus when the sensor is placed at the cheek, temple, or forehead. Acquisition of these waveforms is a necessary step toward signal qualification and data processing algorithms. The Raydiant DCS is a similar device to the original Nellcor N-400 System. Clinical research with the N-400 System demonstrated that fetal pulse oximetry values provide 54.2% positive predicative value and 92.9% sensitivity for detecting newborn metabolic acidosis (defined by pH<7.15).1 This provided a significant aid to clinicians for diagnosing endangering states of fetal hypoxia.
In this study, both the participants and the health-care providers are blinded to the oximetry data; therefore, clinical decisions regarding interventions are made based on routine clinical monitoring. The primary analysis will be performed by comparing the post-processed waveforms. Other than device placement and a period of monitoring not to exceed 6 hours, there is no change to the standard of care procedures for fetal monitoring. As stated above, the sensor displays will not be used to guide or alter patient management.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Shannon Phillips, RN, BSN
- Phone Number: 318-675-7207
- Email: shannon.phillips@lsuhs.edu
Study Contact Backup
- Name: Chelsie Liegey, LPC, RN
- Phone Number: 318-675-7064
Study Locations
-
-
Louisiana
-
Shreveport, Louisiana, United States, 71101
- Recruiting
- LSU Health Science Center-Shreveport
-
Contact:
- Shannon Phillips, RN
- Phone Number: 318-675-7207
- Email: shannon.phillips@lsuhs.edu
-
Contact:
- Chelsie Liegey, RN
- Email: chelsie.liegey@lsuhs.edu
-
Principal Investigator:
- Perry S Barrilleaux, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Willing and capable of providing informed consent.
- Age > 18 years.
- Gestational age > 36 weeks.
- Singleton pregnancy.
- Vertex presentation,
- In latent or active labor,
- Category I or II tracings,
- Epidural anesthesia, and
- Ruptured amniotic sac with cervical dilation of >2 cm and a station of -2 or lower.
Exclusion Criteria:
- Age < 18 years.
- Gestational age < 36 weeks
- Multiple gestation
- Nonvertex fetal presentation
- Suspected vasa previa
- Category III CTG tracing
- Fetal anomalies and/or chromosomal disorders
- Chorioamnionitis
- Placenta previa
- HIV, genital Herpes, or other infection precluding transvaginal monitoring
- Unable to provide informed consent (e.g., cognitively impaired)
- Low anterior placenta, or
- Any condition (temporary or permanent) in which the investigator deems the patient unsuitable for the study procedures.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dual Sensor Recipients
Women in labor who consent to participation are monitored using two sterile fetal sensors and two separate data collection systems.
|
Two fetal pulse oximeter sensors are connected to two separate systems for development of the Raydiant fetal pulse oximeter algorithm.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of device-related adverse events
Time Frame: Periprocedural
|
Rate of device-related adverse events such as erythema or rash
|
Periprocedural
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Maternal Outcomes
Time Frame: Periprocedural
|
Maternal adverse outcomes such as chorioamnionitis or endometritis
|
Periprocedural
|
|
Neonatal Outcomes
Time Frame: Periprocedural
|
Apgar Scores at 1 and 5 minutes
|
Periprocedural
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Perry S Barrilleaux, MD, Louisiana State University Health Shreveport
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CP2555
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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