- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04427007
Moisture Management Liner Effectiveness Study
The comfort and fit of the residual limb within a prosthetic socket are of primary concern for many amputees. The residual limb is typically covered by non-breathable and non- thermally conductive materials that can create a warm and ultimately moist environment.
The investigators have developed a silicone liner approach to remove sweat from the skin and out of the socket and to passively conduct heat from the skin using thermally conductive elastomers. This liner has been developed to work alongside a thermo-electric cooling (TEC)-based module called the Intrasocket Cooling Element (ICE) developed in a parallel project by Vivonics, Inc. and Liberating Technologies, Inc. The ICE device can be embedded into the prosthesis in order to cool the residual limb. A technology that can provide thermal control while retaining adequate suspension, weight, and other prosthetic characteristics would benefit many prosthesis wearers.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The comfort and fit of the residual limb within a prosthetic socket are of primary concern for many amputees. The residual limb is typically covered by non-breathable and non- thermally conductive materials that can create a warm and ultimately moist environment. These layers consist of a prosthetic liner that rolls onto the limb and traps heat and occasional extra prosthetic socks. Studies found increases in socket temperature after the prosthesis was donned. Temperatures were found to remain elevated long after activity cessation and even a rest period of double the duration of the preceding activity period is insufficient to return the limb to its initial temperature. A small amount of activity can cause the socket temperature to elevate and remain at an uncomfortable level for an extended period of time, which can lead to decreased wear times. In summary, an uncomfortable socket/residual limb interface decreases prosthesis use among amputees who want to remain active in their lives.
To address this, the investigators have developed a silicone liner approach to remove sweat from the skin and out of the socket and to passively conduct heat from the skin using thermally conductive elastomers. This liner has been developed to work alongside a thermo-electric cooling (TEC)-based module called the Intrasocket Cooling Element (ICE) developed in a parallel project by Vivonics, Inc. and Liberating Technologies, Inc. The ICE device can be embedded into the prosthesis in order to cool the residual limb. A technology that can provide thermal control while retaining adequate suspension, weight, and other prosthetic characteristics would benefit many prosthesis wearers.
This study will focus on investigating the efficacy of this novel moisture and thermal management (experimental) liner.
The rationale for this study is to determine how well the new technology can regulate the residual limb temperature, reduce the moisture generation, and remove excess moisture in a controlled laboratory environment.
The primary objective of this study is to measure the effects experimental techniques of moisture and thermal management has on moisture and temperature in the socket. Moisture and thermal management of the residual limb inside the prosthetic socket could result in greater comfort while wearing the prosthesis, and ultimately could result in greater function and better quality of life (QoL).
A repeated measures study will be conducted to analyze the temperature and moisture generation of the residual limb with and without the experimental liner and active cooling system within a standard prosthetic socket.
Both able-bodied research subjects, and lower limb amputee research subjects who use transfemoral or transtibial prostheses will be recruited for testing. Liners for able-bodies subjects will have the distal end removed to allow for donning. All subjects will visit Liberating Technologies, Inc. to be consented and to complete study testing.
A maximum of 10 able-bodied and 20 lower-limb amputee subjects will be recruited for this study. This is increased from a target 12 subjects to account for any drop-outs, etc.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Massachusetts
-
Holliston, Massachusetts, United States, 01746
- Liberating Technologies, Inc.
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Lower limb amputee
- Be willing and able to complete the tasks outlined
- Are at least 6 months on a definitive prosthesis
- Fits within an experimental liner
- Can understand English in order to be properly consented and provide their feedback to the study personnel
Exclusion Criteria:
- The risks to pregnant women and fetuses are unknown and therefore pregnant women should not participate in the study
- Other unforeseen disqualifying criteria (such as specific cognitive issues, etc.)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Experimental Prosthetic Liner
Participants will test the experimental liner in combination with the active cooling socket (ICE System).
Prosthetic liners and socket will be tested by walking on a treadmill.
|
A prototype liner designed to reduce and/or remove moisture and heat that builds up on the limb.
The ICE Socket Cooling System is a battery-powered cooling device for lower-limb amputees.
Other Names:
|
Other: Control Prosthetic Liner
Participants will test the control liner in combination with the active cooling socket (ICE System).
Prosthetic liners and socket will be tested by walking on a treadmill.
|
The ICE Socket Cooling System is a battery-powered cooling device for lower-limb amputees.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Residual Limb Temperature
Time Frame: 2 hours
|
Changes in residual limb temperature during walking/resting measured with temperature sensors placed on the limb.
|
2 hours
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Moisture Generation
Time Frame: 2 hours
|
Changes in residual limb moisture generation during walking/resting measured by drying the participant's limb with a towel after walking.
The towel and prosthetic liner will be weighed before and after walking to determine the amount of perspiration generated from walking.
|
2 hours
|
Residual Limb Humidity
Time Frame: 2 hours
|
Changes in residual limb humidity during walking/resting measured with humidity sensors placed on the the limb.
|
2 hours
|
Liner/Socket Suspension
Time Frame: 2 hours
|
Changes in location of liner/socket on the residual limb during walking/resting measured by making marks on the limb with skin-safe markers.
|
2 hours
|
User Satisfaction
Time Frame: 2 hours
|
Surveys regarding user satisfaction while wearing and walking in the liner.
A custom questionnaire using a 5 point Likert scale (1-5) will be used to rate different aspects of the control and experimental liner.
Such as comfort (higher value is equal to a better outcome) and how much the participant perceives they sweat in the liner (lower value is equal to a better outcome).
|
2 hours
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- E00572.1a
- 2020/01/1 (Other Identifier: Solutions IRB)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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.
Clinical Trials on Amputation
-
Liberating Technologies, Inc.Eunice Kennedy Shriver National Institute of Child Health and Human Development... and other collaboratorsCompletedAmputation | Prosthesis User | Amputation; Traumatic, Hand | Amputation, CongenitalUnited States
-
Boninger, Michael, MDNational Institute of Neurological Disorders and Stroke (NINDS); Ripple Therapeutics...RecruitingAmputation | Amputation; Traumatic, HandUnited States
-
Shirley Ryan AbilityLabEunice Kennedy Shriver National Institute of Child Health and Human Development...Active, not recruitingAmputation | Amputation; Traumatic, Limb | Upper Limb Amputation at the Hand | Upper Limb Amputation at the WristUnited States
-
University of MichiganActive, not recruitingAmputation | Amputation; Traumatic, Leg, LowerUnited States
-
Shirley Ryan AbilityLabUnited States Department of DefenseCompletedAmputation | Amputation; Traumatic, Arm, UpperUnited States
-
Fondazione Don Carlo Gnocchi OnlusCompletedAmputation | Amputation; Traumatic, Leg, LowerItaly
-
Fondazione Don Carlo Gnocchi OnlusCompletedAmputation | Amputation; Traumatic, Leg, LowerItaly
-
Medipol UniversityRecruitingEvaluation of Functionality of Amputees According to the Medicare Functional K Classification SystemAmputation | Amputation; Traumatic, Leg, LowerTurkey
-
Hacettepe UniversityCompleted
-
Liberating Technologies, Inc.Vivonics, Inc.CompletedLower Limb Amputation Below Knee (Injury) | Amputation | Prosthesis User | Amputation; Traumatic, Leg, Lower | Limb; Absence, Congenital, Lower | Amputation StumpUnited States
Clinical Trials on Moisture Management Liner
-
Liberating Technologies, Inc.Vivonics, Inc.CompletedAmputation | Prosthesis | Prosthesis User | Amputation Stump | Amputees | Lower Limb DeformityUnited States
-
GI DynamicsCompleted
-
GI DynamicsCompleted
-
University of RochesterAutism Treatment NetworkCompletedEnuresis | Autism | IncontinenceUnited States
-
University Hospital, LilleCompletedAsthma in ChildrenFrance
-
GI DynamicsBiostatistical Consulting, Inc.Recruiting
-
Fredrik IredahlPrimary Health Care Center, Department of Health Medicine and Caring Sciences...TerminatedWound | Ulcer, Leg | Exuding WoundsSweden
-
Biomet Nederland BVAtrium Medical CenterTerminatedOsteoarthritisNetherlands
-
Hacettepe UniversityUnknownTeeth; Lesion | Dental Root Caries