Electrosurgical Intervention Analysis: Comparing Procedure Patterns

January 23, 2026 updated by: University Hospital Tuebingen

Electrical Fingerprint: Comparison of Characteristic Patterns of Different Surgical Interventions Based on Electrosurgical Unit Data

The purpose of this prospective, single center study is to verify the hypothesis that each type of intervention creates a specific data pattern like a digital "fingerprint". This fingerprint offers the possibility to identify specific workflows of surgical procedures but also to differentiate between them, what can be used for training purposes. The following clinical study is not covered by the MDR regulation since we do not investigate performance or safety of a device but collect and assign electrical data only.

Study Overview

Status

Recruiting

Intervention / Treatment

Detailed Description

The Erbe ESU VIO 3 provides electrical measurement data with high accuracy and time resolution. With the availability of the Erbe ECB Data Transmitter it is possible to record electrical data from the VIO 3 during clinical procedures, which open up a variety of possibilities for enhancing clinical workflows.

For this purpose, the VIO 3 will be connected via ECB (Erbe communication bus) interface with the "Data Transmitter". Using the software implemented by Erbe on the "Data transmitter", electrical data - generated during electrosurgical interventions - are recorded, forwarded via LAN, WLAN or LTE and stored in the Azure Cloud. These data do not contain any patient information and will be only used for the stated study objective.

In future, based on the analyses of electrosurgical device data users could benefit from e.g. continuous training as well as self enhancement/reflection by electrosurgical information offered during or after a surgical procedure. A first step to reach this goal is to build up a database containing electrosurgical data of different surgical interventions, to identify the electrosurgical "fingerprint" of each intervention and to detect different patterns between them. Therefore, the purpose of this study is to record electrosurgical data and to verify the hypothesis that each type of intervention creates a specific data pattern like a digital "fingerprint".

Study Type

Observational

Enrollment (Estimated)

160

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Probability Sample

Study Population

This study will be conducted as a single-center study with patient recruitment among patients who visit the Department of Women's Health. No patients must be recruited only for the purpose of this study. Data will be collected among patients who undergo surgery at the Department of Women's Health independently of this study. The prospective, single center study is designed as a pilot study. A case number estimate is not possible. The aim is to include a total of about 160 patients in the pilot study.

Procedure Number of cases Supra cervical hysterectomy 40 Total hysterectomy 40 B-plastic + periareolar mastopexy 40 Segmental resection 40

Description

Inclusion Criteria:

  • Age ≥ 18 years
  • Written informed consent
  • Patients undergoing one of the following surgeries:

    • Supra cervical hysterectomy
    • Total hysterectomy
    • Breast conserving surgeries: B-plastic + periareolar mastopexy
    • Breast conserving surgeries: segmental resection

Exclusion Criteria:

  • Expected lack of patient compliance or inability of the patient to understand the purpose of the clinical trial
  • Lack of patient consent
  • Surgery under local anaesthesia
  • Robot-Assisted Surgery

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Procedure type

Procedures:

  • Supra cervical hysterectomy (+/- salpingectomy)
  • Total hysterectomy
  • Breast conserving surgeries: b-plastic + periareolar mastopexy (+/- Sentinel lymphonodectomy, SLNE)
  • Breast conserving surgeries: segmental resection (+/- SLNE)

Data will be collected among patients who undergo surgery at the Department of Women's Health independently of this study.

• Patients undergoing one of the following surgeries:

  • Supra cervical hysterectomy
  • Total hysterectomy
  • Breast conserving surgeries: B-plastic + periareolar mastopexy
  • Breast conserving surgeries: segmental resection
Unknown

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Identification of Unique Electrosurgical Data Patterns ("Digital Fingerprints") for Surgical Procedures
Time Frame: During surgery and post-procedure analysis (data collection over 12 months)

The study aims to determine whether different types of surgical interventions generate distinct electrosurgical data patterns. The accuracy of assigning recorded electrosurgical data to the correct surgical procedure type will be evaluated.

Data Source: Electrosurgical signals recorded by the Erbe ECB Data Transmitter and VIO 3 system, stored in the Erbe Cloud for analysis.

Measurement Method:

  • Each dataset will be classified into one of the predefined procedure types or as "unknown."
  • The classification algorithm must achieve at least 80% accuracy in correctly identifying procedure types.
  • The classification algorithm must achieve at least 80% accuracy in assigning procedures outside the predefined types to the "unknown" category.
During surgery and post-procedure analysis (data collection over 12 months)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Collaborators

Investigators

  • Principal Investigator: Bernhard Krämer, Prof. Dr., University Hospital Tuebingen

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 21, 2024

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

June 1, 2026

Study Registration Dates

First Submitted

January 15, 2025

First Submitted That Met QC Criteria

March 6, 2025

First Posted (Actual)

March 12, 2025

Study Record Updates

Last Update Posted (Actual)

January 26, 2026

Last Update Submitted That Met QC Criteria

January 23, 2026

Last Verified

January 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • MT_ERBE Data Logger

Drug and device information, study documents

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

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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