- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07826637
Study of the Hemorai Vysio Wearable Device for Monitoring Changes Related to Blood Loss in Patients During and After Surgery. (VYSIO-FEASIBIL)
Feasibility Evaluation of a Strap-Based Wearable Optical Device (Hemorai Vysio) for Monitoring Hemodynamic Trends and Early Indicators of Blood Loss in Perioperative and Postoperative Patients
The goal of this clinical trial is to learn whether the Hemorai Vysio wearable device can be used safely and feasibly to track relative changes over time in tissue oxygen, hemoglobin-related signals, blood flow, and oxygen use during and after inpatient surgery. The device does not provide absolute clinical measurements. Researchers will also explore whether changes recorded by the device occur around signs or treatments related to blood loss.
The main questions are:
- Can the device collect usable information during and after surgery without interfering with routine care?
- What device-related problems, such as skin irritation or discomfort, occur?
- Do changes in the device measurements occur around changes in blood pressure, laboratory results, fluid administration, or blood transfusion?
- How comfortable and practical is the device for participants and bedside nurses?
Participants undergoing surgery will wear the device on the upper arm or chest. Trained study staff will apply it before surgery. It will remain in place for up to 48 hours after surgery, or until discharge or earlier removal. Participants will continue to receive usual hospital monitoring and care.
Bedside nurses may also join the study and complete a short voluntary survey. Nurses may check the device position and adjust the strap for comfort. They will not interpret the device measurements or use them to make treatment decisions.
Hemorai Vysio is an investigational device. Its measurements will be analyzed for research and will not be used to guide participants' medical care. Participants are not expected to receive a direct medical benefit from taking part.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
-
-
Massachusetts
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Burlington, Massachusetts, États-Unis, 01805
- Lahey Clinic
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Contact:
- Shamsher Ali, MS, PhD
- Numéro de téléphone: 781-744-2629
- E-mail: Shamsher.Ali@lahey.org
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Contact:
- Deborah J Gannon, PhD
- Numéro de téléphone: 781-744-2734
- E-mail: Deborah.J.Gannon@lahey.org
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Chercheur principal:
- Elliot Servais, MD, FACS
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Enfant
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La description
Inclusion Criteria:
Surgical participants:
- 18 to 85 years of age
- Undergoing inpatient surgery with an expected overnight hospital stay
- Capable of providing informed consent
- No anticipated contraindications to skin-worn sensors
- Hemodynamically stable at enrollment, with no vasopressor requirement
Nursing participants:
- Bedside nurse caring for an enrolled surgical participant during the Vysio device-wear period
- Capable of providing informed consent for the study-related usability survey
- Willing to complete the voluntary usability survey
Exclusion Criteria:
Surgical participants:
- Pregnancy; participants of childbearing potential with a positive pregnancy test before surgery
- Prisoner
- Cognitive impairment or inability to provide informed consent
- Hemodynamic instability requiring vasopressors at enrollment
- Severe dermatitis or another skin condition at the planned device application site
- Known allergy or prior adverse reaction to silicone elastomer, thermoplastic elastomer, or components of the self-adherent elastic wrap (cotton/polyester substrate or synthetic elastic yarn)
- Active skin breakdown, dermatitis, eczema, burns, or a surgical incision at the planned strap contact site
- Condition compromising skin integrity such that the site would not qualify as intact skin under ISO 10993-1:2018
Nursing participants:
- Not caring for an enrolled surgical participant during the Vysio device-wear period
- Unable or unwilling to provide informed consent
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Faisabilité de l'appareil
- Répartition: N / A
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: Hemorai Vysio Monitoring
Adult surgical participants will wear the investigational Hemorai Vysio device on the upper arm or chest during surgery and for up to 48 hours after surgery, or until earlier discharge, withdrawal, or clinically indicated removal.
The device records research-only optical signals in parallel with standard care.
Device data will be analyzed offline and will not be used to guide clinical decisions.
|
An investigational, non-FDA-approved strap-based wearable optical device placed on the upper arm or chest by trained study staff.
It records intermittent 2-minute optical signal windows every 15 minutes during surgery and for up to 48 hours postoperatively.
Research outputs include relative trends in local tissue oxygenation (StO2), hemoglobin-related signals, perfusion index (SFI), and tissue oxygen consumption (tMRO2).
The device operates in parallel with standard-of-care monitoring; data are analyzed offline and are not used for clinical decisions.
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Percentage of scheduled Vysio recording windows containing signal data
Délai: From device placement before surgery through device removal, up to approximately 54 hours
|
For each patient participant, the number of scheduled 2-minute Vysio recording windows containing recorded signal data will be divided by the number of scheduled windows during device wear and multiplied by 100.
The percentage will be summarized descriptively across participants as a measure of device-data completeness.
|
From device placement before surgery through device removal, up to approximately 54 hours
|
Autres mesures de résultats
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Descriptive Relative Tissue Oxygenation (StO2) Trajectory by Hemorrhage-Protocol Activation Status
Délai: From device placement before surgery through device removal, up to approximately 54 hours
|
Relative local tissue oxygenation (StO2) trajectories recorded by Vysio will be summarized descriptively for surgical participants with a Lahey clinical-team-defined hemorrhage-protocol activation during device wear and those without an activation (routine postoperative recovery group).
Values will also be time-aligned with documented hypotension, transfusion, fluid administration, and serial hemoglobin and hematocrit results.
Pearson or Spearman correlations may be calculated where appropriate.
Analyses are exploratory and will not estimate diagnostic performance.
|
From device placement before surgery through device removal, up to approximately 54 hours
|
|
Descriptive Vysio Hemoglobin-Related Signal Trajectory by Hemorrhage-Protocol Activation Status
Délai: From device placement before surgery through device removal, up to approximately 54 hours
|
Relative hemoglobin-related signal trajectories recorded by Vysio will be summarized descriptively for surgical participants with a Lahey clinical-team-defined hemorrhage-protocol activation during device wear and those without an activation (routine postoperative recovery group).
These device-derived relative trends are not systemic hemoglobin concentrations.
Values will be time-aligned with documented hypotension, transfusion, fluid administration, and serial laboratory hemoglobin and hematocrit results.
Pearson or Spearman correlations may be calculated where appropriate.
Analyses are exploratory and will not estimate diagnostic performance.
|
From device placement before surgery through device removal, up to approximately 54 hours
|
|
Descriptive Vysio Perfusion Index (SFI) Trajectory by Hemorrhage-Protocol Activation Status
Délai: From device placement before surgery through device removal, up to approximately 54 hours
|
Relative perfusion index (SFI) trajectories recorded by Vysio will be summarized descriptively for surgical participants with a Lahey clinical-team-defined hemorrhage-protocol activation during device wear and those without an activation (routine postoperative recovery group).
SFI is a relative device-derived perfusion trend and not an absolute tissue perfusion measurement.
Values will be time-aligned with documented hypotension, transfusion, fluid administration, and serial hemoglobin and hematocrit results.
Pearson or Spearman correlations may be calculated where appropriate.
Analyses are exploratory and will not estimate diagnostic performance.
|
From device placement before surgery through device removal, up to approximately 54 hours
|
|
Descriptive Vysio Tissue Oxygen Consumption (tMRO2) Trajectory by Hemorrhage-Protocol Activation Status
Délai: From device placement before surgery through device removal, up to approximately 54 hours
|
Relative tissue oxygen consumption (tMRO2) trajectories recorded by Vysio will be summarized descriptively for surgical participants with a Lahey clinical-team-defined hemorrhage-protocol activation during device wear and those without an activation (routine postoperative recovery group).
tMRO2 is a relative device-derived trend and not an absolute calibrated metabolic rate.
Values will be time-aligned with documented hypotension, transfusion, fluid administration, and serial hemoglobin and hematocrit results.
Pearson or Spearman correlations may be calculated where appropriate.
Analyses are exploratory and will not estimate diagnostic performance.
|
From device placement before surgery through device removal, up to approximately 54 hours
|
Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Les enquêteurs
- Chercheur principal: Elliot Servais, MD, FACS, Lahey Clinic, Inc.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- Vy4-2026-01
- 20964 (Autre subvention/numéro de financement: Center for Advancing Point of Care Technologies (CAPCaT))
- 1U54HL143541 (Subvention/contrat des NIH des États-Unis)
- 20263012 (Autre identifiant: Lahey Clinic, Inc. Institutional Review Board)
- 2414660-1 (Autre identifiant: IRBNet / Lahey Clinic, Inc.)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime IPD
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
produit fabriqué et exporté des États-Unis.
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