- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica 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.
Panoramica dello studio
Stato
Intervento / Trattamento
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Luoghi di studio
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Massachusetts
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Burlington, Massachusetts, Stati Uniti, 01805
- Lahey Clinic
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Contatto:
- Shamsher Ali, MS, PhD
- Numero di telefono: 781-744-2629
- Email: Shamsher.Ali@lahey.org
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Contatto:
- Deborah J Gannon, PhD
- Numero di telefono: 781-744-2734
- Email: Deborah.J.Gannon@lahey.org
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Investigatore principale:
- Elliot Servais, MD, FACS
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Bambino
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
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
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Fattibilità del dispositivo
- Assegnazione: N / A
- Modello interventistico: Assegnazione di gruppo singolo
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Sperimentale: 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.
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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.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Percentage of scheduled Vysio recording windows containing signal data
Lasso di tempo: From device placement before surgery through device removal, up to approximately 54 hours
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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.
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From device placement before surgery through device removal, up to approximately 54 hours
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Altre misure di risultato
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Descriptive Relative Tissue Oxygenation (StO2) Trajectory by Hemorrhage-Protocol Activation Status
Lasso di tempo: From device placement before surgery through device removal, up to approximately 54 hours
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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.
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From device placement before surgery through device removal, up to approximately 54 hours
|
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Descriptive Vysio Hemoglobin-Related Signal Trajectory by Hemorrhage-Protocol Activation Status
Lasso di tempo: 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.
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From device placement before surgery through device removal, up to approximately 54 hours
|
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Descriptive Vysio Perfusion Index (SFI) Trajectory by Hemorrhage-Protocol Activation Status
Lasso di tempo: 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
Lasso di tempo: 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
|
Collaboratori e investigatori
Sponsor
Collaboratori
Investigatori
- Investigatore principale: Elliot Servais, MD, FACS, Lahey Clinic, Inc.
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Termini relativi a questo studio
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Altri numeri di identificazione dello studio
- Vy4-2026-01
- 20964 (Altro numero di sovvenzione/finanziamento: Center for Advancing Point of Care Technologies (CAPCaT))
- 1U54HL143541 (Sovvenzione/contratto NIH degli Stati Uniti)
- 20263012 (Altro identificatore: Lahey Clinic, Inc. Institutional Review Board)
- 2414660-1 (Altro identificatore: IRBNet / Lahey Clinic, Inc.)
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