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Accuro XV Ultrasound Imaging System for BoneEnhance and Fracture Detection Algorithms

13. oktober 2026 oppdatert av: Rivanna Medical, Inc.

MSK Injury Assessment Imaging System: Feasibility and Data Acquisition for Algorithm Development and Testing

The Accuro XV is a cart-based, bedside ultrasound instrument that incorporates new signal processing-based technologies for enhanced bone and soft-tissue imaging.

Patients presenting to the Study Setting (e.g., Emergency Departments, urgent care centers, orthopedic clinics, radiology departments, and other clinical environments with access to standard-of-care (SOC) imaging with a suspected distal extremity injury (wrist, forearm, ankle, or lower leg) who have undergone SOC imaging during their clinical evaluation, will be enrolled for additional extremity imaging with the Accuro XV.

In this feasibility study, investigators will assess the safety of Accuro XV by review of any adverse events (AEs) and by comparing the comfort level of patients during Accuro XV image capture and standard-of-care imaging. Investigators will retrospectively assess image quality by reviewing all images captured to ensure the image is clear of artifact and other visual imperfections. The de-identified imaging data will then be used for algorithm development and testing. This data will help to verify plans for future study protocols and help to ensure the device is optimized for its clinical use prior to further clinical studies. The results will also be used as an input to RIVANNA's usability and human factors engineering process per IEC 60601-1-6 as recognized by FDA.

The Accuro XV is investigational in this study and is not intended to guide clinical decision-making.

Studieoversikt

Status

Rekruttering

Studietype

Intervensjonell

Registrering (Antatt)

25000

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studiesteder

    • California
      • San Francisco, California, Forente stater, 94143
        • Rekruttering
        • The University of California San Francisco
        • Ta kontakt med:
        • Hovedetterforsker:
          • Aaron Kornblith, MD
    • Colorado
      • Denver, Colorado, Forente stater, 80204
        • Rekruttering
        • The University of Colorado Denver
        • Ta kontakt med:
        • Hovedetterforsker:
          • Matthew Riscinti, MD
    • Connecticut
      • New Haven, Connecticut, Forente stater, 06510
        • Rekruttering
        • Yale University
        • Ta kontakt med:
        • Hovedetterforsker:
          • Cristiana Baloescu, MD
    • Illinois
      • Chicago, Illinois, Forente stater, 60612
        • Rekruttering
        • Rush University Medical Center
        • Hovedetterforsker:
          • Michael Gottlieb, MD
        • Ta kontakt med:
    • Pennsylvania
      • Philadelphia, Pennsylvania, Forente stater, 19107
        • Rekruttering
        • Thomas Jefferson University Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Jason Fields, MD
    • Texas
      • Dallas, Texas, Forente stater, 75390
        • Rekruttering
        • The University of Texas Southwestern
        • Ta kontakt med:
        • Hovedetterforsker:
          • Philip Jarrett, MD
      • El Paso, Texas, Forente stater, 79905
        • Rekruttering
        • Texas Tech University Health Sciences Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Kara Samsel, MD
    • Utah
      • Salt Lake City, Utah, Forente stater, 84112
        • Rekruttering
        • The University of Utah
        • Ta kontakt med:
        • Hovedetterforsker:
          • Christopher Kelly, MD
    • Virginia
      • Charlottesville, Virginia, Forente stater, 22904
        • Rekruttering
        • The University of Virginia
        • Ta kontakt med:
        • Hovedetterforsker:
          • Christopher Thom, MD
      • Richmond, Virginia, Forente stater, 23298
        • Rekruttering
        • Virginia Commonwealth University
        • Ta kontakt med:
        • Hovedetterforsker:
          • Jordan Tozer

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

5 år og eldre (Barn, Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Sites are currently on two different protocol Revisions.

Inclusion Criteria

  • Age greater than or equal to 5 years.
  • The patient is presenting for distal limb injury of the wrist, forearm, ankle, or lower leg.
  • The patient is scheduled to receive an X-ray that includes a view of the ankle, lower leg, wrist, and/or forearm or any patient that received an X-ray accessible by the study team for the studied anatomy in the past 48 hours.
  • English and/or Spanish speaking.

Exclusion Criteria

  • An open fracture, grossly open wound, or severe angulation of the limb is present.
  • Patients for whom the site investigator feels that study participation could prohibit or impair ongoing medical care.
  • Known allergy to ultrasound couplants.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Annen
  • Tildeling: N/A
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Accuro XV Imaging

Participants with a distal extremity injury who have undergone standard-of-care imaging will receive additional imaging with the Accuro XV ultrasound imaging system. Accuro XV imaging will be performed after completion of standard-of-care clinical imaging and will not be used for clinical decision-making or patient management. Imaging data collected during the study will be used to evaluate device feasibility, safety, image quality, and to support the development and testing of future algorithms.

The Accuro XV Ultrasound Imaging System is a cart-based ultrasound imaging device designed to acquire volumetric images of bone and soft tissue anatomy of the distal extremities. In this study, participants will undergo additional Accuro XV imaging following standard-of-care imaging for a distal extremity injury. The imaging procedure includes acquisition of multiple views of the injured anatomy using ultrasound technology and advanced image-processing methods to generate three-dimensional representations of bone and soft tissue structures. Images collected during the study will be used to evaluate device feasibility, safety, image quality, and to support the development and testing of future algorithms. Accuro XV imaging results will not be used for clinical decision-making.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Accuro XV Image Quality Assessment
Tidsramme: From Accuro XV image acquisition through completion of retrospective image-quality assessment, up to 48 months.

Retrospective assessment of acquired Accuro XV images for artifacts and other visual imperfections to evaluate image quality and suitability for subsequent analysis and algorithm development.

From Accuro XV image acquisition through completion of retrospective image-quality assessment, up to 48 months.
Feasibility of Accuro XV Imaging Acquisition
Tidsramme: During and immediately after Accuro XV imaging on the day of enrollment.

Successful acquisition of Accuro XV images of the target distal extremity anatomy according to study procedures; site PIs, AIs, and other Accuro XV users will be queried on how Accuro XV fits into their clinical workflow in terms of usability, maneuverablity, reliability and more. Surveys to be developed.

During and immediately after Accuro XV imaging on the day of enrollment.
Participant Comfort During Imaging
Tidsramme: Immediately after Accuro XV imaging on the day of enrollment.

Participant-reported comfort and pain scores associated with Accuro XV imaging collected through the participant questionnaire. Participants completed a questionnaire assessing pain associated with both standard-of-care imaging and Accuro XV scanning. Specifically, participants were asked to rate their pain (1) before standard-of-care imaging, (2) during standard-of-care imaging, (3) before Accuro XV scans, and (4) during Accuro XV scans. Pain was measured using an 11-point Likert-type scale ranging from 0 ("none") to 10 ("severe"), with higher scores indicating greater pain.

Immediately after Accuro XV imaging on the day of enrollment.

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Likert-Type Scale Participant-reported Imaging Modality Preference
Tidsramme: Immediately after Accuro XV imaging on the day of enrollment.

Participant-reported preference between Accuro XV imaging and standard-of-care imaging modalities. Participants completed a questionnaire assessing satisfaction with both standard-of-care imaging and Accuro XV scanning. Participants were asked to rate their satisfaction with each imaging modality on an 11-point Likert-type scale ranging from 0 ("not satisfied at all") to 10 ("very satisfied"), with higher scores indicating greater satisfaction. In addition, participants were asked to indicate their preferred imaging modality by selecting either Accuro XV, standard-of-care imaging, or no preference.

Immediately after Accuro XV imaging on the day of enrollment.

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

29. januar 2024

Primær fullføring (Antatt)

1. august 2027

Studiet fullført (Antatt)

1. august 2027

Datoer for studieregistrering

Først innsendt

3. juni 2026

Først innsendt som oppfylte QC-kriteriene

29. september 2026

Først lagt ut (Faktiske)

2. oktober 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

15. oktober 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

13. oktober 2026

Sist bekreftet

1. oktober 2026

Mer informasjon

Begreper knyttet til denne studien

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Ja

produkt produsert i og eksportert fra USA

Nei

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