ArteVu Blood Pressure Accuracy Study

NCT05105204 | Unknown DMC

• 1 other identifier: N202106030
• Study Type: observational
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

A continuous noninvasive blood pressure monitoring digital fingertip clip device, the ArteVu, will be compared against the reference arterial catheter during operation. The device safety and its blood pressure accuracy will be examined in the study.

Conditions

Blood Pressure

Keywords

non-invasive blood pressure monitor; arterial waveform

Outcome Measures

Primary Outcomes (1)

• Blood pressure and heart rate measurement accuracy

  To validate ArteVu's blood pressure and heart rate measurement accuracy by comparing its values simultaneously with the corresponding values obtained intra-arterially from an invasive radial arterial line, meeting a bias (as measured by overall mean difference) less than 5 mmHg and a standard deviation less than 8 mmHg for systolic and diastolic blood pressure. This accuracy satisfies the limits established for the validation of automatic blood pressure measurement according to the ANSI/AAMI/ISO 81060-2 standard.

  around two hours.

Study Arms (1)

Individuals need intra-arterial catheter at the radial artery for blood pressure monitoring

Individuals who requiring the use of intra-arterial catheter at the radial artery for continuous blood pressure monitoring for at least two hours as part of their planned care.

Device: ArteVu

Interventions

ArteVu DEVICE

The study participants will concurrently undergo noninvasive blood pressure monitoring with the ArteVu finger clip applied to the same extremity that is being used to measure the radial artery pressure.

Individuals need intra-arterial catheter at the radial artery for blood pressure monitoring

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patient enrollment will continue until at least 30% are male; 30% are female; at least 40 % patients have a limb circumference that lies within the upper half of 22-32 cm; at least 40 % are within the lower half of 22-32 cm; in addition, 50 complete one-hour CNBP and NBP data sets are obtained. To assure that a sufficient range of blood pressure values are obtained, at least 10% of the measurements shall have invasive reference systolic blood pressure(SBP) lower or equal to 100 mmHg. At least 10% of the measurements shall have invasive reference SBP higher or equal to 160 mmHg. At least 10% of the measurements shall have invasive reference diastolic blood pressure(DBP) lower or equal to 70mmHg. At least 10% of the measurements shall have invasive reference DBP higher or equal to 85 mmHg.

You may qualify if:

• Age ≥ 20 years
• Requiring general anesthesia and continuous blood pressure measurement with a radial arterial line
• Limb circumference is within 22 cm - 32 cm
• The width of the first knuckle of the index/middle/Ring finger is less than 19.8 mm
• Ease of access to the finger and arm used for ArteVu
• Able to provide written informed consent for participation in the study

You may not qualify if:

• Pregnant patients
• Medical or surgical condition that prevents the ability to apply the ArteVu device on an upper extremity finger or the ipsilateral arm such as impaired skin integrity
• Operations involving the upper extremities or the blood vessels of the upper extremities
• Arthritis or severe deformities of the hand and fingers
• Prosthetic devices or jewelry that cannot be removed from the finger or the ipsilateral arm to be used for the ArteVu device
• History of malignant hyperthermia
• Raynaud's disease affecting the fingers or hands
• Topical allergy to Acrylonitrile Butadiene Styrene(ABS), Polycarbonate(PC), or silicone
• Swelling, edema or lymphedema of the upper extremity
• Participants with upper extremity occlusive peripheral vascular diseases
• Inability of the patient to provide written informed consent

Sponsors & Collaborators

• Cardio Ring Technologies, Inc. Taiwan Branch: lead
• Taipei Medical University Hospital: collaborator

Study Sites (1)

Taipei Medical University Hospital

Taipei, 11031, Taiwan

RECRUITING

Related Publications (9)

• Williams JS, Brown SM, Conlin PR. Videos in clinical medicine. Blood-pressure measurement. N Engl J Med. 2009 Jan 29;360(5):e6. doi: 10.1056/NEJMvcm0800157. No abstract available.

  PMID: 19179309 BACKGROUND

• Stenglova A, Benes J. Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve Outcome. Front Med (Lausanne). 2017 Nov 17;4:202. doi: 10.3389/fmed.2017.00202. eCollection 2017.

  PMID: 29204425 BACKGROUND

• Froehler MT, Chitale R, Magarik JA, Fusco MR. Comparison of a pressure-sensing sheath and radial arterial line for intraoperative blood pressure monitoring in neurointerventional procedures. J Neurointerv Surg. 2018 Aug;10(8):784-787. doi: 10.1136/neurintsurg-2018-013769. Epub 2018 Feb 27.

  PMID: 29487193 BACKGROUND

• Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986 Feb 8;1(8476):307-10.

  PMID: 2868172 BACKGROUND

• Martina JR, Westerhof BE, van Goudoever J, de Beaumont EM, Truijen J, Kim YS, Immink RV, Jobsis DA, Hollmann MW, Lahpor JR, de Mol BA, van Lieshout JJ. Noninvasive continuous arterial blood pressure monitoring with Nexfin(R). Anesthesiology. 2012 May;116(5):1092-103. doi: 10.1097/ALN.0b013e31824f94ed.

  PMID: 22415387 BACKGROUND

• Gratz I, Deal E, Spitz F, Baruch M, Allen IE, Seaman JE, Pukenas E, Jean S. Continuous Non-invasive finger cuff CareTaker(R) comparable to invasive intra-arterial pressure in patients undergoing major intra-abdominal surgery. BMC Anesthesiol. 2017 Mar 21;17(1):48. doi: 10.1186/s12871-017-0337-z.

  PMID: 28327093 BACKGROUND

• Hohn A, Defosse JM, Becker S, Steffen C, Wappler F, Sakka SG. Non-invasive continuous arterial pressure monitoring with Nexfin does not sufficiently replace invasive measurements in critically ill patients. Br J Anaesth. 2013 Aug;111(2):178-84. doi: 10.1093/bja/aet023. Epub 2013 Mar 13.

  PMID: 23485882 BACKGROUND

• Kim SH, Lilot M, Sidhu KS, Rinehart J, Yu Z, Canales C, Cannesson M. Accuracy and precision of continuous noninvasive arterial pressure monitoring compared with invasive arterial pressure: a systematic review and meta-analysis. Anesthesiology. 2014 May;120(5):1080-97. doi: 10.1097/ALN.0000000000000226.

  PMID: 24637618 BACKGROUND

• Gerlach G, Hofer HW. Interaction of immobilized phosphofructokinase with soluble muscle proteins. Biochim Biophys Acta. 1986 May 2;881(3):398-404. doi: 10.1016/0304-4165(86)90032-2.

  PMID: 2938635 RESULT

Related Links

• Association for the Advancement of Medical Instrumentation. Non-invasive sphygmomanometers-Part 2: Clinical investigation of intermittent automated measurement type. This is also a results reference.

Study Officials

• Chuen-Chau Chang, M.D,PhD.

  Taipei Medical University Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Leng-Chun Chen, PhD

CONTACT

+886933220322; rubychen@cardioring.co

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Target Duration: 7 Days
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 4, 2021
• First Posted: November 3, 2021
• Study Start: September 14, 2021
• Primary Completion: March 1, 2022
• Study Completion: June 1, 2022
• Last Updated: November 3, 2021

Record last verified: 2021-10

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ANALYTIC CODE
• Time Frame: The estimated study completion date is 2022-6-30. These supporting information would become available beginning 3 months and ending 5 years following article publication.
• Access Criteria: Researches who provide a methodologically sound proposal.

Locations

TW (1)