TELESENSE: Safety and Performance Study of the MultiSense® Ambulatory Telemonitoring System for Non-critical Patient Management
Study Details
Study Description
Brief Summary
In this clinical investigation, the investigators will assess the safety, performances and clinical added value of the MultiSense® ambulatory telemonitoring solution in real-life situations.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
The MultiSense® solution is a medical device for telemonitoring for in and outpatient use.
It includes 5 physiological data sensors and communicates via Bluetooth with a smartphone. The data is centralized in the web and a web application allows healthcare professionals to scrutinize patient's data.
Among its potential benefits, the MultiSense® solution offers continuous, non-invasive and wireless physiological data recording over 5 days whenever patient monitoring is needed. There is a special focus on the post-operative monitoring, especially during the initial convalescence phase outside the hospital. An automatic notification system can be set up by a healthcare professional to notify abnormal data and potential need for phone call and/or physical home intervention.
The aim of this study is to evaluate the safety, the performance and added value of the MultiSense® solution in real-life situations. The study population includes 20 post-surgical patients having a genuine need for post-hospital monitoring and be likely to have variations in physiological variables monitored, without being in a critical condition. The patients included will be equipped with the MultiSense® solution prior to the hospital discharge. The device will be used for 6 days from the date of actual deployment.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: MultiSense® remote monitoring The patients included will be equipped with the MultiSense® solution prior to the hospital discharge. The device will be used for 6 days from the date of actual deployment. |
Device: MultiSense® remote monitoring
At hospital, the patient will be monitored with conventional monitoring devices as well as the MultiSense® solution (at least one hour with a reference monitor). After hospital discharge, the patients will be remotely monitored by their healthcare professional using the MultiSense® solution.
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Outcome Measures
Primary Outcome Measures
- Determination of the safety and performance of the MultiSense® solution in patient monitoring, in terms of heart rate accuracy by comparison with a reference monitor. [From patch placement to hospital discharge, assessed up to 3 hours]
Accuracy is defined as an average measurement variation less than 5 bpm of the mean value, with respect to the reference standard
- Determination of the safety and performance of the MultiSense® solution in patient monitoring, in terms of data availability. [From patch placement to removal, assessed up to 7 days]
Percentage of missing data due to technical issues (non-behavioral events) over the monitoring period below 15%.
- Determination of the safety and performance of the MultiSense® solution in patient monitoring, in terms of data artefacts. [From patch placement to removal, assessed up to 7 days]
Percentage of artefacts due to technical issues (non-behavioral events) over the monitoring period below 10% for heart rate, 20% for the respiratory rate or 30% for SpO2.
- Determination of the safety and performance of the MultiSense® solution in patient monitoring, in terms of data transmission. [From patch placement to removal, assessed up to 7 days]
Data transmission is defined as more than 90% of data with transmission time from patch to server less than 5 min.
Secondary Outcome Measures
- Patient's tolerance to prolonged use of the MultiSense® solution (Safety in use, side effects) [From patch placement to its removal (up to 7 days)]
Accounting and classification of unexpected local and distant event due to the use of the MultiSense® solution (vigilance data) and Patient's questionnaire
- Device defects [From patch placement to its removal (up to 7 days)]
Accounting of device deficiencies reported by the investigator, the patient or identified by MultiSense data analysis
- Clinical relevance of the notifications provided by MultiSense® solution [From patch placement to its removal (up to 7 days)]
Relevance of the notifications generated by MultiSense® will be judged on the relevance of the notification's functionality by the healthcare professional in real-life situation by the mean of a questionnaire (4-levels Likert scale)
- Clinical relevance of the notifications provided by MultiSense® solution [From patch placement to its removal (up to 7 days)]
Relevance of the notifications generated by MultiSense® will be judged on the relevance of the notification's functionality by the healthcare professional in real-life situation by the mean of notification treatment through MultiSense® web application
- Remote monitoring facilitation for the healthcare professional through the solution's ease of use and satisfaction gained [From patch placement to its removal (up to 7 days)]
Determination of healthcare professionals' practical interest in the solution and satisfaction of use assessed via a questionnaire (4-levels Likert scale)
- Patient's satisfaction and reassurance when monitored by the device [From patch placement to its removal (up to 7 days)]
Determination of patient satisfaction and reassurance by an end-study questionnaire (4-levels Likert scale)
- Patch autonomy [From patch placement to its removal (up to 7 days)]
Percentage of patches with an autonomy > 5 days including skin adhesion and battery life (MultiSense® data and patient's questionnaire)
- Respiratory rate accuracy in terms of impedance [From patch placement to hospital discharge, assessed up to 3 hours]
Respiratory rate accuracy by comparison of MultiSense® data with the reference monitor in terms of impedance
- Respiratory rate accuracy in terms of EtCO2 [From patch placement to hospital discharge, assessed up to 3 hours]
Respiratory rate accuracy by comparison of MultiSense® data with the reference monitor in terms of EtCO2
- Estimation of posture and activity level reported by the MultiSense® solution [From patch placement to its removal (up to 7 days)]
Determination of the posture and activity level consistency by accounting the percentage of lying position and low activity at night and the percentage of high activity during day (MultiSense® data)
- MultiSense® data quality after moderate level of activity [From patch placement to its removal (up to 7 days)]
Distribution of activity level across monitoring period, number of showers taken over the monitoring period and evolution of the artefact's metric (as defined in the primary endpoint) over time (MultiSense® data)
- Correlation between body temperature and skin temperature [From patch placement to hospital discharge, assessed up to 2 days]
Correlation between the body temperature measured with a standard device and the skin temperature measured with the MultiSense® solution
- End of study hardware recovery rate [From patch removal to material return, assessed up to 1 month]
Percentage of MultiSense® patch and gateway returned to RDS at the end of the study
Eligibility Criteria
Criteria
Inclusion Criteria:
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Adult (male or female over 18 years) in non-critical care settings
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Patient programmed for an elective surgery
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Need to monitor at home at least one physiological parameter: heart rate, respiratory rate, SpO2, temperature, physical activity
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Patient able to use a smartphone
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Patient with Wi-Fi and/or Cellular connectivity at home
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Patient with a personal phone which allows to receive text messages
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Patient able to receive and understand information related to the study and give written informed consent
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Patient affiliated to the French social security system
Exclusion Criteria:
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Patient with known skin allergy (adhesive or silicon) or skin disease that would not allow the use of an adhesive
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Patient with an active implantable device (such as a pacemaker or automatic defibrillator)
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Patient with an elective imagery planned during the use of MultiSense
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Pregnant or lactating patient
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Patient in exclusion period (determined by a previous or a current study)
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Patient under guardianship or trusteeship
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Patient under the protection of justice or deprived of liberty
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Patient in situation of emergency
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Service de Chirurgie Digestive et Endocrinienne | Strasbourg | France | 67000 |
Sponsors and Collaborators
- IHU Strasbourg
- RDS SAS (Rhythm Diagnostic Systems)
Investigators
- Principal Investigator: Michel VIX, MD, Service de Chirurgie Digestive, NHC, HUS
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 21-004