mitigation of major hip injury due to fall with a smart belt

Conditions: Hip Injuries; Fractures, Hip; Fall Injury; Fall Risk; Osteoporosis; Osteoporosis Risk

Summary: multi-center, comparative, non-significant risk adaptive study with retrospective controls. after providing informed consent and being screened for eligibility, intervention subjects will be prescribed and provided an appropriately sized tango belt. the subject must demonstrate a minimum of 64% adherence to the use of the tango belt within 14 days of initiation to fully enroll in the study. upon demonstration of at least minimum adherence, the subject will be provided the tango belt to wear continuously for at least 6 months, except during bathing, device charging, and as deemed by clinical staff. the study will investigate the safety and effectiveness of the tango belt with the primary and secondary endpoints being taken every 3 months and at the end of the study run time from the electronic medical record. additionally, ancillary endpoints on adverse events and device performance will be gathered.

this is a multi-center, comparative, adaptive, non-significant risk clinical trial conducted in the united states to assess the safety and efficacy of the tango belt within senior care settings. effectiveness of the tango belt will be determined by analysis of evidence for the tango belt as an adjunctive intervention to the standard-of-care (soc) to mitigate major hip injuries from falls in an older adult population at-risk for fall injury as the primary endpoint. performance of the tango belt to mitigate fall injuries that result in hip fracture, emergency room visits, and hospitalizations will be secondary endpoints. the performance of the device is determined by the comparison of the proportion of fall-related major hip injuries in the intervention group as compared to the proportion of fall-related major hip injuries in a retrospective control group utilizing only soc. soc utilization will be verified for each clinical site enrolled. an adaptive trial design will be utilized to allow an initial efficacy target to be evaluated at 6 months; if the initial target is not met, then a second cohort of sites and subjects will be enrolled for an additional 6 months to allow a lower efficacy target to be evaluated. safety of the device will be determined by analysis of adverse events as an ancillary endpoint.

Eligibility criteria:
inclusion criteria: 1. age 65 years or older; 2. have experienced a fall-related fracture after age 50 -or- have experienced one or more falls in the 12-months prior to consent and have a diagnosis of osteoporosis, osteopenia, or prescribed osteoporosis medication. 3. independently or with staff or caregiver assistance, able to transfer between surfaces (e.g., to or from a bed, chair, wheelchair, toilet, standing position) or walk or move between locations (use of an assistive device such as a walker is acceptable); 4. have a waist circumference between 29 - 50 inches (63.5 - 127 cm); 5. able to comply with required study procedures and follow-up schedule as determined by the study investigator; 6. are under the care of the investigational organization; 7. provides consent or their legally authorized representative provides consent on subject's behalf exclusion criteria: 1. age 64 years or less; 2. participation in a different clinical investigation that can conflict with this clinical study as determined by the study investigator and approved by the sponsor; 3. total dependence on staff or caregiver assistance to be able to transfer between surfaces (e.g., to or from a bed, chair, wheelchair, toilet, standing position) and walk and move between locations; 4. use of other devices or interventions outside of soc (standard of care) for fall risk management during study participation without sponsor approval; 5. unable to comply with required study procedures and follow-up schedule as determined by the study investigator; 6. does not provide consent, or legally authorized representative does not provide consent

Keywords: fall risk fall injury major hip injury hip fracture