Controlled Acute Hypoxia Study Comparing Pulse Oximetry to Arterial Blood Samples During Motion

Study Overview
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Brief Summary
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To validate the proposed claims for pulse rate and saturation accuracy in a diverse subject population during motion over a specified saturation range.

Detailed Description
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Use an investigational oximetry system to evaluate the triggering of the sensor off status with marketed, off-the-shelf sensors.

Official Title
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Controlled Acute Hypoxia Study Comparing Pulse Oximetry to Arterial Blood Samples During Motion in Healthy, Well Perfused Subjects With the USB Pulse Oximetry Monitor Interface Cable

Conditions
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Healthy, Hypoxia

Intervention / Treatment
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* Device: Arterial line
* Device: Motion


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or female of any race 18-50 years old, inclusive Females: negative urine pregnancy test on the day of study participation (prior to exposure to hypoxia) Completed within the last year: physical exam by a licensed physician, physician assistant (PA), or advanced practice nurse; including a 12 lead ECG, a medical history, and blood test (complete blood count and sickle cell trait/disease screening) Meets specific demographic requirements for the monitoring device under study Willing and able to provide written informed consent Able to participate for the duration of the evaluation Exclusion Criteria: A room-air baseline % modulation < 1.5% on all four fingers on the test hand Under 18 years or over 50 years of age Pregnant and/or lactating women Hypertension: on three consecutive readings, systolic pressure greater than 145 mm Hg or diastolic pressure greater than 90 mm Hg Ventricular premature complexes (VPC's) that are symptomatic or occur at a rate of more than four per minute History of seizures (except childhood febrile seizures) or epilepsy History of unexplained syncope Daily or more frequent use of anxiolytic drugs (benzodiazepines) for treatment of anxiety disorder Recent history of frequent migraine headaches: average of two or more per month over the last year Compromised circulation, injury, or physical malformation of fingers, toes, hands, ears or forehead/skull or other sensor sites which would limit the ability to test sites needed for the study. (Note: Certain malformations may still allow subjects to participate if the condition is noted and would not affect the particular sites utilized.) History of acute altitude sickness at or below moderate elevation (up to 5,000-10,000 feet) defined as three or more of the following symptoms: moderate to severe headache, general malaise, dizziness/lightheadedness, nausea/vomiting, fatigue/weakness, shortness of breath, nosebleed, persistent rapid pulse, or peripheral edema History of significant respiratory disease such as severe asthma or emphysema or sleep apnea Sickle cell disease or trait Clinically significant abnormal finding on medical history, physical examination, clinical laboratory test or ECG. Clinical significance will be assessed by the principal investigator or study physician as designated. History of stroke, transient ischemic attack or carotid artery disease History of myocardial ischemia, angina, myocardial infarction, congestive heart failure or cardiomyopathy History of chronic renal impairment Severe contact allergies to standard adhesives, latex or other materials found in pulse oximetry sensors, ECG electrodes, respiration monitor electrodes or other medical sensors Unwillingness or inability to remove colored nail polish or artificial nails from test digit(s) Unwillingness or inability to give informed consent Prior or known allergies to: lidocaine (or similar pharmacological agents, e.g., Novocain) or heparin Recent arterial cannulation (i.e., less than 30 days prior to study date) Six or more arterial cannulations of each (right & left) radial artery History of clinically significant complications from previous arterial cannulation Current use of blood thinners: prescription or daily aspirin use History of bleeding disorders or personal history of prolonged bleeding from injury.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Arterial Line<br>CO-Oximetry value obtained as a comparator. Obtained during motion conditions. | Device: Arterial line<br>* Arterial line is inserted to draw a CO-Oximeter value as it is the gold standard and as advised in ISO 80601<br>* Other names: CO-Oximeter SaO2 value;|
| Experimental: Motion<br>The subject has to perform motions during the procedure. This is to verify that device is able to read through motion. | Device: Motion<br>* The subject is asked to move their hand by either rubbing or tapping their fingers at a specified frequency and amplitude during portions of the hypoxic procedure.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| SpO2 Accuracy During Motion Conditions - MaxA Sensor | For each range specified, SpO2 accuracy of the pulse oximeter equipment is stated in terms of the Accuracy Root-Mean-Square (ARMS) difference between measured values (SpO2) and reference blood values (SaO2). The MaxA sensors has a different bandage from the MaxN sensor, and therefore a different form and fit. | up to 6 months | 
| SpO2 Accuracy During Motion Conditions - MaxN Sensor | For each range specified, SpO2 accuracy of the pulse oximeter equipment is stated in terms of the Accuracy Root-Mean-Square (ARMS) difference between measured values (SpO2) and reference blood values (SaO2). The MaxN sensor has a different bandage from the MaxA sensor, and therefore a different form and fit. | up to 6 months |