SWISS_EVIDENCE - Compartment Compressibility Monitoring Using CPM#1

Study Overview
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Brief Summary
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Compartment syndrome is a very serious musculoskeletal disorder, which can lead to potentially devastating consequences, such as limb amputation and life-threatening conditions. It is a well described medical condition considered to be an orthopaedic emergency affecting all ages. Even though compartment syndrome is a well described medical condition, the appropriate treatment (i.e., fasciotomy to release tissue pressure) is invasive and involves its own risks. Furthermore, and of most critical importance is the timing for the intervention of a fasciotomy. The concerned limb may already have had severe, sometimes even irreversible, tissue damage due to high intra-compartmental pressure within 6 to 10 hours. The standard diagnostic method for compartment syndrome is an invasive intra-compartmental pressure measurement via insertion of a pressure monitoring device into the muscle compartment. Commercially available intra compartmental pressure monitors have a highly variable intra-observer reproducibility and user errors are common. Compared to the invasive modalities, the Compremium Compartmental Compressibility Monitoring System (CPM#1) shows promising advantages for the clinical application. Not only is the technology used for the CPM#1 device safe and non-invasive for the patient with minimal training required for the healthcare professionals, but it has also demonstrated high intra- and inter-observer reproducibility (as per bench tests and clinical settings with prototypes, to be confirmed in clinical studies like this one). The use of the CPM#1 device therefore facilitates the measurements, as it is based on pre-existing ultrasound methods and avoids any further risks to the patients compared to invasive compartmental pressure diagnosis methods.

Official Title
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Clinical Validation of CPM#1 Compression Ratio Measurement on Healthy Volunteers

Conditions
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Compartment Syndromes

Intervention / Treatment
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* Device: Measurement of compartment compressibility


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthy volunteers Male and female Age between 18 and 84 Exclusion Criteria: Previous surgery to or fracture of the lower leg Peripheral arterial or venous disease History of compartment syndrome Limb anomalies General muscle disorder Participants under the influence of excessive alcohol, consumption of narcotics or benzodiazepines prior to procedure Participants under the effect of analgesic (< 12 hours)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 84 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: Diagnostic
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CPM#1<br>Compartment compressibility ratio measurement using the CPM#1 device | Device: Measurement of compartment compressibility<br>* Application of the CPM#1 device for compartment compressibility ratio measurement - 4 measurements on both legs of each healthy volunteer will be performed<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Inter-operator reproducibility with 3 raters | Inter-operator reproducibility will be assessed using intra-class correlation coefficients (two-way random effects, single rater, absolute agreement). Three independent raters will conduct one measurement on each of both legs of 21 volunteers. | During the procedure which should last about 10 min/patient | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Intra-operator reproducibility | Intra-operator reproducibility will be assessed using intra-class correlation coefficients (two-way mixed effects, single measurement, absolute agreement). One of the three independent raters will conduct two measurements on 42 legs (21 volunteers). | During the procedure which should last about 10 min/patient | 
| Participant's reported pain: baseline | Participant's reported pain will be assessed using a 0-100mm Visual Analogue Scale (VAS) at specific time points. | Before (5 min before procedure). | 
| Participant's reported pain: at highest externally applied pressure | Participant's reported pain will be assessed using a 0-100mm Visual Analogue Scale (VAS) at specific time points. | During the procedure (the procedure will last about 10 min/patient) | 
| Participant's reported pain: after the procedure | Participant's reported pain will be assessed using a 0-100mm Visual Analogue Scale (VAS) at specific time points. | Immediately after procedure (no follow up is planned) |