Connect TF - An Investigation of Function and Usability of a New Adaptable Socket System

Study Overview
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Brief Summary
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The primary objective of this investigation is to evaluate how the CONNECT TF compares to traditional handmade sockets, specifically that it provides reliable suspension and improved usability and comfort for the amputee, and that it enables single clinical visit for fitting.

Detailed Description
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Design: This clinical investigation will be of a single group non-randomized open label prospective repeated measures (ABBA) design comparing subject´s current conventional socket and the CONNECT TF. The subjects will be asked to use the CONNECT TF as their primary prosthesis for up to six weeks. Subject will be fitted with the same foot-pylon-knee prosthetic system as used with their current conventional socket, with the CONNECT TF socket. Procedures: There are four scheduled study events. At the initial visit, the first study event, for each subject a qualified researcher will obtain an informed consent. Prior to fitting the patient subject to CONNECT TF he/she will be asked to provide feedback and perform tasks on/using their current conventional prosthetic socket. The patient subjects will be fitted with the CONNECT TF within the standard methods of prosthetic fitting, alignment, introduction, training and walking on various terrain. The CPO (Certified Prosthetis/Orthotist) will conduct the fitting and aligning of the CONNECT TF. A Co-Investigator will time the fitting procedure; from unpacking the device until it is correctly adjusted and properly fit to the subject. Data on initial feedback on the device will be collected from the subjects using the instruments specified above. Afterwards an appointment at 2 weeks is made and the subjects leave the clinic on the device. If the fitting of CONNECT TF fails, i.e. the PI/CPO does not manage to fit the device properly or the subject cannot use the device as intended during training at the clinic, a new appointment is made, if the subject is willing to continue participation. The second event will be according to the appointment scheduled 2 weeks earlier. During this visit the same set of information will be gathered from/on the subjects as at the initial visit using the conventional socket. A 6 week follow up (6WFU) visit is scheduled and the subject leaves on the CONNECT TF socket. The third event will be according to the appointment scheduled at the previous visit. During this visit set of information will be gathered from/on the subjects as at the initial visit using the conventional socket. A final 6WFU visit is scheduled and the subjects are fitted back to and leave on their current conventional socket. The fourth event will be according to the appointment scheduled at the previous visit. During this visit set of information will be gathered from/on the subjects as at the initial visit using the conventional socket. End of study. Data analysis: The dataset will be assessed with inferential statistics based on the acceptance criteria for the data, as applicable. Outcomes at each time point will be visually inspected for normality using histograms and qq-plots. If the data are deemed to be normal the hypothesis will be tested using a two-tailed, paired, student's t-test for 2WFU evaluation and mixed models for the 6WFU evaluation. Non-normal data will be tested using the Wilcoxon signed-rank test.

Official Title
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Connect TF - An Investigation of Function and Usability of a New Adaptable Socket System for

Conditions
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Prosthesis User, Amputation

Intervention / Treatment
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* Device: CONNECT TF adaptable socket system
* Device: Any conventional handmade socket


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Lower limb amputees Uni- or bilateral TF amputees 40 < body weight < 125Kg Activity level: K1-K2; Liner size: 28-45; Max 1 user in sizes 28 and 45, respectively Residual limb parameters; perineum to distal end: 205 to 280 mm Older than 18 years Prosthetic users for more than 3 months Components of conventional socket functionally compatible to Össur components (foot-pylon-knee combination) Users understanding the function of the device Willing and able to participate in the study and follow the protocol Exclusion Criteria: Other amputees 40> body weight > 125Kg Amputees with broken skin on the residual limb Younger than 18 years Prosthetic users for less than 3 months Using no liner Using a microprocessor controlled prosthetic knee not manufactured by Össur Users not understanding the function of the device

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: This clinical investigation will be of a single group non-randomized open label prospective repeated measures (ABBA) design.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CONNECT TF<br>Trans-femoral amputees currently using a conventional handmade socket will be fitted with the CONNECT TF adaptable socket system for 6 weeks and their current existing conventional socket for 6 weeks, data collection on both sockets will be performed and outcomes compared. | Device: CONNECT TF adaptable socket system<br>* Prefabricated, adaptable socket system<br>Device: Any conventional handmade socket<br>* Subjects current socket<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comprehensive Lower-limb Amputee Socket Survey (CLASS) | CLASS is a self-report measure of prosthetic socket satisfaction for lower limb amputees, designed to provide an effective means of communication for the patient to describe with clarity, the quality of their socket fit during common activities. CLASS evaluates static and dynamic features of socket stability, suspension, comfort and appearance and has been reported to be a reliable, quick and easy report measure. | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prosthesis evaluation questionnaire - Residual limb health (PEQ- RLH) | average of 6 item subscale from the PEQ | 6 weeks | 
| Prosthesis evaluation questionnaire - Sounds (PEQ-Sounds) | average of 2 item subscale from the PEQ | 6 weeks | 
| Mobility (2MWT) | 2 minute walking test | 6 weeks | 
| Balance during ambulation (TUG) | Times up and go test | 6 weeks |