N600X Low Saturation Accuracy Validation

Study Overview
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Brief Summary
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To compare pulse oximetry saturation measurements, during normal to low saturation, to saturation measurements made by a multi-wavelength CO-oximeter, taken from arterial blood samples from healthy human subjects.

Detailed Description
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The study utilizes a single-site, physiology laboratory (Clinimark) to conduct this Post Market, non-randomized, prospective studies. The goal is to enroll a minimum of fifteen subjects. Subject pool goal of diversity across ethnicity, race and sex of varying skin tones to meet the study design requirements. The general purpose of Invasive Controlled Desaturation Studies is to support the SpO2 accuracy of the post market pulse oximetry sensors and paired monitor in comparison to reference-standard measurements of blood SaO2 by a CO-oximeter during low saturation conditions. This is achieved through paired observations of SpO2 and SaO2 values over the specified SpO2 accuracy range of 60% to 100% SaO2 of the pulse oximeter on a group of healthy adult volunteers. The fraction of inspired oxygen (FiO2) delivered to test subjects is varied to achieve a series of targeted steady-state saturation periods. Arterial blood samples are periodically taken from an indwelling arterial catheter for use in the comparison. Pulse rate accuracy will be evaluated during the same data collection period as SpO2. Pulse rate will be compared to reference ECG heart rate.

Official Title
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SpO2 Accuracy Validation of N600x Sensors Via Reference CO-Oximetry in Healthy, Well-Perfused Subjects

Conditions
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Hypoxia

Intervention / Treatment
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* Device: Non-Invasive Controlled Hypoxia


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 1. Subject must have the ability to understand and provide written informed consent 2 Adult subjects 18 to 50 years of age. 3. Subject must be willing and able to comply with study procedures and duration. 4. Subject is a non-smoker or who has not smoked within 2 days prior to the study. 5. Any gender of any race. 6. Cleared same day Health Assessment form and health screening. 7. Cleared physical exam by a licensed physician, physician assistant, or advanced practice nurse (medical exam includes 12-lead ECG, medical history and blood test to show no sickle cell disease present) 8. Successful Perfusion Index Ulnar/Ulnar+Radial Ratio test showing adequate collateral blood flow. Exclusion Criteria: Subject with sickle cell disease. Subject is considered as being morbidly obese (defined as BMI >39.5) Compromised circulation, injury, or physical malformation of fingers, 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 sites utilized.) Females of childbearing potential, who are pregnant, who are trying to get pregnant or who have a urine test positive for pregnancy on the day of the study Subjects with COHb levels >3% as assessed by CO-Oximetry during the procedure tHb < 10 g/dl as assessed by CO-Oximetry during the procedure MetHb ≥ 2% as assessed by CO-Oximetry during the procedure Subjects with known respiratory conditions such as: uncontrolled / severe asthma, flu or influenza type infection pneumonia / bronchitis, shortness of breath / respiratory distress, unresolved respiratory or lung surgery, emphysema, COPD, lung disease Subjects with known heart or cardiovascular conditions such as: Hypertension: systolic >140mmHg, or Diastolic >90mmHg on 3 consecutive readings. have had cardiovascular surgery Chest pain (angina) heart rhythms other than a normal sinus rhythm or respiratory sinus arrhythmia previous heart attack blocked artery unexplained shortness of breath congestive heart failure (CHF) history of stroke transient ischemic attack carotid artery disease myocardial ischemia myocardial infarction cardiomyopathy Self-reported health conditions as identified in the Health Assessment Form diabetes, uncontrolled thyroid disease, kidney disease / chronic renal impairment, history of seizures (except childhood febrile seizures), epilepsy, history of unexplained syncope, recent history of frequent migraine headaches, recent symptomatic head injury, within the last 2 months Subjects with known clotting disorders history of bleeding disorders or personal history of prolonged bleeding from injury history of blood clots hemophilia current use of blood thinner: prescription or daily use of aspirin Subjects with Severe contact allergies to standard adhesives, latex or other materials found in pulse oximetry sensors, ECG electrodes, respiration monitor electrodes or other medical sensors Subjects with prior or known severe allergies to lidocaine (or similar pharmacological agents, e.g. Novocain) or heparin Arterial cannulation within the last 30 days prior to study date, (this may exclude only one radial artery site. Left or right) History of clinically significant complications from previous arterial cannulation. A radial artery with ten or more arterial cannulations right or left, excludes that site. Unwillingness or inability to remove colored nail polish or colored artificial nails other than clear from test digits. Other known health condition, should be considered upon disclosure in Health Assessment form

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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Arms and Interventions

| Intervention/Treatment |
| --- |
|Device: Non-Invasive Controlled Hypoxia|Following arterial cannulation, hypoxia is induced by reducing the percent of inspired oxygen the subject breathes while simultaneous measurements are recorded from the test pulse oximeters and arterial blood samples are collected at targeted levels of saturation.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparison of pulse rate (BPM) by a pulse oximeter monitor and sensor, compared to ECG pulse rate measurement | To validate the proposed claims for pulse rate (BPM) accuracy in diverse subject population during Low Saturation over a specified saturation ranges. | October 2022 | 
| Comparison of SPO2 saturation levels by a pulse oximeter to saturation measurements made by a multi-wavelength CO-oximeter. | To validate the proposed claims for SPO2 saturation accuracy in diverse subject population during Low Saturation over a specified saturation ranges. | October 2022 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Oxygen Saturation, Invasive Controlled Desaturation, Pulse Oximetry, Desaturation of Blood