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| Name | Class |
|---|---|
| Eminence Clinical Research, Inc. | INDUSTRY |
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Evaluation of the mobiCARE™ ECG Monitoring System Electrode Placement Positioning Limits in a Prospective, Non-Randomized, Single-Center U.S. Study
The purpose of the Seers Technology Company Ltd. sponsored study using the mobiCARE™ ECG Monitoring System is to document the variability and interpretability of heart rhythm tracings from the nominal position whereby the mobiCARE™ device is still able to obtain interpretable ECG signals, in a cohort of adults representative of the U.S. population.
Informational data will be collected, such as P-wave amplitude and QRS amplitude and duration to note any morphological ECG signal changes. Human factors (HF) endpoints will be evaluated including: HCP placement according to IFU, subject demonstration of changing electrodes, dexterity for user to perform the task, electrode placement according to skin markings, and the ability of the user to remove and replace the mobiCARE™ device.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The study population will include adults who are asymptomatic or who may suffer from transient sympt | The study population will include adults who are asymptomatic or who may suffer from transient symptoms such as arrhythmias and/or palpitations, shortness of breath, dizziness, light headedness, pre-syncope, syncope, fatigue, chest pain and/or anxiety; ranging in age, ethnic group, BMI, educational level and gender. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Evaluation of the ECG signal in the nominal location and in three alternate positions | Device | Evaluation of the ECG signal in the nominal location and in three alternate positions to determine if the three alternate positions are interpretable. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects in Which the ECG Signal is Interpretable at the Nominal Location and up to 3 Alternate Positions | Evaluation of the ECG signal at the nominal location and in up to three (3) additional alternate positions (AP) in each subject to determine if the signal is interpretable. The term "interpretable" is defined as follows: An independent cardiologist reader is able to identify the ECG rhythm in each location when compared to the ECG rhythm measured in the nominal position of the mobiCARE™ Cardiac Monitoring System described in the Instructions for Use. ECG rhythm data will be collected for up to two (2) minutes while the patient ambulates. ECG rhythm data were collected in each location during normal use for at least two (2) minutes while the subject was sitting, standing, and ambulating. The simultaneous Holter Monitor will be measured at the same time points to have a point of reference for the mobiCARE™ system in the case that changes in the rhythm are noted on the mobiCARE™ Cardiac Monitoring System during the study. | 2 minutes while the patient ambulates |
| Measure | Description | Time Frame |
|---|---|---|
| Presence of Artifact Graded | Presence of artifact graded as 1=none, 2=minor (cardiac rhythm is interpretable), or 3=major (cardiac rhythm is not interpretable by the independent cardiologist). | 2 minutes |
| Evaluation of the ECG Morphology Measurements at the Nominal Position and up to 3 Alternate Positions |
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Inclusion Criteria:
Exclusion Criteria:
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The study population will include adults who are asymptomatic or who may suffer from transient symptoms such as arrhythmias and/or palpitations, shortness of breath, dizziness, light headedness, pre-syncope, syncope, fatigue, chest pain and/or anxiety; ranging in age, ethnic group, BMI, educational level and gender.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| MCB Clinical Research Centers, LLC | Colorado Springs | Colorado | 80910 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36071003 | Background | Kim C, Kim SH, Suh MR. Accuracy and Validity of Commercial Smart Bands for Heart Rate Measurements During Cardiopulmonary Exercise Test. Ann Rehabil Med. 2022 Aug;46(4):209-218. doi: 10.5535/arm.22050. Epub 2022 Aug 31. | |
| 38198496 | Background | Rosol M, Petelczyc M, Gasior JS, Mlynczak M. Prediction of peak oxygen consumption using cardiorespiratory parameters from warmup and submaximal stage of treadmill cardiopulmonary exercise test. PLoS One. 2024 Jan 10;19(1):e0291706. doi: 10.1371/journal.pone.0291706. eCollection 2024. |
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| ID | Title | Description |
|---|---|---|
| FG000 | mobiCARE™ ECG Monitoring System Subjects | The study population will include adults who are asymptomatic or who may suffer from transient symptoms such as arrhythmias and/or palpitations, shortness of breath, dizziness, light headedness, pre-syncope, syncope, fatigue, chest pain and/or anxiety; ranging in age, ethnic group, BMI, educational level and gender. Evaluation of the ECG signal in the nominal location and in three alternate positions: Evaluation of the ECG signal in the nominal location and in three alternate positions to determine if the three alternate positions are interpretable. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | The Study Population Will Include Adults Who Are Asymptomatic or Who May Suffer From Transient Sympt | The study population will include adults who are asymptomatic or who may suffer from transient symptoms such as arrhythmias and/or palpitations, shortness of breath, dizziness, light headedness, pre-syncope, syncope, fatigue, chest pain and/or anxiety; ranging in age, ethnic group, BMI, educational level and gender. Evaluation of the ECG signal in the nominal location and in three alternate positions: Evaluation of the ECG signal in the nominal location and in three alternate positions to determine if the three alternate positions are interpretable. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Subjects in Which the ECG Signal is Interpretable at the Nominal Location and up to 3 Alternate Positions | Evaluation of the ECG signal at the nominal location and in up to three (3) additional alternate positions (AP) in each subject to determine if the signal is interpretable. The term "interpretable" is defined as follows: An independent cardiologist reader is able to identify the ECG rhythm in each location when compared to the ECG rhythm measured in the nominal position of the mobiCARE™ Cardiac Monitoring System described in the Instructions for Use. ECG rhythm data will be collected for up to two (2) minutes while the patient ambulates. ECG rhythm data were collected in each location during normal use for at least two (2) minutes while the subject was sitting, standing, and ambulating. The simultaneous Holter Monitor will be measured at the same time points to have a point of reference for the mobiCARE™ system in the case that changes in the rhythm are noted on the mobiCARE™ Cardiac Monitoring System during the study. | Primary Effectiveness Evaluation: Difference in Interpretability of ECG Signal for MobiCARE™ Nominal and Three Alternative Electrode Placement Locations | Posted | Count of Participants | Participants | 2 minutes while the patient ambulates |
2 Minutes
The occurrence and severity of AEs were to be recorded, the occurrence of SAEs was to be recorded, and the occurrence of UADEs was to be recorded in the study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Adverse Events | Anticipated adverse events observed | 0 |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Nick Leppo | Eminence Clinical Research, Inc. | 719-400-7464 | nleppo@ecr-inc.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Oct 29, 2024 | Apr 1, 2025 | Prot_SAP_000.pdf |
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The number of measurable positions for QRS amplitude and QRS duration at the nominal position and up to 3 alternate positions. |
| 2 Minutes |
| Human Factors Evaluation Measures | Usability Performance Evaluation for Health Care Professionals and Subjects | 2 Minutes |
| The Number of Measurable Positions for P-waves | Informational data collected to evaluate interpretability based on P-wave amplitude | 2 minutes |
| Background | The Prediction of oxygen consumption during Cardiopulmonary exercise test using Wearable ECG (54th Annual Meeting of the Korean Society of Cardiovascular and Thoracic Surgeons 2022 (Alpensia Resort, Pyeongchang, Korea), 2022.11.03-05 |
| 38506104 | Background | Kwon S, Choi EK, Lee SR, Oh S, Song HS, Lee YS, Han SJ, Lim HE. Comparison of Novel Telemonitoring System Using the Single-lead Electrocardiogram Patch With Conventional Telemetry System. Korean Circ J. 2024 Mar;54(3):140-153. doi: 10.4070/kcj.2023.0252. |
| Background | Lee KH, Kim YR, Yoon NS et al. Prediction of Atrial Fibrillation with Single-Lead Mobile ECG during Normal Sinus Rhythm using Deep Learning. e-Cardiology/Digital Health, Public Health, Health Economics, Research Methodology - e-Cardiology/Digital Health, Artificial Intelligence (Machine Learning, Deep Learning. 2024;26 (Supplement 1). |
| 38512332 | Background | Ahn HJ, Choi EK, Lee SR, Kwon S, Song HS, Lee YS, Oh S. Three-Day Monitoring of Adhesive Single-Lead Electrocardiogram Patch for Premature Ventricular Complex: Prospective Study for Diagnosis Validation and Evaluation of Burden Fluctuation. J Med Internet Res. 2024 Mar 21;26:e46098. doi: 10.2196/46098. |
| 37958007 | Background | Lee HA, Yu W, Choi JD, Lee YS, Park JW, Jung YJ, Sheen SS, Jung J, Haam S, Kim SH, Park JE. Development of Machine Learning Model for VO2max Estimation Using a Patch-Type Single-Lead ECG Monitoring Device in Lung Resection Candidates. Healthcare (Basel). 2023 Oct 30;11(21):2863. doi: 10.3390/healthcare11212863. |
| 35532989 | Background | Kwon S, Lee SR, Choi EK, Ahn HJ, Song HS, Lee YS, Oh S, Lip GYH. Comparison Between the 24-hour Holter Test and 72-hour Single-Lead Electrocardiogram Monitoring With an Adhesive Patch-Type Device for Atrial Fibrillation Detection: Prospective Cohort Study. J Med Internet Res. 2022 May 9;24(5):e37970. doi: 10.2196/37970. |
| 33946269 | Background | Kwon S, Lee SR, Choi EK, Ahn HJ, Song HS, Lee YS, Oh S. Validation of Adhesive Single-Lead ECG Device Compared with Holter Monitoring among Non-Atrial Fibrillation Patients. Sensors (Basel). 2021 Apr 30;21(9):3122. doi: 10.3390/s21093122. |
| 25114186 | Background | Walsh JA 3rd, Topol EJ, Steinhubl SR. Novel wireless devices for cardiac monitoring. Circulation. 2014 Aug 12;130(7):573-81. doi: 10.1161/CIRCULATIONAHA.114.009024. No abstract available. |
| years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Region of Enrollment | Count of Participants | Participants |
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| ID | Title | Description |
|---|---|---|
| OG000 | Nominal Location | The study population will include adults who are asymptomatic or who may suffer from transient symptoms such as arrhythmias and/or palpitations, shortness of breath, dizziness, light headedness, pre-syncope, syncope, fatigue, chest pain and/or anxiety; ranging in age, ethnic group, BMI, educational level and gender. Evaluation of the ECG signal in the nominal location: Evaluation of the ECG signal in the nominal location to determine if the three alternate positions are interpretable. |
| OG001 | Alternate Position 1 | The study population will include adults who are asymptomatic or who may suffer from transient symptoms such as arrhythmias and/or palpitations, shortness of breath, dizziness, light headedness, pre-syncope, syncope, fatigue, chest pain and/or anxiety; ranging in age, ethnic group, BMI, educational level and gender. Evaluation of the ECG signal in the alternate position 1 location: Evaluation of the ECG signal in the alternate position 1 to determine if the three alternate positions are interpretable. |
| OG002 | Alternate Position 2 | The study population will include adults who are asymptomatic or who may suffer from transient symptoms such as arrhythmias and/or palpitations, shortness of breath, dizziness, light headedness, pre-syncope, syncope, fatigue, chest pain and/or anxiety; ranging in age, ethnic group, BMI, educational level and gender. Evaluation of the ECG signal in the alternate position 2 location: Evaluation of the ECG signal in the alternate position 2 to determine if the three alternate positions are interpretable. |
| OG003 | Alternate Position 3 | The study population will include adults who are asymptomatic or who may suffer from transient symptoms such as arrhythmias and/or palpitations, shortness of breath, dizziness, light headedness, pre-syncope, syncope, fatigue, chest pain and/or anxiety; ranging in age, ethnic group, BMI, educational level and gender. Evaluation of the ECG signal in the alternate position 3 location: Evaluation of the ECG signal in the alternate position 3 to determine if the three alternate positions are interpretable. |
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| Secondary | Presence of Artifact Graded | Presence of artifact graded as 1=none, 2=minor (cardiac rhythm is interpretable), or 3=major (cardiac rhythm is not interpretable by the independent cardiologist). | Artifact was rated by the independent ECG reader and rated as 0, 1, or 2. To reflect a more detailed assessment, category 1 was divided into two scores, 1A and 1B. The artifact was categorized according to the definitions below: 0 = None to negligible artifact 1A = Minor amount of artifact (≤50% of ECG has artifact); ECG is interpretable
| Posted | Count of Participants | Participants | 2 minutes |
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| Secondary | Evaluation of the ECG Morphology Measurements at the Nominal Position and up to 3 Alternate Positions | The number of measurable positions for QRS amplitude and QRS duration at the nominal position and up to 3 alternate positions. | All 49 subjects had measurable QRS complexes in the nominal position and in all three alternate positions, AP #1, AP #2, and AP #3. | Posted | Count of Participants | Participants | 2 Minutes |
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| Secondary | Human Factors Evaluation Measures | Usability Performance Evaluation for Health Care Professionals and Subjects | 15 subjects were planned for human factors data collection. 49 subjects were observed for collection of human factors data. The scores for each assessment range from 1 (Difficult) to 5 (Easy). The Healthcare Professional (HCP) and Subject usabilty results are summarized below by mean and standard deviation. | Posted | Mean | Standard Deviation | units on a scale | 2 Minutes |
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| Secondary | The Number of Measurable Positions for P-waves | Informational data collected to evaluate interpretability based on P-wave amplitude | 48 subjects in normal sinus rhythm with measurable P-waves. One subject didn't have a measurable P-wave due to atrial fibrillation. Data is consistent as reported with 48/49 subjects having measurable P-waves. | Posted | Count of Participants | Participants | 2 minutes |
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| 49 |
| 0 |
| 49 |
| 0 |
| 49 |
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| 1A Minor - Minor amount of artifact (≤50% of ECG has artifact); ECG is interpretable |
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| 1B Major - Major amount of artifact (>50% of ECG has artifact); ECG is interpretable |
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| 2 Major - = Major (>50% of ECG has artifact); ECG is NOT interpretable. |
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| How easy or difficult was it for the subject to remove the used electrodes from the mobiCARE™? |
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| How easy/difficult for subject to replace electrodes with new electrodes on the mobiCARE™ device? |
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| How easy or difficult was it for the subject to locate the markings for the nominal position? |
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| How easy/difficult for subject to replace new mobiCARE™ device (electrodes) in the Nominal position |
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