In this clinical investigation, the investigators will assess the safety, performances and clinical added value of the MultiSense® ambulatory telemonitoring solution in real-life situations.
The MultiSense® solution is a medical device for telemonitoring for in and outpatient use. It includes 5 physiological data sensors and communicates via Bluetooth with a smartphone. The data is centralized in the web and a web application allows healthcare professionals to scrutinize patient's data. Among its potential benefits, the MultiSense® solution offers continuous, non-invasive and wireless physiological data recording over 5 days whenever patient monitoring is needed. There is a special focus on the post-operative monitoring, especially during the initial convalescence phase outside the hospital. An automatic notification system can be set up by a healthcare professional to notify abnormal data and potential need for phone call and/or physical home intervention. The aim of this study is to evaluate the safety, the performance and added value of the MultiSense® solution in real-life situations. The study population includes 20 post-surgical patients having a genuine need for post-hospital monitoring and be likely to have variations in physiological variables monitored, without being in a critical condition. The patients included will be equipped with the MultiSense® solution prior to the hospital discharge. The device will be used for 6 days from the date of actual deployment.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
20
At hospital, the patient will be monitored with conventional monitoring devices as well as the MultiSense® solution (at least one hour with a reference monitor). After hospital discharge, the patients will be remotely monitored by their healthcare professional using the MultiSense® solution.
Service de Chirurgie Digestive et Endocrinienne
Strasbourg, France
Determination of the safety and performance of the MultiSense® solution in patient monitoring, in terms of heart rate accuracy by comparison with a reference monitor.
Accuracy is defined as an average measurement variation less than 5 bpm of the mean value, with respect to the reference standard
Time frame: From patch placement to hospital discharge, assessed up to 3 hours
Determination of the safety and performance of the MultiSense® solution in patient monitoring, in terms of data availability.
Percentage of missing data due to technical issues (non-behavioral events) over the monitoring period below 15%.
Time frame: From patch placement to removal, assessed up to 7 days
Determination of the safety and performance of the MultiSense® solution in patient monitoring, in terms of data artefacts.
Percentage of artefacts due to technical issues (non-behavioral events) over the monitoring period below 10% for heart rate, 20% for the respiratory rate or 30% for SpO2.
Time frame: From patch placement to removal, assessed up to 7 days
Determination of the safety and performance of the MultiSense® solution in patient monitoring, in terms of data transmission.
Data transmission is defined as more than 90% of data with transmission time from patch to server less than 5 min.
Time frame: From patch placement to removal, assessed up to 7 days
Patient's tolerance to prolonged use of the MultiSense® solution (Safety in use, side effects)
Accounting and classification of unexpected local and distant event due to the use of the MultiSense® solution (vigilance data) and Patient's questionnaire
Time frame: From patch placement to its removal (up to 7 days)
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Device defects
Accounting of device deficiencies reported by the investigator, the patient or identified by MultiSense data analysis
Time frame: From patch placement to its removal (up to 7 days)
Clinical relevance of the notifications provided by MultiSense® solution
Relevance of the notifications generated by MultiSense® will be judged on the relevance of the notification's functionality by the healthcare professional in real-life situation by the mean of a questionnaire (4-levels Likert scale)
Time frame: From patch placement to its removal (up to 7 days)
Clinical relevance of the notifications provided by MultiSense® solution
Relevance of the notifications generated by MultiSense® will be judged on the relevance of the notification's functionality by the healthcare professional in real-life situation by the mean of notification treatment through MultiSense® web application
Time frame: From patch placement to its removal (up to 7 days)
Remote monitoring facilitation for the healthcare professional through the solution's ease of use and satisfaction gained
Determination of healthcare professionals' practical interest in the solution and satisfaction of use assessed via a questionnaire (4-levels Likert scale)
Time frame: From patch placement to its removal (up to 7 days)
Patient's satisfaction and reassurance when monitored by the device
Determination of patient satisfaction and reassurance by an end-study questionnaire (4-levels Likert scale)
Time frame: From patch placement to its removal (up to 7 days)
Patch autonomy
Percentage of patches with an autonomy \> 5 days including skin adhesion and battery life (MultiSense® data and patient's questionnaire)
Time frame: From patch placement to its removal (up to 7 days)
Respiratory rate accuracy in terms of impedance
Respiratory rate accuracy by comparison of MultiSense® data with the reference monitor in terms of impedance
Time frame: From patch placement to hospital discharge, assessed up to 3 hours
Respiratory rate accuracy in terms of EtCO2
Respiratory rate accuracy by comparison of MultiSense® data with the reference monitor in terms of EtCO2
Time frame: From patch placement to hospital discharge, assessed up to 3 hours
Estimation of posture and activity level reported by the MultiSense® solution
Determination of the posture and activity level consistency by accounting the percentage of lying position and low activity at night and the percentage of high activity during day (MultiSense® data)
Time frame: From patch placement to its removal (up to 7 days)
MultiSense® data quality after moderate level of activity
Distribution of activity level across monitoring period, number of showers taken over the monitoring period and evolution of the artefact's metric (as defined in the primary endpoint) over time (MultiSense® data)
Time frame: From patch placement to its removal (up to 7 days)
Correlation between body temperature and skin temperature
Correlation between the body temperature measured with a standard device and the skin temperature measured with the MultiSense® solution
Time frame: From patch placement to hospital discharge, assessed up to 2 days
End of study hardware recovery rate
Percentage of MultiSense® patch and gateway returned to RDS at the end of the study
Time frame: From patch removal to material return, assessed up to 1 month