UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000049295
Receipt number R000056144
Scientific Title Study on the Position of Stimulation Electrode during Electromyographic Muscle Relaxation Monitoring Using the NIHON KOHDEN AF201-P and NM-34: Comparison of Measurement Accuracy in Supination and Pronation of the Measured Upper Limb
Date of disclosure of the study information 2022/10/24
Last modified on 2024/09/04 15:01:26

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Study on the Position of Stimulation Electrode during Electromyographic Muscle Relaxation Monitoring Using the NIHON KOHDEN AF201-P and NM-34: Comparison of Measurement Accuracy in Supination and Pronation of the Measured Upper Limb

Acronym

Study on the Position of Stimulation Electrode during Electromyographic Muscle Relaxation Monitoring Using the NIHON KOHDEN AF201-P and NM-34: Comparison of Measurement Accuracy in Supination and Pronation of the Measured Upper Limb

Scientific Title

Study on the Position of Stimulation Electrode during Electromyographic Muscle Relaxation Monitoring Using the NIHON KOHDEN AF201-P and NM-34: Comparison of Measurement Accuracy in Supination and Pronation of the Measured Upper Limb

Scientific Title:Acronym

Study on the Position of Stimulation Electrode during Electromyographic Muscle Relaxation Monitoring Using the NIHON KOHDEN AF201-P and NM-34: Comparison of Measurement Accuracy in Supination and Pronation of the Measured Upper Limb

Region

Japan


Condition

Condition

Healthy adults

Classification by specialty

Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The recommended application position of the electromyography electrode sticker (NM-34) in electromyography-based muscle relaxation monitoring using the muscle relaxation module (AF-201P) of NIHON KOHDEN Corporation is to overlap the corner of the stimulating electrode on the bean bone and to apply it along the ulnar nerve. However, accurate monitoring was not always possible when the upper limb was placed along the side of the body or during surgery in a supine or prone position. The purpose of this study is to examine the position of the stimulating electrode that does not decrease measurement accuracy when the upper limb is in supination and pronation.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Stimulation current value at calibration

Key secondary outcomes

T1 value by TOF (train-of-four: four consecutive stimulations) measurement


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Healthy adults

Key exclusion criteria

Persons with neuropathy or neuromuscular disease
Patients with pacemakers or implantable cardioverter-defibrillators
Persons with fragile skin at the measurement site
Patients with a history of surgery on the measurement limb

Target sample size

28


Research contact person

Name of lead principal investigator

1st name Shohei
Middle name
Last name Kaneko

Organization

Nagasaki University Hospital

Division name

Department of Anesthesiology

Zip code

852-8102

Address

1-7-1 Sakamoto, Nagasaki

TEL

095-819-7370

Email

s-kaneko@nagasaki-u.ac.jp


Public contact

Name of contact person

1st name Shohei
Middle name
Last name Kaneko

Organization

Nagasaki University Hospital

Division name

Department of Anesthesiology

Zip code

852-8102

Address

1-7-1 Sakamoto, Nagasaki

TEL

095-819-7370

Homepage URL


Email

s-kaneko@nagasaki-u.ac.jp


Sponsor or person

Institute

Nagasaki University Hospital

Institute

Department

Personal name



Funding Source

Organization

Department of Anesthesiology, Nagasaki University Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee for Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences

Address

1-12-4 Sakamoto, Nagasaki

Tel

095-819-7198

Email

gakujutu_gakuji@ml.nagasaki-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

長崎大学病院


Other administrative information

Date of disclosure of the study information

2022 Year 10 Month 24 Day


Related information

URL releasing protocol

https://link.springer.com/article/10.1007/s00540-023-03250-z

Publication of results

Published


Result

URL related to results and publications

https://link.springer.com/article/10.1007/s00540-023-03250-z

Number of participants that the trial has enrolled

28

Results

Crossing the ulnar nerve with the line connecting the anode and cathode of the stimulating electrodes may stabilize EMG-based neuromuscular monitoring accuracy.

Results date posted

2024 Year 09 Month 04 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The protocol was followed.

Participant flow

The protocol was followed.

Adverse events

None.

Outcome measures

The protocol was followed.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2022 Year 09 Month 16 Day

Date of IRB

2022 Year 10 Month 19 Day

Anticipated trial start date

2022 Year 10 Month 25 Day

Last follow-up date

2022 Year 12 Month 28 Day

Date of closure to data entry

2022 Year 12 Month 28 Day

Date trial data considered complete

2022 Year 12 Month 28 Day

Date analysis concluded

2023 Year 01 Month 18 Day


Other

Other related information

The ulnar nerve in the participant's forearm will be identified with an ultrasound device and marked on the skin. Calibration and TOF measurement will be performed with the following three attachment methods per participant in the study to compare the accuracy of muscle relaxation monitoring by stimulating electrode position.

(1) Stimulation electrode placement recommended by NIHON KOHDEN
(2) Place the stimulating electrode directly above the ulnar nerve
(3) Place the ulnar nerve between the cathode and anode of the stimulating electrode

Stimulation current values by calibration and T1 values by TOF measurement are measured at 3 positions of 90 degrees in supination, 0 degrees, and 90 degrees in pronation for each attachment method.


Management information

Registered date

2022 Year 10 Month 24 Day

Last modified on

2024 Year 09 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000056144