Trial Outcomes & Findings for Device to Reduce Surgery Site Contamination (NCT NCT00972153)

NCT ID: NCT00972153

Last Updated: 2012-03-16

Results Overview

Colony forming unit counts were collected from the air within 5 cm of the surgical wound using a bioaerosol "slit" sampling device. Air was drawn through a sterile PVC tubing located at the incision and impacted upon media (TSA 5% sheep's blood) plates located in the sampling device. The plates were exchanged every 10 minutes throughout the procedure. Values are presented as CFU/cubic meter.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

29 participants

Primary outcome timeframe

Ten minute intervals throughout surgery

Results posted on

2012-03-16

Participant Flow

Thirty-six patients of the surgeon who consented to undergo primary total hip arthroplasty between May and September 2009 were recruited to participate in this study. All consenting patients were eligible. Patients undergoing hemiarthroplasty, resurfacing, or revision arthroplasty were excluded from recruitment.

Participant milestones

Participant milestones
Measure
No Device Used
Device Attached, Not Activated
Device Deployed and Activated
Overall Study
STARTED
12
12
12
Overall Study
COMPLETED
12
11
12
Overall Study
NOT COMPLETED
0
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
No Device Used
Device Attached, Not Activated
Device Deployed and Activated
Overall Study
Equipment malfunction during case
0
1
0

Baseline Characteristics

Device to Reduce Surgery Site Contamination

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
No Device Used
n=12 Participants
Device Attached, Not Activated
n=12 Participants
Device Deployed and Activated
n=12 Participants
Total
n=36 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
Age, Categorical
Between 18 and 65 years
8 Participants
n=39 Participants
9 Participants
n=41 Participants
8 Participants
n=35 Participants
25 Participants
n=31 Participants
Age, Categorical
>=65 years
4 Participants
n=39 Participants
3 Participants
n=41 Participants
4 Participants
n=35 Participants
11 Participants
n=31 Participants
Sex: Female, Male
Female
7 Participants
n=39 Participants
6 Participants
n=41 Participants
7 Participants
n=35 Participants
20 Participants
n=31 Participants
Sex: Female, Male
Male
5 Participants
n=39 Participants
6 Participants
n=41 Participants
5 Participants
n=35 Participants
16 Participants
n=31 Participants
Region of Enrollment
United States
12 participants
n=39 Participants
12 participants
n=41 Participants
12 participants
n=35 Participants
36 participants
n=31 Participants

PRIMARY outcome

Timeframe: Ten minute intervals throughout surgery

Population: Airborne CFU densities were obtained in ten-minute intervals throughout each procedure. Average surgery duration was 69 minutes in the control and sham groups; 66 minutes in the experiment group. A total of 208 density readings were obtained.

Colony forming unit counts were collected from the air within 5 cm of the surgical wound using a bioaerosol "slit" sampling device. Air was drawn through a sterile PVC tubing located at the incision and impacted upon media (TSA 5% sheep's blood) plates located in the sampling device. The plates were exchanged every 10 minutes throughout the procedure. Values are presented as CFU/cubic meter.

Outcome measures

Outcome measures
Measure
No Device Used
n=12 Participants
Device Attached, Not Activated
n=11 Participants
Device Deployed and Activated
n=12 Participants
Surgery Site CFU Density
7 CFU/cubic meter
Interval 0.0 to 36.0
11 CFU/cubic meter
Interval 0.0 to 46.0
0 CFU/cubic meter
Interval 0.0 to 14.0

SECONDARY outcome

Timeframe: Ten minute intervals throughout surgery

Airborne particulate was measured using a particle analyzer (LASAIR II 310B). The analyzer sampled continuously during surgery at a rate of 28.3 L/min and recorded data at one-minute intervals. The samples were collected through a length of sterile PVC tubing with the end placed adjacent to the CFU sample tubing, within 5 cm of the surgical incision. Particles of various diameters were obtained; particles of size \>10 micrometer had the strongest correlation to the presence of CFUs at the incision site.

Outcome measures

Outcome measures
Measure
No Device Used
n=12 Participants
Device Attached, Not Activated
n=11 Participants
Device Deployed and Activated
n=12 Participants
Surgery Site Particulate Density (Size >10 Micrometer)Per Cubic Meter
1377 >10 micrometer particles / cubic meter
Interval 459.0 to 8746.0
1165 >10 micrometer particles / cubic meter
Interval 424.0 to 5474.0
247 >10 micrometer particles / cubic meter
Interval 0.0 to 5968.0

Adverse Events

No Device Used

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Device Attached, Not Activated

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Device Deployed and Activated

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Sean Self

Nimbic Systems

Phone: 281-565-5715

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place