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NCT Number: NCT07454512

Evaluating Laser Otoscope for Middle Ear Effusion Detection

The goal of this cross-sectional diagnostic accuracy investigational study is to learn about the usefulness of laser otoscopy in screening for middle ear fluid. The main questions it aims to answer are:

-Accuracy and usability of doctors using laser otoscopes

Participants already having ear tubes placed will have an examination with a laser otoscope and white light otoscope in order to determine and compare the device's diagnostic assistance. Tympanostomy findings will be used as the ground truth.

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Key information

Age range

6 month–18 year

Sex eligibility

All sexes

Study type

Observational

Primary location

The Cleveland Clinic Foundation

Cleveland, Ohio, 44106, United States

Location contact

Brandon Hopkins, M.D.

PRINCIPAL_INVESTIGATOR

John O'Neill

CONTACT

[email protected]

216-445-8175

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Scheduled to undergo unilateral or bilateral myringotomy with ear tube placement
  • Between the ages of 6 months to 18 years at the time of consent
  • Able to provide assent as judged by the investigator or delegated personnel, and their parent(s) or legal guardian(s) has signed the current Institutional Review Board (IRB) approved informed consent form along with the HIPAA Authorization for the use and release of Private Health Information (PHI) or applicable privacy protection

Exclusion criteria

  • History of prior ear tube placement
  • Anatomical abnormalities of the tympanic membrane or ear canal
  • Presence of excessive cerumen that cannot be removed pre-exam and may interfere with study procedures
  • Any of the following deformities of the external ear and tympanic membrane: congenital canal stenosis or atresia, severe canal tortuosity or curvature which prevents visualizing the tympanic membrane fully with an otoscope, canal wall exostoses or osteomas, markedly thickened or opaque tympanic membranes such as caused by chronic myringitis, or scarring or fibrosis of the tympanic membrane, tympanosclerosis or other heavy calcification of the tympanic membrane, tympanic membrane perforations, and grafted tympanic membranes.

Treatment and study plan

Laser otoscope examination

Device

Patients will have short videos taken of their tympanic membranes under white light and laser illumination.

Primary outcomes

  1. Clinician diagnostic accuracy using laser otoscope to assess middle ear effusion presence

    Time frame: From enrollment to data collection at tympanostomy typically at 2-3 weeks

    The primary endpoint is the accuracy, PPV, and NPV of the MEEscope in detecting MEE validated by myringotomy findings. These values will be compared to the standard white-light otoscopy findings in the same patients to demonstrate the relative accuracy of the experimental illumination vs white light illumination in detection of MEE.

Sponsors and collaborators

Lead sponsor

MSTATT LLC

Industry

Collaborators

  • National Institute on Deafness and Other Communication Disorders (NIDCD)
  • The Cleveland Clinic

Registry information

Official study title

Evaluation of an Investigational Laser Otoscope for Detection of Middle Ear Effusion in Pediatric Patients

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Mar 6, 2026
Registry last updated
Mar 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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