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Completed

NCT Number: NCT05190354

Post Market Clinical Protocol - Xtremity Polymer Prosthetic Socket System

Single-arm, prospective multi-center study assessing user preference of the Xtremity prosthetic socket in below the knee amputation prostheses.

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Key information

Age range

19 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Barber Prosthetics, Vancouver, Canada

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or female ≥ 19 years old
  • Unilateral or bilateral transtibial amputation
  • Subject has been informed of the nature of the study, agrees to participate and comply with all follow-up visits and has signed the consent form.
  • Currently using a standard carbon fiber or high temperature thermoplastic prosthetic socket.
  • Residual limb is between 26-34 cm circumference with a liner (when measured 4cm proximal to distal end)
  • Subject is eligible for standard carbon fiber or high temperature thermoplastic prosthetic socket if necessary.
  • Must be able to ambulate at least 100 yards with or without an assistive device.
  • Must be able to don and doff a prosthesis independently.
  • Estimated life expectancy > 1 year

Exclusion criteria

  • Amputation < 6 months prior to enrollment
  • Residual limb less than (<) 26cm and greater than (>) 34cm circumference at the distal end.
  • Body weight greater than (>) 275lbs.
  • Syme's amputations or total limb length over 30cm
  • Some bulbous or irregular limb shapes
  • Build height and circumference limitations
  • Wounds or skin issues that preclude normal fit
  • Unusual alignment of the socket or foot
  • Alignment outside the capability of the Xtremity System.
  • Planned for any major surgery within 6 months of enrollment.
  • Subject is pregnant or breastfeeding
  • Subject is incarcerated.
  • Subject anticipates that the socket will frequently be subject to temperatures greater than 110 degrees F while in their possession.
  • Subject anticipates that the socket will frequently be subject to direct sunlight
  • Limb circumference at the mid-patella tendon exceeds the maximum circumference (see sizing chart in the instructions for use)
  • Subject is participating in another research study of a device, medication, which could, in the opinion of the investigator, affect the results of this study.
  • Subject has other medical, social or psychological problems that in the opinion of the investigator would preclude them from receiving this treatment and the procedures and or participating in evaluations pre and post-treatment.

Treatment and study plan

Xtremity Polymer Prosthetic Socket

Device

Subjects with transtibial unilateral or bilateral amputation who have experience using a standard carbon fiber or high temperature thermoplastic prosthetic socket will be evaluated and fitted with a below knee prosthesis socket

Primary outcomes

  1. User Preference of the Xtremity Socket - Achievement of durability

    Time frame: 21 days

    Device success defined as rate of achieving durability

  2. User Preference of the Xtremity Socket - Socket Comfort Score

    Time frame: 21 Days

    Rate of device success measured by Socket Comfort Score

  3. User Preference of the Xtremity Socket - Prosthetic Evaluation Questionnaire

    Time frame: 21 Days

    Rate of device success measured by abbreviated Prosthetic Evaluation Questionnaire

  4. User Preference of the Xtremity Socket - Activity

    Time frame: 21 Days

    Rate of device success measured by activity level ranked low activity to high activity (1-10)

Secondary outcomes

  1. Benefits to prosthetist - Casting Time

    Time frame: 21 days

    Measured by time from casting to delivery in days

  2. Benefits to prosthetist - Material Consumption

    Time frame: 21 days

    Measured by amount of material consumed

  3. Benefits to prosthetist - Material Waste

    Time frame: 21 days

    Measured by amount of material wasted

  4. Benefits to prosthetist - Resources

    Time frame: 21 days

    Number of resources required to use

  5. Benefits to prosthetist - Skill

    Time frame: 21 days

    Level of skill set required to use ranked on a scale from very easy to very difficult (1-5)

  6. Benefits to prosthetist - Adjustability

    Time frame: 21 days

    Ease of adjustability ranked from difficult to easy (1-5)

  7. Benefits to Patient - Mobility

    Time frame: 21 days

    Measured by Amputee Mobility Predictor Assessment Tool

  8. Benefits to Patient - Cosmesis

    Time frame: 21 days

    Measured by Cosmesis survey question ranked from very unattractive to very attractive (1-5)

  9. Benefits to patient - Number of Visits

    Time frame: 21 days

    Measured as number of visits to achieve adequate fit in days

  10. Device Safety - Composite of Device Related Adverse Events

    Time frame: 21 days

    Composite of device related Adverse Events (DAE) assessed throughout 21 days after prosthetic fitting. DAE is defined as a composite of all cause death, socket site skin problems that prevent wearing a prosthetic, socket site infection, and falls due to socket malfunction that result in injury.

Sponsors and collaborators

Lead sponsor

Medical Creations, Inc.

Industry

Registry information

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Jan 13, 2022
Registry last updated
Aug 24, 2022

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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