Study Focus: Blood Pressure Measures, Volunteers
Conditions
Keywords
blood pressure, iso 81060-2, upper arm blood pressure monitor, commercialized device validation
Brief summary
Prospective, single-center, single-arm, open, comparative, validation of a commercialized device, repeated measures accuracy study designed in accordance with the requirements of the ISO 81060-2:2018 AAMI/ESH/ISO Universal Standard for the clinical validation of automated non-invasive sphygmomanometers (Non-invasive sphygmomano-meters - Part 2: Clinical investigation of intermittent automated measurement, including Amendments 1 and 2)). The validation will be conducted with volunteers rather than necessarily with patients, and all measurements will be performed outside of the subjects' normal diagnosis or treatment.
Interventions
All measurements will be performed by trained observers in line with the requirements of the ISO 81060-2:2018 AAMI/ESH/ISO Universal Standard (1), ensuring accuracy, consistency, and reproducibility. The investigation shall be performed in an isolated room under comfortable ambient temperature. * The cuff shall be applied on the bare arm with no compression proximal to the cuff. * The subject shall rest quietly for at least 10 minutes prior to the start of measurements. * The subject should avoid talking during the entire measurement procedure. * BP shall be measured on the subject's left arm at heart level. * A minimum of 5 minutes shall elapse prior to obtaining the first reference blood pressure measurement.
Sponsors
Study design
Intervention model description
Prospective, single-center, single-arm, open, comparative, validation of a commercialized device, with repeated measures accuracy study designed in accordance with the requirements of the ISO 81060-2:2018 AAMI/ESH/ISO Universal Standard for the clinical validation of automated non-invasive sphygmomanometers (Non-invasive sphygmomano-meters - Part 2: Clinical investigation of intermittent automated measurement, including Amendments 1 and 2)). The study aims to clinically evaluate the accuracy of the B-Well PRO-25 upper arm automated sphygmomanometer for systolic blood pressure (SBP) and diastolic blood pressure (DBP) in adults and adolescents in accordance with ISO 81060-2. The comparative measurements are obtained through auscultation by an observer using a mercury sphygmomanometer (reference method).
Eligibility
Inclusion criteria
* Age \> 12 years * Signed Informed Consent
Exclusion criteria
* Any medical condition preventing light to moderate arm compression * Absence of the upper arm * Subjects with upper arm circumference \<22 cm or \>42 cm * Subjects with severe shock; * Subjects with a history of mental illness or current mental disorders; * Patients with arrhythmias (atrial premature beats, ventricular premature beats, atrial fibrillation, etc.) or upper limb arteriosclerosis (at the direct measurement site); * Subjects using extracorporeal circulation devices; * Subjects with excessive limb asymmetry; * Subjects who have undergone mastectomy or lymph node dissection; * Subjects with arm injuries or exposed wounds, or those with circulatory disorders; * Subjects with vascular accesses in the arms or arteriovenous shunt tubes; * Subjects who have participated in other clinical trials within the past 1 month; * Subjects for whom the procedures during the clinical trial may pose excessive medical risks; * Subjects determined by the investigator to be unsuitable for participating in the clinical study. * Subject under judicial protection, guardianship or curatorship or participant deprived of their liberty by judicial or administrative decision
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The study will assess compliance with the following validation criteria defined by the standard ISO 81060-2:2018: Criterion 1 - Group-level accuracy (paired-difference analysis). Criterion 2 - Subject-level accuracy | Day 1 | The study will assess compliance with the following validation criteria defined by the standard ISO 81060-2:2018 for SBP and DBP (in mmHg): Criterion 1 - Group-level accuracy (paired-difference analysis). For systolic blood pressure (SBP) and diastolic blood pressure (DBP) separately, the mean difference between the test device and the reference method (observer auscultation with a mercury sphygmomanometer) across all valid paired determinations shall be within ±5 mmHg, and the standard deviation (SD) of these differences shall be ≤ 8 mmHg. Criterion 2 - Subject-level accuracy For SBP and DBP, each subject's mean difference (test device - reference) shall be calculated from that subject's repeated paired determinations. The standard deviation of these subject-level means across all subjects shall comply with the requirements specified in Table 1 Averaged subject data acceptance in mmHg of ISO 81060-2:2018 (1) for SBP and DBP. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Population characteristics- Age | Day 1 | Age (descriptive summary) |
| Population Characteristics - Sex | day 1 | Sex (descriptive summaries) |
| Agreement by Bland-Altman analysis | Day 1 | Calculation of the bias (average difference between test device and reference method) and the 95% limits of agreement (LoA) for systolic blood pressure (SBP) and diastolic blood pressure (DBP), overall and across the blood pressure range |
| Population Characteristics- baseline blood pressure categories | Day 1 | Normotensive/hypertensive ranges for both systolic and diastolic pressures |
| Observser agreement | Day 1 | percentage of paired measurements (within +/- 4 mmHg) |
| Population Characteristics- arm circumferences | Day 1 | arm circumferences (descriptive summaries) |