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CompletedNCT01866514Updated Apr 17, 2026Results posted

Proximal Humerus Site for Anesthesia

An interventional study of intraosseous vascular access in the proximal humerus and EZ-IO in Intraosseous Vascular Access, sponsored by Vidacare Corporation. Completed at 1 site in United States. Open to participants aged 21 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-17.

Sponsored by Vidacare Corporation · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
21 Years and older
Sex
All
01

Study summary

This will be a prospective, non-controlled study using healthy adult volunteers as subjects receiving bilateral proximal humerus intraosseous (IO) vascular access to evaluate the insertion technique and IO infusion flow rates.

Read the detailed description

When using IO access in the perioperative and OR settings, abduction of the arms to the shoulder level prevents use of the traditional proximal humerus insertion site due to the rotation of the humeral head under the acromion process. An alternate proximal humerus IO insertion technique has been developed to meet the needs of anesthesia patient positioning that uses a slightly more distal insertion site and a superior angle of insertion. However infusion flow rate in the proximal humerus using the anesthesia technique has not been measured. This study is needed to evaluate the anesthesia proximal humerus IO insertion technique to determine if the IO infusion flow rates remain unchanged by the alternate method.

02

Conditions studied

  • Intraosseous Vascular Access

Keywords

  • EZ-IO
  • IO
  • Intraosseous Vascular Access
03

In context

Lead sponsor

Vidacare Corporation is the lead sponsor of 13 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age 21 years or older
  • Have no amputation of the upper extremities
  • Able to lay flat on table for up to 2 hours
  • Self-reported as healthy, as confirmed by the PI

Exclusion criteria

Exclusion Criteria:

  • Have an active infection in the body
  • Imprisoned
  • Pregnant
  • Cognitively impaired
  • Fracture in humerus, or significant trauma to the site
  • Excessive tissue and/or absence of adequate anatomical landmarks in humerus
  • Infection in target area
  • Humeral IO insertion in past 48 hours, prosthetic limb or joint or other significant orthopedic procedure in humerus
  • Current use of anti-coagulants
  • Current cardiac condition requiring pacemaker or anti-arrhythmic drugs
  • Prior adverse reaction to lidocaine
  • Volunteers with any of the following characteristics may be excluded from the infusion pathway evaluation involving administration of contrast dye at the discretion of the PI:
  • Prior adverse reaction to contrast dye
  • Allergy to any food or drug
  • History of impaired renal function
  • History of impaired hepatic function
  • History of cardiac disease
  • History of pheochromocytoma
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Proximal Humerus Intraosseous Vascular Access - Anesthesia Position

    Adult healthy volunteers receiving bilateral proximal humerus intraosseous vascular access while arm is positioned abducted from the body at shoulder level, bilaterally. This arm position is referred to as the "anesthesia position"

    Device: intraosseous vascular access in the proximal humerus · Device: EZ-IO

Interventions

  • Deviceintraosseous vascular access in the proximal humerus

    The arm receiving the Intraosseous (IO) needle is positioned with the arm abducted to shoulder level (in position required for surgery), with the arm rotated inward, into the optimal position, with the palms faced down. Deeply palpate the humerus until the junction of the humeral shaft and the humeral head, the surgical neck is identified; the insertion site is in the surgical neck. With the 45mm IO needle placed perpendicular to the plane of the skin, the IO needle is inserted into the surgical neck using a slightly superior angle of insertion and the needle is inserted to the hub. The stylet will be removed and a primed EZ-Connect will be attached to the catheter hub.

    Also known as: EZ-IO, Proximal Humerus intraosseous access, IO access, proximal humerus IO access

  • DeviceEZ-IO
06

What researchers measure

Primary outcomes

  1. Intraosseous Infusion Flow Rate

    the mean infusion flow rate reported in milliliters per hour (mL/hr) obtained at each tested infusion pressure.

    Time frame: Day 1, within 30 minutes of establishing proximal humerus intraosseous (IO) vascular access

Secondary outcomes

  1. Success Rate of Obtaining Laboratory Results for Both Intraosseous and Peripheral Venous Specimens

    Number of Participants with Laboratory Results Successfully Obtained from both intraosseous (IO) and peripheral venous blood specimens. Success was determined if the point-of-care laboratory analysis system provided laboratory results values for both IO and Peripheral Venous specimens. It was deemed unsuccessful if the point-of-care system provided no laboratory results values and/or noted an error for at least one specimen. An intraosseous blood specimen and a peripheral venous blood specimen were collected from each subject.

    Time frame: Day 1 within 30 minutes after establishing proximal humerus IO vascular access and peripheral venous access

  2. Time Measured in Seconds for Fluid Delivery From the Proximal Humerus Intraosseous (IO) Site to the Heart

    time measured in seconds for fluid delivery from the proximal humerus intraosseous site to the heart, using visualization of contrast injection under fluoroscopy.

    Time frame: Day 1 within 1 hour after establishing proximal humerus intraosseous vascular access

07

Results

Posted Apr 17, 2026

Participant flow

Participant flow — Overall Study
MilestoneProximal Humerus Intraosseous Vascular Access - Anesthesia Position
Started5
Completed5
Not completed0

Outcome measures

PrimaryIntraosseous Infusion Flow Rate

the mean infusion flow rate reported in milliliters per hour (mL/hr) obtained at each tested infusion pressure.

Time frame:
Day 1, within 30 minutes of establishing proximal humerus intraosseous (IO) vascular access
Reported as:
Mean · mL / hour
Intraosseous Infusion Flow Rate
mL / hourAnesthesia Arm
Intraosseous Infusion Flow Rate2433.33 ± 1234.23
SecondarySuccess Rate of Obtaining Laboratory Results for Both Intraosseous and Peripheral Venous Specimens

Number of Participants with Laboratory Results Successfully Obtained from both intraosseous (IO) and peripheral venous blood specimens. Success was determined if the point-of-care laboratory analysis system provided laboratory results values for both IO and Peripheral Venous specimens. It was deemed unsuccessful if the point-of-care system provided no laboratory results values and/or noted an error for at least one specimen. An intraosseous blood specimen and a peripheral venous blood specimen were collected from each subject.

Time frame:
Day 1 within 30 minutes after establishing proximal humerus IO vascular access and peripheral venous access
Reported as:
Count of participants · Participants
Success Rate of Obtaining Laboratory Results for Both Intraosseous and Peripheral Venous Specimens
ParticipantsAnesthesia Arm
Success Rate of Obtaining Laboratory Results for Both Intraosseous and Peripheral Venous Specimens5
SecondaryTime Measured in Seconds for Fluid Delivery From the Proximal Humerus Intraosseous (IO) Site to the Heart

time measured in seconds for fluid delivery from the proximal humerus intraosseous site to the heart, using visualization of contrast injection under fluoroscopy.

Time frame:
Day 1 within 1 hour after establishing proximal humerus intraosseous vascular access
Reported as:
Mean · seconds
Time Measured in Seconds for Fluid Delivery From the Proximal Humerus Intraosseous (IO) Site to the Heart
secondsAnesthesia Arm
Time Measured in Seconds for Fluid Delivery From the Proximal Humerus Intraosseous (IO) Site to the Heart2.07 ± 0.28

Adverse events

Collected over 24 hours, from enrollment in the study on day 1 through 24 hours follow up. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Proximal Humerus Intraosseous Vascular Access - Anesthesia Position0/5 (0%)0/5 (0%)0/5 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Proximal Humerus Intraosseous Vascular Access - Anesthesia Position
<=18 years0
Between 18 and 65 years5
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Proximal Humerus Intraosseous Vascular Access - Anesthesia Position
Female3
Male2
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Proximal Humerus Intraosseous Vascular Access - Anesthesia Position
Region of Enrollment
Region of Enrollment(Participants)Proximal Humerus Intraosseous Vascular Access - Anesthesia Position
United States5
08

Study locations

1 site
  • Bulverde-Spring Branch EMS
    Spring Branch, Texas 78070, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01866514
Lead sponsor
Vidacare Corporation
Responsible party
Sponsor
First posted
May 31, 2013
Start date
May 2013
Primary completion
May 2013
Completion
Jun 2013
Results posted
Apr 17, 2026
Last update
Apr 17, 2026

Study contacts

Larry J Miller, MD
principal investigator · Vidacare Corporation

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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