CClinicalTrials.gg
CompletedNCT01973361UltraHealUpdated Oct 22, 2015

Efficacy Study of Ultrasound-Assisted Debridement to Influence Wound Healing

An interventional study of Ultrasound debridement and Best practice wound care in WOUNDS, sponsored by Ottawa Hospital Research Institute. Completed at 1 site in Canada. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-10-22.

Sponsored by Ottawa Hospital Research Institute · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
78
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The UltraHeal Study is a randomized controlled trial to compare healing response of low frequency contact ultrasonic-assisted debridement in addition to best practice wound care to best practice wound care alone in a Vascular Surgery Clinic patient population with wounds of the lower extremity.

Read the detailed description

The study will also investigate the bacterial tissue burden and protease activity to provide further insight into the infection and inflammation aspects of healing barriers in a challenging population.

02

Conditions studied

  • WOUNDS

Browse trials for

Keywords

  • Wounds
  • Lower extremity
  • Diabetes
  • Arterial Insufficiency
  • Debridement
  • Low frequency ultrasound
  • Contact ultrasound
  • Wound clinic
  • Wound bed preparation
  • Wound infection
  • Chronic wound inflammation
03

In context

Wounds and Injuries

5,056 studies on the registry are indexed under Wounds and Injuries; 861 are open to participants now.

This study's enrollment of 78 is above the median of 52 across 3,239 interventional studies indexed under Wounds and Injuries.

Browse Wounds and Injuries studies →

Lead sponsor

Ottawa Hospital Research Institute is the lead sponsor of 538 studies on the registry; 100 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Persons with lower extremity wound referred to vascular surgery service.
  • Full thickness wound below the knee with surface area of at least 1cm2.
  • Age >18 years
  • English speaking
  • Ulcer of known etiology including diabetic foot wounds, and arterial or venous leg ulcers
  • Willing and able to adhere to 12 week study protocol that includes attending weekly clinic appointments, and wearing prescribed footwear or compression therapy

Exclusion criteria

Exclusion Criteria:

  • Leg wounds due to inflammatory conditions (e.g. pyoderma gangrenosum, vasculitis), malignancy, or other unknown etiologies.
  • Severe arterial insufficiency: Absence of pedal pulses combined with Ankle Brachial Index ≤ 0.3, Toe Pressure ≤20, or Trans Cutaneous Oxygen Measure ≤20
  • Presence of acute limb threatening infection
  • Vascular surgery planned within next 3 months
  • Exposed vascular graft or blood vessel, bone or tendon in the base of the wound.
  • Currently receiving advanced wound therapy treatments: Hyperbaric therapy, biological dressings [collagen or extracellular matrix dressings].
  • Increased likelihood of an adverse reaction to ultrasonic debridement due to:
  • Excessive wound pain (>5 VAS scale) or patient described intolerable
  • Allergy to topical anesthetic (lidocaine)
  • Individuals who have factors/circumstances that are known to limit their ability to demonstrate healing in 4 weeks.

For example:

  • medically unstable or palliative medical status
  • poor nutritional status (low serum albumin \< 15),
  • anemia (Hb \< 75 mg/dl),
  • taking immunosuppressant medication (prednisone, chemotherapy; transplant anti-rejection medication),
  • Individuals with medical conditions that contraindicate the use of ultrasound energy
  • Cardiac pacemaker or defibrillator
  • Excessive bleeding tendency (> 5 mins post debridement) or identified coagulopathic disorders
  • Exposed bone in the wound base
  • Untreated osteomyelitis
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
78 participants (actual)

Study arms

  • Experimental
    Ultrasound debridement

    Participants receiving ultrasound assisted debridement in addition to best practice wound care.

    Device: Ultrasound debridement

  • Active comparator
    Best Practice wound care

    Participants receiving best practice wound care alone

    Device: Best practice wound care

Interventions

  • DeviceUltrasound debridement

    Ultrasound-assisted wound debridement with saline irrigant applied for 5 - 15 minutes until visible and removable non-viable appearance tissue is removed to reveal a healthy appearance wound bed.

    Also known as: Misonix Sonic One Ultrasound Wound Care System

  • DeviceBest practice wound care

    Participants will receive moist wound care with addition of silver alginate dressing for visual cues of infection.

06

What researchers measure

Primary outcomes

  1. Change in wound surface area

    The wound surface area will be measured weekly once treatment is initiated, with a final measurement 12 weeks after initiation of therapy.

    Time frame: Weekly for 4 weeks then at 12 weeks.

Secondary outcomes

  1. Protease activity

    A wound swab to test for elevated protease activity will be obtained before treatment and at week5 (after the 4 weekly treatments), and then again at week 12 to ascertain the immediate and sustained impact on inflammatory aspects of wound healing.

    Time frame: Pre-treatment, post treatment at weeks 5 and weeks then at 12 weeks.

  2. Bacterial burden

    A tissue culture to test for elevated bacterial activity and species identification will be obtained before treatment and at week 5 (after the 4 weekly treatments), and then again at week 12 to ascertain the immediate and sustained impact on infection aspects of wound healing

    Time frame: Pre-treatment, week 5 and week 12

  3. Number of wounds healed

    We will count the number of wounds that have healed and have not healed for each group and compare to ascertain if the therapy improves healing.

    Time frame: Throughout duration of the study

07

Study locations

1 site
  • The Ottawa Hospital Wound Healing Centre
    Ottawa, Ontario K1Y 4E9, Canada
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 22, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01973361
Lead sponsor
Ottawa Hospital Research Institute
Responsible party
Sponsor
First posted
Oct 31, 2013
Start date
Dec 2013
Primary completion
Jul 2015
Completion
Jul 2015
Last update
Oct 22, 2015

Study contacts

Christine A. Murphy, MClSc PhD(c)
principal investigator · The Ottawa Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2015. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion