ClinicalTrials.gg
CompletedNCT03488849Updated Nov 23, 2021Results posted

SureCRIC Standardized Patient Study

An interventional study of SureCRIC and Freehand in Airway Obstruction, sponsored by InnoVital Systems, Inc.. Completed at 1 site in United States. Per ClinicalTrials.gov, last updated 2021-11-23.

Sponsored by InnoVital Systems, Inc. · Interventional and Treatment

From the registry’s dates

  • Registered 5 months after the study started (first participant enrolled Oct 2017, registered Mar 2018).

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Study type
Interventional
Enrollment
18
Allocation
Randomized
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 40 studies in Airway Obstruction with a site in United States — 8 open to participants now, 9 under way, none of them phase 3. Airway Obstruction · United States.

Enrollment
22nd of 29
18 · median 41
Started
2017
with 1 other
No phase
23 of 40
4 open now
Registered
22nd of 40
by date

Among the 40 studies in Airway Obstruction with a site in United States, this one is the 22nd largest by enrollment of the 29 interventional ones that give a count, is one of 2 that started in 2017, is one of 23 with no phase, and was the 22nd registered.

Airway Obstruction

147 studies on the registry are indexed under Airway Obstruction; 25 are open to participants now.

Browse Airway Obstruction studies →

Open to participants now

8 of the 40 studies in Airway Obstruction with a site in United States are open now. Recruiting first, the newest first:

3 more — sign in →

All 8 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 20 Airway Obstruction studies recruiting now, 13 (65%) set no upper age limit and 5 (25%) stop at 75 or younger; 3 take children under 18; 5 take healthy volunteers.

This study: all sexes · healthy volunteers too.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 40 studies in Airway Obstruction with a site in United States, or all of them as a file.
02

Study summary

SureCRIC is intended to be used as an accessory to cricothyrotomy and tracheotomy devices, helping to identify and stabilize anatomical landmarks for establishing an airway.

Cricothyroid membrane identification accuracy has been reported to be 30-62% in the literature [Bai15, Ell10, Kri15, Lam15]. The current study assesses SureCRIC-assisted medic performance in identifying the cricothyroid membrane in a diverse standardized patient population.

Read the detailed description

The study is a two-arm, open-label study involving users - largely licensed paramedics or combat medics - identifying the cricothyroid membranes on healthy volunteers. The Control Group will perform cricothyroid membrane identification on healthy male and female volunteers of varying heights, weights, and BMI's with the standard, freehand approach. The Experimental Group will perform cricothyroid membrane identification on the volunteers with the help of the SureCRIC. An expert verifier (senior otolaryngologist) will verify correct cricothyroid membrane identification and will not be blinded in order to reduce any error that may be introduced by SureCRIC removal and subsequent skin movement. The primary endpoint is a pass/fail assessment for cricothyroid membrane identification. The main secondary endpoint is time to cricothyroid membrane identification. The study design was recommended by FDA. The study, per FDA guidance, is not designed for statistical comparisons and only descriptive statistics are provided.

03

Conditions studied

  • Airway Obstruction

Browse trials for

Keywords

  • cricothyrotomy
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Participants (Users):

Inclusion Criteria:

  • Paramedic or military combat medic
  • Trained to perform a cricothyrotomy

Exclusion Criteria:

  • Current or former instructor of cricothyrotomy, airway management, or anatomy
  • Experience performing cricothyrotomy on a patient in the last 6 months
  • Training on cricothyrotomy in the last 3 months
  • Previous or current participation in a study related to cricothyrotomy
  • Any condition or physical impairment that limits dexterity and/or tactile feedback
  • Performed two or more cricothyrotomies on live humans
  • Previous exposure to the SureCRIC

Healthy Volunteers (Standardized Patients):

Inclusion Criteria:

  • Less than 10th percentile height female
  • 50th percentile height female
  • Greater than 90th percentile height female
  • Less than 10th percentile height male
  • 50th percentile height male
  • Greater than 90th percentile height male

Exclusion Criteria:

  • Previous exposure to the SureCRIC
  • Age under 18 or over 60
  • Any skin condition including, but not limited to, eczema and hives
  • Skin that is thin, fragile, sensitive and/or prone to redness or irritation including skin that maintains a red, irritated appearance after the light application of pressure
  • Easy bruising or use of any blood thinning medication (including aspirin)
  • Beard on the neck
  • Use of a medication by mouth or in a topical formulation like a cream or ointment
  • Any of the following chronic conditions: chronic kidney disease, chronic liver disease, coagulation disorders such as hemophilia or von Willebrand disease, low or dysfunctional (e.g., thrombocytopenia), leukemia, Cushing's syndrome, Ehlers Danlos syndrome, celiac disease, any condition that causes easy bruising or sensitive or fragile skin.
  • Previous neck surgery, previous neck trauma, thyroid mass or enlargement, or other neck abnormalities
  • Any condition that would make lying supine or without a pillow painful or impossible
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    SureCRIC

    SureCRIC-aided cricothyroid membrane identification

    Device: SureCRIC

  • Active comparator
    Freehand

    Freehand cricothyroid membrane identification

    Other: Freehand

Interventions

  • DeviceSureCRIC

    SureCRIC is intended to be used as an accessory to cricothyrotomy and tracheotomy devices, helping to identify and stabilize anatomical landmarks for establishing an airway.

  • OtherFreehand

    Freehand palpation approach to identification of the cricothyroid membrane

06

What researchers measure

Primary outcomes

  1. Number of Paramedics/Combat Medics Who Accurately Identified the Cricothyroid Membrane on Standardized Patients of Different Sizes

    pass/fail assessment for CTM identification as gauged by expert (senior orolaryngologist)

    Time frame: 1 day

Secondary outcomes

  1. Time to Cricothyroid Membrane Identification

    time to cricothyroid membrane identification as measured by direct observation

    Time frame: 1 day

07

Results

Posted Nov 23, 2021

Participant flow

Participant flow — Overall Study
MilestoneSureCRICFreehandStandardized Patients
Started1086
Completed1086
Not completed000

Outcome measures

PrimaryNumber of Paramedics/Combat Medics Who Accurately Identified the Cricothyroid Membrane on Standardized Patients of Different Sizes

pass/fail assessment for CTM identification as gauged by expert (senior orolaryngologist)

Time frame:
1 day
Reported as:
Count of participants · Participants
Number of Paramedics/Combat Medics Who Accurately Identified the Cricothyroid Membrane on Standardized Patients of Different Sizes
ParticipantsSureCRICFreehandStandardized Patient
CTM Identification Success in Less than 10th Percentile Height Female Standardized Patient67NA
CTM Identification Success in 50th Percentile Height Female Standardized Patient85NA
CTM Identification Success in Greater than 90th Percentile Height Female Standardized Patient107NA
CTM Identification Success in Less than 10th Percentile Male Height Standardized Patient97NA
CTM Identification Success in 50th Percentile Male Height Standardized Patient84NA
CTM Identification Success in Greater than 90th Percentile Male Height Standardized Patient97NA
SecondaryTime to Cricothyroid Membrane Identification

time to cricothyroid membrane identification as measured by direct observation

Time frame:
1 day
Reported as:
Mean · seconds
Time to Cricothyroid Membrane Identification
secondsSureCRICFreehand
Time to Cricothyroid Membrane Identification34.4 ± 13.410 ± 7.6

Adverse events

Collected over 1day. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
SureCRIC0/10 (0%)0/10 (0%)0/10 (0%)
Freehand0/6 (0%)0/8 (0%)0/8 (0%)
Standardized Patients0/6 (0%)0/6 (0%)0/6 (0%)
Most frequent other events
Most frequent other events
EventSureCRICFreehandStandardized Patients
injury including bruisingSkin and subcutaneous tissue disorders0/100/80/6

Baseline characteristics

Participants: Exposure to human cadaver practice (10% of SureCRIC participants vs. 50% of freehand participants); real-world procedural performance (0% of SureCRIC participants vs. 37.5% of freehand participants). Standardized Patients: Healthy volunteers.

Age, Customized
Age, Customized(Participants)SureCRICFreehandStandardized PatientsTotal
Between 18-65108624
Sex/Gender, Customized
Sex/Gender, Customized(Participants)SureCRICFreehandStandardized PatientsTotal
M or F (not recorded)108018
male0033
female0033
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)SureCRICFreehandStandardized PatientsTotal
Count of participants———0
First-hand, real-world human performance
First-hand, real-world human performance(Participants)SureCRICFreehandStandardized PatientsTotal
Count of participants0303
Human cadaver training
Human cadaver training(Participants)SureCRICFreehandStandardized PatientsTotal
Count of participants1405
08

Study locations

1 site
  • National Center for Human Factors in Healthcare
    Washington, District of Columbia 20008, United States
09

References and documents

Publications

  • Bair AE, Chima R. The inaccuracy of using landmark techniques for cricothyroid membrane identification: a comparison of three techniques. Acad Emerg Med. 2015 Aug;22(8):908-14. doi: 10.1111/acem.12732. Epub 2015 Jul 21. PubMed 26198864 ↗
  • Elliott DS, Baker PA, Scott MR, Birch CW, Thompson JM. Accuracy of surface landmark identification for cannula cricothyroidotomy. Anaesthesia. 2010 Sep;65(9):889-94. doi: 10.1111/j.1365-2044.2010.06425.x. Erratum In: Anaesthesia. 2010 Dec;65(12):1258. PubMed 20645953 ↗
  • Kristensen MS, Teoh WH, Rudolph SS, Tvede MF, Hesselfeldt R, Borglum J, Lohse T, Hansen LN. Structured approach to ultrasound-guided identification of the cricothyroid membrane: a randomized comparison with the palpation method in the morbidly obese. Br J Anaesth. 2015 Jun;114(6):1003-4. doi: 10.1093/bja/aev123. No abstract available. PubMed 25991744 ↗
  • Lamb A, Zhang J, Hung O, Flemming B, Mullen T, Bissell MB, Arseneau I. Accuracy of identifying the cricothyroid membrane by anesthesia trainees and staff in a Canadian institution. Can J Anaesth. 2015 May;62(5):495-503. doi: 10.1007/s12630-015-0326-y. Epub 2015 Jan 31. PubMed 25637060 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2017 to primary completion in Oct 2017, 0 months.

Results were first posted in Nov 2021, 4 years after primary completion. A results delay was requested in Mar 2019.

Of 44 interventional studies with no phase under Airway Obstruction, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 37. This study's 0 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 23, 2018
First posted
Apr 5, 2018
StartActual
Oct 16, 2017
Primary completionActual
Oct 27, 2017
CompletionActual
Oct 27, 2017
Results delay requested
Mar 5, 2019
Results first posted
Nov 23, 2021
Last update
Nov 23, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 23, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03488849
Lead sponsor
InnoVital Systems, Inc.
Responsible party
Sponsor
First posted
Apr 5, 2018
Start date
Oct 16, 2017
Primary completion
Oct 27, 2017
Completion
Oct 27, 2017
Results posted
Nov 23, 2021
Last update
Nov 23, 2021

Oversight

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

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This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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