ClinicalTrials.gg
RecruitingNCT07473687IBPMUpdated Mar 16, 2026

Feasibility Study of Non-Contact Imaging-Based Physiological Monitoring in the Operating Room

An observational study in Cholecystitis, Liver Neoplasms and Cholelithiasis, sponsored by Taipei Veterans General Hospital, Taiwan. Recruiting at 1 site in Taiwan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-16.

Sponsored by Taipei Veterans General Hospital, Taiwan · Observational

From the registry’s dates

  • Started Jan 2026; still recruiting 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
315
Ages
18 Years and older
Sex
All
01

Study summary

This study aims to evaluate the feasibility and accuracy of a non-contact, camera-based physiological monitoring technology in a perioperative setting (including anesthesia induction, surgery, and recovery).Conventional vital sign monitoring tools-such as ECG leads, blood pressure cuffs, and pulse oximeters-require direct skin contact, which may pose risks of cross-infection or skin injury in vulnerable populations (e.g., newborns or elderly patients). This research utilizes remote Photoplethysmography (rPPG) technology to estimate vital signs, including heart rate, blood pressure, and blood oxygen saturation (SpO2), by analyzing facial video captured via standard camera devices (Logitech C930, iPhone 16 Pro Max, and Samsung Galaxy S24 Ultra).The primary goal is to assess the consistency and stability of this non-contact system compared to clinical gold-standard monitors (Masimo Root, SedLine O3, and Radical-7) during actual surgical procedures. The findings will serve as a foundation for developing non-invasive, supplementary monitoring tools in dynamic clinical environments.

Read the detailed description

Background and Rationale:

Perioperative vital sign monitoring is crucial for patient safety. However, current standard-of-care tools are predominantly contact-based or invasive. These devices can cause discomfort, limit patient mobility, and potentially damage fragile skin. While various non-contact sensing technologies (e.g., radar, thermal imaging) have been researched, high costs and poor adaptability to dynamic clinical settings have limited their routine use. Our team has previously validated a camera-based rPPG algorithm in clinical environments; this study seeks to further evaluate its feasibility within the rigorous conditions of an operating room (OR).

Study Objectives:

To evaluate the accuracy and consistency of a non-contact video monitoring system in measuring heart rate, blood pressure, and SpO2 across different surgical phases (pre-operative, intra-operative, and post-operative).To optimize algorithms using multi-point clinical data to enhance system robustness in dynamic surgical environments. To explore the potential of rPPG technology as a supplementary or alternative monitoring solution for patients unsuitable for traditional contact-based sensors.

Methodology:

This is a feasibility study conducted in a perioperative clinical environment. Participants will undergo simultaneous monitoring by two systems without interference with routine medical care:

  1. Investigational Device (Non-contact): A software module utilizing rPPG technology installed on multiple platforms (Logitech C930 with Windows Laptop, iPhone 16 Pro Max, and Samsung Galaxy S24 Ultra). These devices capture facial video via front-facing cameras to calculate physiological parameters non-invasively.
  2. Reference Standard (Clinical Monitors): The Masimo Root monitoring platform, equipped with SedLine O3 regional oximetry and Radical-7 pulse oximetry, will provide the benchmark physiological data.

Data Analysis:

The estimated physiological parameters from the non-contact software will be compared with the synchronized data from the Masimo Root system. Statistical analysis will focus on the correlation and limits of agreement between the two methods to determine the technical feasibility for future clinical translation.

02

Conditions studied

  • Cholecystitis
  • Liver Neoplasms
  • Cholelithiasis
  • Inguinal Hernia

Keywords

  • General anesthesia
  • Intraoperative monitoring
  • Camera-based monitor
  • Non-contact Physiological Monitoring
  • Total Extraperitoneal Approach (TEP)
  • Remote Sensing
  • Perioperative Care
03

In context

Cholecystitis

192 studies on the registry are indexed under Cholecystitis; 36 are open to participants now.

This study's planned enrollment of 315 is above the median of 222 across 55 observational studies indexed under Cholecystitis.

Browse Cholecystitis studies →

Lead sponsor

Taipei Veterans General Hospital, Taiwan is the lead sponsor of 338 studies on the registry; 74 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
No
Sampling method
Non-probability sample

Study population

Surgical patients undergoing anesthesia and surgery at Taipei Veterans General Hospital who meet the specified inclusion and exclusion criteria.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients aged >18 years.
  2. Patients scheduled to undergo surgical procedures under general anesthesia.
  3. (ASA) Physical Status I, II, or III.

Exclusion criteria

Exclusion Criteria:

  1. Patients aged \< 18 years.
  2. Pregnant patients.
  3. Patients whose facial images cannot be captured or recognized (e.g., due to surgical drapes, severe edema, or major trauma).
  4. Patients who refuse to participate or have not signed the form.
  5. Other cases deemed unsuitable for the study by the clinical physician or anesthesiologist.
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.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
315 participants (estimated)
Target follow-up
1 Day
Patient registry
Yes

Groups and cohorts

  • Perioperative Monitoring Group

    Surgical patients who will be monitored simultaneously using both the investigational non-contact rPPG software (installed on laptop and mobile devices) and standard clinical monitoring systems (Masimo Root, SedLine O3, and Radical-7) across different surgical phases.

    Device: Non-contact rPPG software

Interventions

  • DeviceNon-contact rPPG software

    A non-invasive, video-based software utilizing remote Photoplethysmography (rPPG) technology to estimate heart rate, blood pressure, and SpO2 by analyzing facial video captured via camera-enabled devices.

06

What researchers measure

Primary outcomes

  1. Accuracy of Heart Rate (HR) monitoring

    The success rate of non-contact HR measurement using the rPPG software compared to the reference values from the Masimo Root clinical monitoring platform. A "success" is defined as an absolute error within +/- 3 bpm. Unit of Measure: Percentage of successful measurements (%)

    Time frame: From anesthesia induction to recovery (approximately 2-6 hours).

  2. Success rate of Systolic Blood Pressure (SBP) monitoring

    The success rate of non-contact SBP measurement compared to the reference values from the Masimo Root platform. A "success" is defined as an absolute error within +/- 12 mmHg. Unit of Measure: Percentage of successful measurements (%)

    Time frame: From anesthesia induction to recovery (approximately 2-6 hours).

  3. Success rate of Diastolic Blood Pressure (DBP) monitoring

    The success rate of non-contact DBP measurement compared to the reference values from the Masimo Root platform. A "success" is defined as an absolute error within +/- 10 mmHg. Unit of Measure: Percentage of successful measurements (%)

    Time frame: From anesthesia induction to recovery (approximately 2-6 hours).

  4. Success rate of Oxygen Saturation (SpO2) monitoring

    The success rate of non-contact SpO2 measurement compared to the reference values from the Masimo Root platform. A "success" is defined as an absolute error within +/- 8% (when SpO2 \>/= 80%) or +/- 15% (when SpO2 \< 80%). Unit of Measure: Percentage of successful measurements (%)

    Time frame: From anesthesia induction to recovery (approximately 2-6 hours).

Secondary outcomes

  1. Mean Absolute Error (MAE) of Heart Rate (HR) across hardware platforms

    Evaluation of the Heart Rate measurement consistency among three devices (Logitech C930, iPhone 16 Pro Max, and Samsung Galaxy S24 Ultra) compared to the Masimo Root monitor. The measurement tool is the rPPG software. Consistency will be assessed by calculating the Mean Absolute Error (MAE) of heart rate. Unit of Measure: Beats per minute (bpm)

    Time frame: During the intraoperative phase (duration of the surgical procedure, approximately 2-6 hours).

  2. Mean Absolute Error (MAE) of Blood Pressure (SBP and DBP) across hardware platforms

    Evaluation of the Systolic and Diastolic Blood Pressure measurement consistency among three devices (Logitech C930, iPhone 16 Pro Max, and Samsung Galaxy S24 Ultra) compared to the Masimo Root monitor. The measurement tool is the rPPG software. Consistency will be assessed by calculating the Mean Absolute Error (MAE) of blood pressure. Unit of Measure: mmHg

    Time frame: During the intraoperative phase (duration of the surgical procedure, approximately 2-6 hours).

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Fujimori S. Gastric acid level of humans must decrease in the future. World J Gastroenterol. 2020 Nov 21;26(43):6706-6709. doi: 10.3748/wjg.v26.i43.6706. PubMed 33268958 ↗
  • Greenstein VC, Eggers HM, Hood DC. Multifocal visual evoked potential and automated perimetry abnormalities in strabismic amblyopes. J AAPOS. 2008 Feb;12(1):11-7. doi: 10.1016/j.jaapos.2007.04.017. Epub 2007 Jul 24. PubMed 17651996 ↗
  • Xing L, Dai W, Zhang Y. Scheimpflug Camera-Based Technique for Multi-Point Displacement Monitoring of Bridges. Sensors (Basel). 2022 May 27;22(11):4093. doi: 10.3390/s22114093. PubMed 35684714 ↗
  • Garcia-Fontana C, Corral Lugo A, Krell T. Specificity of the CheR2 methyltransferase in Pseudomonas aeruginosa is directed by a C-terminal pentapeptide in the McpB chemoreceptor. Sci Signal. 2014 Apr 8;7(320):ra34. doi: 10.1126/scisignal.2004849. PubMed 24714571 ↗
  • Mismetti P, Rivron-Guillot K, Moulin N. [Vena cava filters and treatment of venous thromboembolism in cancer patients]. Pathol Biol (Paris). 2008 Jun;56(4):229-32. doi: 10.1016/j.patbio.2008.03.002. Epub 2008 May 5. French. PubMed 18456434 ↗
  • Wallach JB, McGarry T, Torres J. Lymphangitic metastasis of recurrent renal cell carcinoma to the contralateral lung causing lymphangitic carcinomatosis and respiratory symptoms. Curr Oncol. 2011 Jan;18(1):e35-7. doi: 10.3747/co.v18i1.647. PubMed 21331270 ↗
  • Lee KJ, Liu S, Parmigiani F, Ibsen M, Petropoulos P, Gallo K, Richardson DJ. OTDM to WDM format conversion based on quadratic cascading in a periodically poled lithium niobate waveguide. Opt Express. 2010 May 10;18(10):10282-8. doi: 10.1364/OE.18.010282. PubMed 20588881 ↗
  • Wada M, Hara H, Nakamura M. A change in the pattern of vasospasm after stenting in a patient with vasospastic angina. Heart Vessels. 2006 Nov;21(6):388-91. doi: 10.1007/s00380-006-0920-6. Epub 2006 Nov 27. PubMed 17143717 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided — Individual participant data will not be shared at this time to protect proprietary algorithmic information and ongoing technical development related to the monitoring software.

09

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

Started Jan 2026 (actual). Primary completion is estimated for Dec 2027, 23 months after the start.

Of 23 observational studies under Cholecystitis, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 57. This study's planned 23 months is below that.

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

Registered
Feb 3, 2026
First posted
Mar 16, 2026
StartActual
Jan 8, 2026
Primary completionEst.
Dec 31, 2027
CompletionEst.
Jun 30, 2030
Last update
Mar 16, 2026
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 Mar 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07473687
Responsible party
Sponsor
First posted
Mar 16, 2026
Start date
Jan 8, 2026
Primary completion
Dec 31, 2027 (estimated)
Completion
Jun 30, 2030 (estimated)
Last update
Mar 16, 2026

Study contacts

Hui-Hsuan Ke
Contact
kehuihsuan0221@gmail.com
+886-939-196-809
Hui-Hsuan Ke
principal investigator · Taipei Veterans General Hospital, Taiwan

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

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