About this trial
The CYBORG Study is a first-in-human clinical investigation evaluating the safety and performance of the Phantom X System, an implantable electromyography (EMG) sensor array designed to provide control of upper-limb prostheses. The study will assess surgical feasibility, device function, signal quality, and the system's ability to support intuitive prosthetic control during functional tasks. Participants will undergo implantation of the Phantom X sensors and complete a series of in-clinic visits to assess functional performance of the Phantom X system. Patient-reported outcomes will also be collected at various timepoints.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient has a unilateral upper-limb difference (congenital or acquired) at the transradial or wrist level.
The patient currently uses a myoelectric prosthesis or is deemed a suitable candidate for fitting with a myoelectric prosthesis.
Patient is a suitable candidate for the implantation of the Phantom X sensor array as assessed by the implanting physician.
Patient is at least 18 years old and can provide written informed consent.
Disqualifiers
Patient has a significant cognitive deficit resulting in inability to follow study directions.
Patient has a neuro-muscular deficit and is unable to initiate substantial muscle contraction in the residual limb as determined by the implanting physician or investigator.
Patient has another medical condition, which, in the opinion of the Investigator, may cause him/her to be non-compliant with the protocol, confound the data interpretation, or is associated with a life expectancy insufficient to allow for the completion of study procedures and follow-up.
The patient has a planned medical procedure (e.g., surgery) during the study period that could interfere with compliance with study visits or assessments.
Trial design
Single group
Treatments tested in this trial
Phantom X multielectrode EMG sensor array implant for upper limb prosthesis control
DeviceParticipants receive the Phantom X implantable EMG sensor array and telemetry module to enable myoelectric control of an upper-limb prosthesis.
Treatment groups
Trial outcomes
Primary outcomes
Safety of Phantom X system during the implantation procedure, peri-procedurally, and 9 weeks thereafter
Safety is characterized by collecting device and procedure related adverse events during device implantation and 9-week study follow-up.
Functionality of Phantom X system using standardized Assessment of Capacity for Myoelectric Control (ACMC) instrument
Average and standard deviation of ACMC scores will be computed for all participants
Functionality of Phantom X system using standardized Targeted Box and Blocks Test (tBBT) instrument
Average and standard deviation of tBBT scores will be computed for all participants
Secondary outcomes
Safety of Phantom X system during the implantation procedure, peri-procedurally, and 21 weeks thereafter
Safety is characterized by collecting device and procedure related adverse events during device implantation and 21-week study follow-up.
Functionality of Phantom X system using standardized Assessment of Capacity for Myoelectric Control (ACMC) instrument
Average and standard deviation of ACMC scores will be computed for all participants
Functionality of Phantom X system using standardized Targeted Box and Blocks Test (tBBT) instrument
Average and standard deviation of tBBT scores will be computed for all participants
Phantom X Signal-to-Noise Ratio (SNR)
Characterize signal-to-noise ratio (SNR) of electromyography (EMG) signals obtained using Phantom X system. Average and standard deviation of SNR for all participants will be computed
Sponsors and contacts
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Phantom Neuro Inc.
Lead sponsor
Cabrini Health, Melbourne, Australia
Collaborator
ProMotion Prosthetics, Moorabbin, Australia
Collaborator