3D Printed Ostomy Appliance for Stoma Care

(3DPPOA Trial)

Overseen By Uma Kelavkar

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Carilion Clinic

Disqualifiers: Peri-stomal skin breakdown, Infection, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

30 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial investigates whether a 3D scan can create a personalized ostomy appliance that reduces leaks and improves quality of life for people with a stoma. Participants will use their usual appliance for two weeks, then switch to a custom-made one based on a 3D scan for another two weeks. To qualify, participants must have used their ostomy appliance for more than six weeks and experienced at least one leakage in the week before joining the trial. Daily and weekly surveys will track changes in comfort and convenience. As an unphased trial, this study offers participants the chance to contribute to innovative research that could enhance daily life for those with a stoma.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on testing ostomy appliances, so it's unlikely that your medications will be affected.

What prior data suggests that this 3D printed personalized ostomy appliance is safe for stoma care?

Research has shown that using 3D printing to create ostomy devices could enhance stoma care. One study found that 3D-printed ostomy bags reduced skin issues, leaks, and the time the bags needed to be worn. These improvements suggest that people may find 3D-printed devices comfortable. Although limited safety data exists for these custom-made devices, positive results from similar 3D-printed products are encouraging for their safe use in stoma care. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Unlike standard ostomy care options, which typically involve pre-made baseplates that may not fit perfectly, the 3D Printed Personalized Ostomy Appliance is tailored to the individual’s unique anatomy. This treatment uses a 3D scan of the patient’s stoma to create a custom-fit appliance through advanced computer-aided design (CAD) tools. Researchers are excited about this method because it promises a more comfortable and secure fit, potentially reducing skin irritation and improving the quality of life for ostomy patients.

What evidence suggests that a 3D printed personalized ostomy appliance is effective for stoma care?

Research has shown that 3D-printed ostomy devices can greatly improve stoma care. In this trial, participants will receive a 3D Printed Personalized Ostomy Appliance. Studies have found that these custom-made devices reduce skin problems and leaks compared to traditional ones. Early results also suggest they can be worn for shorter periods and increase patient satisfaction. A 3D scan of the stoma creates the personalized fit, ensuring it closely meets each person's needs, which can lead to better outcomes. Overall, this technology has the potential to enhance the quality of life for people with ostomies. ^{1 2 3 4 5}

Who Is on the Research Team?

Farrell Adkins, MD

Principal Investigator

Carilion Clinic

Are You a Good Fit for This Trial?

This trial is for individuals aged 18-100 with an ostomy appliance they've used for over 6 weeks and have had at least one leakage in the week before joining. Participants must be able to consent, complete daily and weekly surveys via phone and internet, and provide an email address.

Inclusion Criteria

Must have experienced more than 1 leakage in the week leading up to day of consent

I can make my own medical decisions.

Access to phone AND computer with internet access. Patient must be able to provide electronic mailing address for e-consent documentation and REDCap surveys.

Exclusion Criteria

I have an infection around my stoma, but redness alone doesn't disqualify me.

Concern for patient being able to be reached over the phone or reliable internet access for REDCap survey completion

I have skin issues around my stoma, like ulcers or separation.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Standard Care

Participants use their standard of care ostomy appliance

2 weeks

Daily surveys and weekly quality of life surveys conducted over the phone

3D Personalized Ostomy Appliance

Participants use a personalized ostomy appliance made from a 3D scan

2 weeks

Daily surveys and weekly quality of life surveys conducted over the phone

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

• 3D Printed Personalized Ostomy Appliance

Trial Overview The study tests if a personalized ostomy appliance made from a 3D scan can reduce leakages compared to standard care. Participants will use their current appliance for two weeks, then switch to the personalized one for another two weeks while taking part in surveys assessing quality of life.

How Is the Trial Designed?

Group I: Receiving 3D Personalized Ostomy Appliance Experimental Treatment 1 Intervention

The personalized ostomy appliances are designed based off of a 3D scan. We will scan your ostomy to create a 3D picture in the computer system that is an exact copy of your ostomy using plastic. We then apply computer aided design (CAD) tools to modify your normal ostomy baseplates.

Who Is Running the Clinical Trial?

Carilion Clinic

Lead Sponsor

Trials

85

Recruited

15,400+

Virginia Polytechnic Institute and State University

Collaborator

Trials

162

Recruited

26,900+

Published Research Related to This Trial

A novel 3D-printed device was successfully used for performing abdominal enterostomy and colostomy in both a human cadaver and 6 living pigs, demonstrating ease of application and a quick average surgical time of 32 minutes.

The procedure showed no postoperative complications, with healthy tissue viability observed up to 10 days post-surgery, indicating that this 3D-printed device could be a safe option for future clinical applications.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Feasibility and Efficiency of Sutureless End Enterostomy by Means of a 3D-Printed Device in a Porcine Model. Sejor, E., Debs, T., Petrucciani, N., et al.[2021]

3D printing shows promise in colorectal surgery for managing complex intestinal fistulas and creating ostomies, potentially improving recovery and function without increasing complications, based on a review of 8 articles.

The technology is still in its early stages, and further randomized control trials are needed to fully understand its effectiveness and optimize its use in clinical practice.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

3D-Printing Applications in Ostomy Device Creation and Complex Intestinal Fistula Management: A Scoping Review. Soh, CL., Pandiaraja, M., Powar, MP.[2023]

A custom 3D-printed device designed for managing enteroatmospheric fistulae was created using bioscanner imaging, allowing for personalized treatment based on each patient's unique anatomy.

The device, made from polycaprolactone (PCL), is intended to work with negative pressure wound therapy (NPWT) to help isolate the wound from intestinal effluents and promote healing, marking a novel approach in the treatment of these complex conditions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Using a bio-scanner and 3D printing to create an innovative custom made approach for the management of complex entero-atmospheric fistulas. Durán Muñoz-Cruzado, V., Calero Castro, FJ., Padillo Eguía, A., et al.[2020]

The study involved 5 patients aged 59 to 81 who received patient-specific three-dimensional stoma models for education after colorectal surgery, leading to improved understanding and self-reliance in managing their stomas.

Using these 3D models for education not only helped patients learn about their stomas and associated issues but also has the potential to reduce skin problems related to stoma care, highlighting the efficacy of personalized models in patient education.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Usefulness Of Three-Dimensional Printing Models for Patients with Stoma Construction. Tominaga, T., Takagi, K., Takeshita, H., et al.[2020]

The study successfully created accurate pelvic mirror physical models using rapid prototyping techniques based on CT images, demonstrating the feasibility of this manufacturing method.

Both the cadaver pelvis model and the experimental dog pelvis model closely resembled their real counterparts, indicating high precision in the modeling process.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[The manufacture of pelvic mirror physical model using rapid prototyping]. Liu, Z., Zhu, T., Zheng, W., et al.[2017]

The Ostomy Algorithm demonstrated strong construct validity, with an overall correct response rate of 84.23% among 297 registered nurses using real-life clinical scenarios, indicating its effectiveness as a decision-making tool.

Participants with varying levels of ostomy knowledge performed well, with those self-reporting basic knowledge achieving the highest accuracy (87.7%), suggesting the algorithm is user-friendly and beneficial for nurses at different expertise levels.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Construct validation of an interactive digital algorithm for ostomy care. Beitz, JM., Gerlach, MA., Schafer, V.[2019]

The Ostomy-Q, a new 23-item questionnaire developed to assess quality-of-life outcomes for ostomy appliance users, demonstrated good internal consistency and reliability in a validation study with 200 participants, indicating it is a valid tool for measuring health-related quality of life (HRQL) in this population.

The study found that the Ostomy-Q effectively captures the impact of ostomy appliances on users' lives, particularly in the domains of Discreetness, Comfort, Confidence, and Social Life, although further exploration of social relationships and discreetness items is suggested for future research.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Ostomy-Q: Development and Psychometric Validation of an Instrument to Evaluate Outcomes Associated with Ostomy Appliances. Nafees, B., Rasmussen, M., LLoyd, A.[2017]

The Bristol Stool Form Scale (BSFS) is widely used for describing stool consistency, but it is not suitable for individuals with ostomies, who manage their digestive output through external pouches.

To address this gap, the Lincoln Ostomy Output Consistency Scale (LOOCS) has been proposed, which aims to provide standardized descriptors for ostomy outputs, enhancing communication between patients and healthcare providers and improving clinical research outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Output Consistency Scale to Standardize Ostomate Output Description in Clinical Practice and Studies. Whisenhunt, LA., Xu, LH., Yang, F., et al.[2022]

The PRISMS eHealth program was found to be feasible and acceptable for cancer patients with new ostomies, with a high recruitment rate of 86.21% and a retention rate of 73.91% over a 60-day intervention period.

Patients using PRISMS reported improvements in physical and emotional well-being, while caregivers experienced a significant reduction in caregiver burden, suggesting that this intervention could enhance health outcomes during post-surgery care transitions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An eHealth symptom and complication management program for cancer patients with newly created ostomies and their caregivers (Alliance): a pilot feasibility randomized trial. Xu, S., Tan, X., Ma, C., et al.[2023]

In a study involving 25 adults with ileostomies, the novel ostomy barrier ring showed a trend towards improved skin condition, with 28% of participants reporting better skin after 4 weeks, despite not reaching statistical significance.

User experience was highly positive, with a median satisfaction score of 5 out of 5, indicating that participants found the barrier ring comfortable and effective in protecting their skin, suggesting potential for longer wear times.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluation of a Novel Ostomy Barrier Ring with Assisted Flow for Individuals with an Ileostomy. Quigley, M., Hannigan, A., Dowling, C., et al.[2023]

A new 5+1-axis 3D printing platform was developed to create support-free intestinal fistula stents, improving printing efficiency and quality compared to traditional methods.

The resulting stents demonstrated excellent mechanical properties, biocompatibility, and the ability to be customized for individual patients, making them a promising option for treating intestinal fistulas.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A 5 + 1-Axis 3D Printing Platform for Producing Customized Intestinal Fistula Stents. Hu, Q., Cui, J., Zhang, H., et al.[2023]

The study established a digital workflow for creating custom 3D-printed mouth opening tongue-depressing (MOTD) stents for head and neck cancer patients undergoing radiotherapy, showing a significant time efficiency improvement of over 60% compared to traditional CT scanning methods.

The 3D scanning method not only reduced time but also provided higher accuracy and reproducibility in stent design, making it a superior option for creating these devices, which can help expand their use in radiation oncology practices.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Creating customized oral stents for head and neck radiotherapy using 3D scanning and printing. Zaid, M., Bajaj, N., Burrows, H., et al.[2021]

Citations

1. trialx.com trialx.com/clinical-trials/listings/316122/3d-printed-personalized-ostomy-appliance/

3D Printed Personalized Ostomy Appliance Overview. The goal of this clinical trial is to learn about the effectiveness of using a 3D scan for a personal ostomy appliance.

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC10522416/

3D-Printing Applications in Ostomy Device Creation and ... 3D printing has a promising role in terms of management of these conditions and can improve outcomes in terms of recovery, fluid loss, and function.

3. withpower.com withpower.com/trial/phase-ostomy-2-2024-7a194

3D Printed Ostomy Appliance for Stoma Care (3DPPOA Trial) The goal of this clinical trial is to learn about the effectiveness of using a 3D scan for a personal ostomy appliance. The main question it aims to answer ...

4. emjreviews.com emjreviews.com/innovations/news/3d-printed-intelligent-ostomy-bags-improve-stoma-care/

3D-Printed Intelligent Ostomy Bags Improve Stoma Care 3D-printed ostomy bags reduced skin issues, leakage, and wearing time, and improved patient acceptance compared to traditional bags.

5. thieme-connect.com thieme-connect.com/products/ejournals/pdf/10.1055/s-0043-1775748.pdf

3D-Printing Applications in Ostomy Device Creation and ... 3D printing is used for ostomy creation, complex fistula management, creating prosthetics, tools, and patient-specific models for surgical ...