Compression Device for Hand Injuries

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: Nova Scotia Health Authority

Disqualifiers: Bone, nerve, blood vessel, others

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

Compensation: Varies

Number of Visits: 1

Duration: Single session

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to evaluate the effectiveness of a compression device for removing stuck rings from fingers. People often use ice, lubricants, or string to remove a ring, but these methods can be inconsistent. The compression device, already in use in Canada, gently squeezes the finger to reduce swelling, facilitating ring removal. Suitable candidates for this trial include individuals at the QEII emergency department who need assistance with a stuck ring. The trial will also monitor any side effects and assess patient comfort and satisfaction with the device. As an unphased trial, this study allows participants to contribute to innovative solutions for common emergencies.

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 using a compression device for ring removal, so it's unlikely that your medications would be affected.

What prior data suggests that this compression device is safe for ring removal?

Research shows that the compression device used to remove rings is generally easy for people to use. One study found that the device effectively reduced finger swelling, allowing rings to be removed without harm. This method avoids cutting the ring, which can sometimes cause minor injuries.

However, using compression devices carries some risks. For instance, they can increase the chance of infection if not used correctly. Careful use can reduce this risk. Overall, the compression device is considered a safe option for many people needing to remove rings, with past reports showing successful results without major side effects. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Most treatments for hand injuries that require ring removal involve lubrication, cutting devices, or manual techniques that can be time-consuming or potentially damaging to the skin. However, the new compression device stands out because it offers a non-invasive and potentially quicker solution. This device works by applying uniform pressure around the finger, which reduces swelling and allows the ring to be easily removed without the need for cutting. Researchers are excited about this approach because it minimizes trauma to the finger and could significantly reduce the time needed for ring removal, making it a safer and more efficient option for patients.

What evidence suggests that this compression device is effective for removing stuck rings?

Research has shown that compression devices can reduce finger swelling, making it easier to remove a stuck ring. Studies have found that traditional methods, such as using lubrication or string, often fail, while compression devices succeed more frequently without injuring the finger. Reports highlight that these devices can shrink the swollen finger, allowing for safer and quicker ring removal. Early findings suggest that using a compression device leads to a better experience, with less pain and greater satisfaction. Overall, these devices offer a promising alternative to traditional ring removal methods. ^{1 4 6 7 8}

Are You a Good Fit for This Trial?

This trial is for people who come to the QEII emergency department with a ring stuck on their finger or those needing clinical help to remove a ring due to health conditions. It's not suitable for individuals where using the compression device isn't safe.

Inclusion Criteria

Criterion: People who come to the QEII emergency department with a ring stuck on their finger or have a health condition that requires a ring to be removed by a clinician.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants undergo ring removal using a compression device

Single session

1 visit (in-person)

Follow-up

Participants are monitored for any side effects and satisfaction post ring removal

1 year

What Are the Treatments Tested in This Trial?

Interventions

• Compression Device

Trial Overview The study tests how well a compression device can remove rings that are stuck on fingers. The device compresses the finger, reducing swelling and allowing removal after applying lubricant. Success rates and patient experiences like pain and satisfaction will be recorded.

How Is the Trial Designed?

Group I: Participants Experimental Treatment 1 Intervention

Individuals requiring ring removal.

Who Is Running the Clinical Trial?

Nova Scotia Health Authority

Lead Sponsor

Trials

302

Recruited

95,300+

Published Research Related to This Trial

In a pilot study involving eight chronic stroke patients who completed 18 sessions with the Hand Exoskeleton Rehabilitation Robot, significant improvements were observed in hand function, including range of motion and grip strength, indicating the robot's potential efficacy in rehabilitation.

A subgroup of six patients with lower muscle tone showed even greater gains in hand function, suggesting that the intervention may be particularly beneficial for individuals with specific characteristics, although further research is needed to optimize treatment for those with higher levels of impairment.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Clinical effects of using HEXORR (Hand Exoskeleton Rehabilitation Robot) for movement therapy in stroke rehabilitation. Godfrey, SB., Holley, RJ., Lum, PS.[2016]

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC8916924/

Compression Devices as an Alternative Approach After ... A new approach to ring removal involves using a compression device (CD) to reduce the edema and overall size of the affected finger before attempting removal.

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12103063/

Case Series Analysis of Advanced Ring Removal ... This case series demonstrates that conventional ring removal techniques, such as compression, traction, lubrication, and rotation, are frequently ineffective.

3. jems.com jems.com/ems-operations/ems-equipment-gear/a-novel-approach-to-ring-removal/

A Novel Approach to Ring Removal: Compression Device This case series introduces a novel device that uses compression to reduce the impact of finger swelling on ring removal and allow removal without injury.

4. sciencedirect.com sciencedirect.com/science/article/abs/pii/S0735675720306331

A comparative study of two tools for ring tourniquet removal This study is the first to compare efficacy, satisfaction and complications of two standard tools for removal of ring tourniquets.

5. aging.networkofcare.org aging.networkofcare.org/sanmateo/CommunityResources/ClinicalTrials/Detail/NCT04728607?keyword=%22Injuries%22

Use of a Compression Device for Ring Removal The purpose of this study is to evaluate how effective a compression device is at removing stuck rings.~The study question is: how effective is a compression ...

6. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC7383414/

Risks and contraindications of medical compression treatment The occlusive barrier effect of compression devices in the toe area may add to the risk of infection, which may be mitigated by toe-free compression.

7. internetbookofemergencymedicine.com internetbookofemergencymedicine.com/wp-content/uploads/2022/11/hendrickson_pmid36045023_2022_gottlieb.pdf

Ring Removal: A Comprehensive Review of Techniques Step 1 Pass the device's safety lever underneath the ring to protect the digit from blade injury. Step 2 Hold the handle of the device with one ...

8. cureus.com cureus.com/articles/357602-from-entrapment-to-relief-case-series-analysis-of-advanced-ring-removal-techniques-in-delayed-ring-entrapment-presentations

From Entrapment to Relief: Case Series Analysis ... This case series demonstrates that conventional ring removal techniques, such as compression, traction, lubrication, and rotation, are frequently ineffective.