A pilot study to observe the use of a portable Pneumatic compression pump as part of self-management in swollen legs

ISRCTN ISRCTN13816594
DOI https://doi.org/10.1186/ISRCTN13816594
IRAS number 355616
Submission date
07/03/2025
Registration date
06/06/2025
Last edited
06/06/2025
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
The study aims to evaluate the use of the Haddenham Lymphflow Go device for managing lymphoedema or chronic venous insufficiency. This device helps reduce swelling in the limbs. It has been tested on healthy adults and is now being tested on people with these conditions to see if it is safe and effective.

Who can participate?
People can participate if they have a confirmed diagnosis of primary or secondary lymphoedema, oedema following trauma and/or sports injuries, post immobilization oedema, venous insufficiency, treatment and assistance in healing stasis dermatitis, venous stasis ulcers or arterial and diabetic ulcers, or phlebolymphoedema. They must also have the capacity to provide informed consent and follow instructions for using the device as stated in the instructions for use (IFU). Additionally, participants need to have good mobility, allowing them to lift their legs when sitting and safely position themselves on a treatment couch. Lastly, their BMI should be less than 32 kg/m².

What does the study involve?
Participants will attend an initial clinic appointment where they will read the Participant Information Sheet, sign a consent form, have their legs measured and photographed, complete a quality of life questionnaire, and use the device for one treatment cycle. They will then take the device home and use it daily for two weeks. After two weeks, they will return for a final appointment to repeat the measurements and return the device.

What are the possible benefits and risks of participating?
Potential benefits include improvement or maintenance of the condition. Risks include discomfort or pain from using the device, or device failure. Proper training and instructions will be provided to minimize these risks. If discomfort occurs, participants should stop using the device and contact the study team.

Where is the study run from?
The Lighter Touch, a private clinic in Malvern (UK)

When is the study starting and how long is it expected to run for?
November 2024 to September 2025

Who is funding the study?
Haddenham Healthcare Ltd. (UK)

Who is the main contact?
Natalie Phillips, MSc Lymphoedema RN, natalie@hadhealth.com

Contact information

Mrs Natalie Dawn Phillips
Public, Scientific, Principal Investigator

2 Little Road
South Littleton
Evesham
WR11 8YF
United Kingdom

ORCiD logoORCID ID 0000-0001-5269-8015
Phone +44 7359151323
Email natalie@lymphatic.co.uk

Study information

Study designResearch approach will utilise a mixed methods approach to collect data on both the effect of the intervention and the ease of use for the participant
Primary study designObservational
Secondary study designCohort study
Study setting(s)Other
Study typeSafety, Efficacy
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleA pilot evaluation on the safety and efficacy of the Haddenham Lymphflow Go pneumatic compression device in patients with lymphoedema and chronic venous insufficiency as part of self management.
Study hypothesisThis small pilot study aims to demonstrate safety and efficacy of the Lymphflow Go in a small cohort of patients, with and emphasis placed on the portability and usability of the device and whether the device is a useful adjunct to self-care which in turn will reduce the burden of self-management on the patient as visits to the clinical settings can be reduced, furthermore research has shown a reduction in infections associated with lymphoedema, which in turn reduces the burden on the health service.
Ethics approval(s)

Approved 14/05/2025, North of Scotland Research Ethics Committee 1 (Summerfield House, 2 Eday Road, Aberdeen, AB15 6RE, United Kingdom; +44 1224558458; gram.nosres@nhs.scot), ref: 25/NS/0042

ConditionLymphoedema and chronic venous insufficiency
InterventionDay 1- Initial Appointment
During the initial appointment (Day 1) participant will be asked to expose their legs for a series of measurements/procedures.
These measurements/procedures will consist of the following:
1. Limb volume measurements using a tape measure, to take circumference measurements of your legs at 4cm intervals, these will be documented on a spreadsheet which has formulas to calculate the overall limb volume measurements.
2. We will use a handheld device called a Lymph Scanner, which is a small probe placed onto the skin at several points to document overall tissue fluid content.
3. Photographs of the participants legs will be taken by digital camera and saved on an encrypted laptop. These will be of the limbs only, photographs of the face or any identifiers will not be obtained.
4. Participants will be asked to complete a quality of life questionnaire called LymQol.

Participants will be asked to confirm they are not pregnant, either by confirming medical history or by performing a pregnancy test. they will then be asked to read the instructions for use, apply the correctly sized device and complete one treatment cycle.
The participant will then be asked to take the device home with them.

Day 2 to Day 13- Home based Treatment
Use the device at home, every day for a period of 2 weeks.
They should continue with their normal self-management routine during this 2-week period. At the end of the home-based treatment period, they will return to the site.

Day 14- Final Appointment
The participant will return to the site for a final appointment (Day 14). During the visit, they will use the device for the final time and return the device to the investigators where measurements that were taken at the initial visit will be repeated.
Intervention typeDevice
Pharmaceutical study type(s)Not Applicable
PhasePhase II
Drug / device / biological / vaccine name(s)Haddenham Lympflow Go pneumatic compression device
Primary outcome measure1. Limb Volume measurements taken using a tape measure and inputted into LIMBSTAT at baseline and day 14
2. Percentage water content taken using the Delfin® Lymph Scanner® at set points throughout the limb taken at baseline and day 14
Secondary outcome measures1. Quality of life questionnaire using LYMQOL taken at baseline and day 14
2. Feedback questionnaire to be completed at the end of the study on day 14
Overall study start date01/11/2024
Overall study end date16/09/2025

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit90 Years
SexBoth
Target number of participants10
Participant inclusion criteria1. Confirmed diagnosis of Primary/Secondary Lymphoedema, Oedema following trauma and/or sports injuries, Post Immobilization Oedema, Venous Insufficiency, Treatment and Assistance in Healing Stasis Dermatitis, Venous, Stasis Ulcers or Arterial and Diabetic Ulcers, Phlebolymphoedema.
2. Have capacity to provide informed consent and follow instructions for using the device as stated in the instructions for use (IFU).
3. Have good mobility which allows to lift legs when sitting and safely position on a treatment couch.
4. BMI less than 32 kg/m².
Participant exclusion criteria1. Aged under 18 years old.
2. Do not have capacity to provide informed consent or follow the instructions in the IFU.
3. Have limited mobility which means participants are unable to lift their legs or safely position themselves on a treatment couch.
4. BMI over 32 kg/m².
5. History or active cardiovascular diseases: Heart Failure, Acute Venous Disease, Severe Peripheral Artery Disease
6. Active Skin or Limb Infection/Inflammatory Disease
7. Any circumstance where increased lymphatic or venous return is undesirable.
8. Pregnancy
Recruitment start date02/06/2025
Recruitment end date02/09/2025

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

The Lighter Touch
64 Worcester Road
Great Malvern
WR14 4AB
United Kingdom

Sponsor information

Louis Wakelin Haddenham Healthcare Ltd
Industry

4D Drakes Drive, Long Crendon
Aylesbury
HP18 9BA
England
United Kingdom

Phone +44 1844208843
Email louis.wakelin@hadhealth.com
Website https://www.hadhealth.com

Funders

Funder type

Industry

Haddenham Healthcare Ltd

No information available

Results and Publications

Intention to publish date10/05/2026
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryPublished as a supplement to the results publication
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe datasets generated and/or analysed during the current study will be published as a supplement to the results publication

Editorial Notes

06/06/2025: Trial's existence confirmed by North of Scotland Research Ethics Committee 1.