Sam Brusco, Associate Editor05.06.21
MY01 achieved U.S. Food and Drug Administration 510(k) clearance for the MY01 Continuous Compartment Pressure Monitor with full Bluetooth capabilities.
MY01's Continuous Compartment Pressure Monitor uses a proprietary technology to deliver a reliable, accurate continuous pressure microsensor directly within the muscle.2 It is a sterile, single-use device. The easy-to-use nature of the MY01 device allows organizations to allocate their healthcare resources to focus on more important activities. The MY01 device provides quick, reliable, and continuous pressure measurements to aid in diagnosis of Compartment syndrome.2
Acute Compartment Syndrome (ACS) is a true orthopedic emergency.3 Trauma is the most common cause of ACS.4 Following trauma, swelling may build up causing an increase in muscle pressure leading to ACS.5 Rapid diagnosis followed by prompt surgical decompression via a fasciotomy is critical to achieving favorable patient outcomes.6 In the U.S., it’s estimated there’s a prevalence of 500,000 cases per year that could be at-risk of Compartment Syndrome.
Some important considerations related to Acute Compartment Syndrome:
It’s important to employ new methods to detect Acute Compartment Syndrome or rule it out in a timely fashion.1 MY01 Continuous Compartmental Pressure Monitor provides the necessary immediate and timely information to aid physicians to monitor at-risk patients.1 Treatment delays and misdiagnosis are preventable with the device. The American Academy of Orthopaedic Surgeons (AAOS) recognizes use of continuous intra-compartmental pressure monitoring (Perfusion > 30mmHg) to assist in ruling out ACS.4
"I am so excited to be involved with the design of the MY01 device because it's easy to use and meets a need identified by almost all orthopaedic surgeons. I'm really enjoying using it in my hospital," Ed Harvey, M.D., an orthopedic surgeon based in Montreal (Canada) and the Co-Founder of MY01 told the press.
References
1 Mcqueen MM, Duckworth AD, Aitken SA, Court-Brown CM. The Estimated Sensitivity and Specificity of Compartment Pressure Monitoring for Acute Compartment Syndrome. The Journal of Bone and Joint Surgery. 2013;95(8):673-677. doi:10.2106/jbjs.k.01731
2 Merle G, Comeau-Gauthier M, Tayari V, et al. Comparison of Three Devices to Measure Pressure for Acute Compartment Syndrome. Military Medicine. 2020;185(Supplement_1):77-81. doi:10.1093/milmed/usz305
3 Harding MM. Acute compartment syndrome. The Nurse Practitioner. 2019;44(4):23-28. doi:10.1097/01.npr.0000554087.90202.2b
4 Osborn CPM, Schmidt AH. Management of Acute Compartment Syndrome. Journal of the American Academy of Orthopaedic Surgeons. 2020;28(3). doi:10.5435/jaaos-d-19-00270
5 Pechar J, Lyons MM. Acute Compartment Syndrome of the Lower Leg: A Review. The Journal for Nurse Practitioners. 2016;12(4):265-270. doi:10.1016/j.nurpra.2015.10.013
6 Torlincasi AM. Acute Compartment Syndrome. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK448124/. Published February 10, 2021.
7 Beebe MJ, Auston DA, Quade JH, et al. OTA/AO Classification Is Highly Predictive of Acute Compartment Syndrome After Tibia Fracture: A Cohort of 2885 Fractures. Journal of Orthopaedic Trauma. 2017;31(11):600-605. doi:10.1097/bot.0000000000000918
8 Cone J, Inaba K. Lower extremity compartment syndrome. Trauma Surgery & Acute Care Open. 2017;2(1). doi:10.1136/tsaco-2017-000094
9 Chung KC, Saddawi-Konefka D, Haase SC, Kaul G. A Cost-Utility Analysis of Amputation versus Salvage for Gustilo Type IIIB and IIIC Open Tibial Fractures. Plastic and Reconstructive Surgery. 2009;124(6):1965-1973. doi:10.1097/prs.0b013e3181bcf156
10 Igoumenou VG, Kokkalis ZT, Mavrogenis AF. Fasciotomy Wound Management. Compartment Syndrome. 2019:83-95. doi:10.1007/978-3-030-22331-1_9
11 Crespo AM, Manoli A, Konda SR, Egol KA. Development of Compartment Syndrome Negatively Impacts Length of Stay and Cost After Tibia Fracture. Journal of Orthopaedic Trauma. 2015;29(7):312-315. doi:10.1097/bot.0000000000000253
12 Dubina AG, Paryavi E, Manson TT, Allmon C, O'Toole RV. Surgical site infection in tibial plateau fractures with ipsilateral compartment syndrome. Injury. 2017;48(2):495-500. doi:10.1016/j.injury.2016.10.017
13 Iskandar K, Sartelli M, Tabbal M, et al. Highlighting the gaps in quantifying the economic burden of surgical site infections associated with antimicrobial-resistant bacteria. World Journal of Emergency Surgery. 2019;14(1). doi:10.1186/s13017-019-0266-x
14 Bhattacharyya T, Vrahas MS. The Medical-Legal Aspects Of Compartment Syndrome. The Journal of Bone and Joint Surgery-American Volume. 2004;86(4):864-868. doi:10.2106/00004623-200404000-00029
15 Little MTM, Lin CA, Vrahas MS. Legal Aspects of Compartment Syndrome. Compartment Syndrome. 2019:9-16. doi:10.1007/978-3-030-22331-1_2
16 Phair J, Carnevale M, Scher LA, Garg K. Malpractice Litigation for Compartment Syndrome. Annals of Vascular Surgery. 2020;67:143-147. doi:10.1016/j.avsg.2020.04.012
MY01's Continuous Compartment Pressure Monitor uses a proprietary technology to deliver a reliable, accurate continuous pressure microsensor directly within the muscle.2 It is a sterile, single-use device. The easy-to-use nature of the MY01 device allows organizations to allocate their healthcare resources to focus on more important activities. The MY01 device provides quick, reliable, and continuous pressure measurements to aid in diagnosis of Compartment syndrome.2
Acute Compartment Syndrome (ACS) is a true orthopedic emergency.3 Trauma is the most common cause of ACS.4 Following trauma, swelling may build up causing an increase in muscle pressure leading to ACS.5 Rapid diagnosis followed by prompt surgical decompression via a fasciotomy is critical to achieving favorable patient outcomes.6 In the U.S., it’s estimated there’s a prevalence of 500,000 cases per year that could be at-risk of Compartment Syndrome.
Some important considerations related to Acute Compartment Syndrome:
- Compartment syndrome is a potentially devastating and relatively common complication of fractures about the knee and tibial shaft (OTA 33,41,42).7
- Delayed diagnosis and treatment (late fasciotomy) can have catastrophic consequences for the patient with 5.4 percent of all cases leading to amputation.8 Amputations carry a lifetime cost of $600,000 and significant legal liability risk.9
- In some cases, because of current deficiencies with diagnosis, the physician will conduct prophylactic fasciotomies. These prophylactic fasciotomies leave patients with large scars that carry their own set of complications, adding unnecessary costs due to added length of stay.10
- On average, performing a fasciotomy on a tibia fracture patient will increase their length of stay by 8 days.11
- Fasciotomies can result in risk of surgical site infection to 25 percent.12 Surgical site infection is the third most costly type of healthcare-acquired infection (HAI) with an estimated added cost of $23,466 per case.13
- On average, an Acute Compartment Syndrome lawsuit rules in favor of the patient 33-55 percent of the time with damages awarded for litigation averaging over $1,550,000.14-16
It’s important to employ new methods to detect Acute Compartment Syndrome or rule it out in a timely fashion.1 MY01 Continuous Compartmental Pressure Monitor provides the necessary immediate and timely information to aid physicians to monitor at-risk patients.1 Treatment delays and misdiagnosis are preventable with the device. The American Academy of Orthopaedic Surgeons (AAOS) recognizes use of continuous intra-compartmental pressure monitoring (Perfusion > 30mmHg) to assist in ruling out ACS.4
"I am so excited to be involved with the design of the MY01 device because it's easy to use and meets a need identified by almost all orthopaedic surgeons. I'm really enjoying using it in my hospital," Ed Harvey, M.D., an orthopedic surgeon based in Montreal (Canada) and the Co-Founder of MY01 told the press.
References
1 Mcqueen MM, Duckworth AD, Aitken SA, Court-Brown CM. The Estimated Sensitivity and Specificity of Compartment Pressure Monitoring for Acute Compartment Syndrome. The Journal of Bone and Joint Surgery. 2013;95(8):673-677. doi:10.2106/jbjs.k.01731
2 Merle G, Comeau-Gauthier M, Tayari V, et al. Comparison of Three Devices to Measure Pressure for Acute Compartment Syndrome. Military Medicine. 2020;185(Supplement_1):77-81. doi:10.1093/milmed/usz305
3 Harding MM. Acute compartment syndrome. The Nurse Practitioner. 2019;44(4):23-28. doi:10.1097/01.npr.0000554087.90202.2b
4 Osborn CPM, Schmidt AH. Management of Acute Compartment Syndrome. Journal of the American Academy of Orthopaedic Surgeons. 2020;28(3). doi:10.5435/jaaos-d-19-00270
5 Pechar J, Lyons MM. Acute Compartment Syndrome of the Lower Leg: A Review. The Journal for Nurse Practitioners. 2016;12(4):265-270. doi:10.1016/j.nurpra.2015.10.013
6 Torlincasi AM. Acute Compartment Syndrome. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK448124/. Published February 10, 2021.
7 Beebe MJ, Auston DA, Quade JH, et al. OTA/AO Classification Is Highly Predictive of Acute Compartment Syndrome After Tibia Fracture: A Cohort of 2885 Fractures. Journal of Orthopaedic Trauma. 2017;31(11):600-605. doi:10.1097/bot.0000000000000918
8 Cone J, Inaba K. Lower extremity compartment syndrome. Trauma Surgery & Acute Care Open. 2017;2(1). doi:10.1136/tsaco-2017-000094
9 Chung KC, Saddawi-Konefka D, Haase SC, Kaul G. A Cost-Utility Analysis of Amputation versus Salvage for Gustilo Type IIIB and IIIC Open Tibial Fractures. Plastic and Reconstructive Surgery. 2009;124(6):1965-1973. doi:10.1097/prs.0b013e3181bcf156
10 Igoumenou VG, Kokkalis ZT, Mavrogenis AF. Fasciotomy Wound Management. Compartment Syndrome. 2019:83-95. doi:10.1007/978-3-030-22331-1_9
11 Crespo AM, Manoli A, Konda SR, Egol KA. Development of Compartment Syndrome Negatively Impacts Length of Stay and Cost After Tibia Fracture. Journal of Orthopaedic Trauma. 2015;29(7):312-315. doi:10.1097/bot.0000000000000253
12 Dubina AG, Paryavi E, Manson TT, Allmon C, O'Toole RV. Surgical site infection in tibial plateau fractures with ipsilateral compartment syndrome. Injury. 2017;48(2):495-500. doi:10.1016/j.injury.2016.10.017
13 Iskandar K, Sartelli M, Tabbal M, et al. Highlighting the gaps in quantifying the economic burden of surgical site infections associated with antimicrobial-resistant bacteria. World Journal of Emergency Surgery. 2019;14(1). doi:10.1186/s13017-019-0266-x
14 Bhattacharyya T, Vrahas MS. The Medical-Legal Aspects Of Compartment Syndrome. The Journal of Bone and Joint Surgery-American Volume. 2004;86(4):864-868. doi:10.2106/00004623-200404000-00029
15 Little MTM, Lin CA, Vrahas MS. Legal Aspects of Compartment Syndrome. Compartment Syndrome. 2019:9-16. doi:10.1007/978-3-030-22331-1_2
16 Phair J, Carnevale M, Scher LA, Garg K. Malpractice Litigation for Compartment Syndrome. Annals of Vascular Surgery. 2020;67:143-147. doi:10.1016/j.avsg.2020.04.012