Ambulatory SurgerySMART ANGEL 2NCT04068584
Evaluation of the Impact of the SMART ANGEL ™ Device on Follow-up at Home Following Major or Intermediate Outpatient Surgery
A study testing Smart Angel in people with Ambulatory Surgery, run by Centre Hospitalier Universitaire de Nīmes at 12 sites in France.
Trial summary
The investigators hypothesize that by monitoring and analyzing physiological parameters (heart rate, blood pressure, saturation) and well-being (pain, nausea, vomiting, comfort) the SMART ANGEL ™ device improves the quality of care after major or intermediate outpatient surgery. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Ambulatory Surgery
- What is being tested?
- Smart Angel
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,260 participants
- Where
- 12 sitesFrance
- Study dates
- 3 Feb 2020to 18 Nov 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The patient must have given their free and informed consent and signed the consent form
- The patient must be a member or beneficiary of a health insurance plan
- The patient is undergoing ambulatory surgery for:
- in orthopedics: shoulder (arthroscopy, abutment, prosthesis), hip (prosthesis, arthrolysis), knee (osteotomy, ligamentoplasty), ankle (prosthesis, ligamentoplasty) foot (hallux valgus); removal of major or multi-site equipment;
- digestive (cholecystectomy, hernia repair, partial gastrectomy, colectomy, cleaning);
- in gynecology (hysterectomy, oophorectomy, mastectomy, quadrantectomy, dissection, cystoplasty, sphincter);
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- in urology (total or partial resection of the prostate);
- ENT (thyroidectomy, tonsillectomy);
- Neurosurgery (herniated disc);
- Vascular (stripping varix, creating fistula).
- The patient has sufficient intellectual and cognitive capacity to use the devices
- The patient must pass the test performed during the anesthesia consultation, namely:
- open and connect the tablet,
- activate the measurement of the blood pressure and the measurement of the oxygen saturation,
- be connected to a 4G network
Who cannot join
- The subject is in a period of exclusion determined by a previous study
- The subject refuses to sign the consent
- It is impossible to give the subject informed information
- The patient is under safeguard of justice or state guardianship
- The patient is pregnant
- The patient is undergoing emergency or minor surgery
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- Patient has a psychological class ASA 5
- Patient is non-eligible for ambulatory surgery for medical reasons (decompensated medical pathology) or social reasons according to the criteria defined by the société française anesthésie réanimation. Person lives alone or has a geographical distance from a hospital center> 30 km (or> 45 min by car).
- Patient who doesn't classify for ambulatory surgery at time of discharge
Trial locations and contacts
12 sites in 1 country.
12 sites in 1 country
France12 sites
Clinique Bonnefon
Alès, 30100
Centre hospitalier universitaire Amiens-Picardie
Amiens, 80054
Hôpital Privé les Bonnettes
Arras, 62000
Centre Hospitalier Henri Duffaut
Avignon, 84000
CHU Lille
Lille, 59000
Hopital Nord
Marseille, 13915
Hôpital Lapeyronie
Montpellier, 34090
CHU de Nimes
Nîmes, 30029
Polyclinique Grand Sud
Nîmes, 30900
Institut Mutualiste Montsouris
Paris, 75674
CHU de Saint-Etienne
Saint-Etienne, 42055
Clinique St Jean
Saint-Jean-de-Védas, 34430
About this study
Official title: Evaluation of the Impact of the SMART ANGEL ™ Device on Follow-up at Home Following Major or Intermediate Outpatient Surgery: Randomized Controlled Open-label Trial
The investigators hypothesize that by monitoring and analyzing physiological parameters (heart rate, blood pressure, saturation) and well-being (pain, nausea, vomiting, comfort) the SMART ANGEL ™ device improves the quality of care after major or intermediate outpatient surgery. This active surveillance will result in a decrease in the rate of unplanned recourse (hospitalization, consultation, telephone call).
- Conditions
- Ambulatory Surgery
- Being tested
- Smart Angel
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Smart AngelOther
Patient issued with a tablet with the Smart Angel application to monitor clinical signs and symptoms
| Study group | Role | What they receive |
|---|---|---|
| Complete Smart Angel | Experimental | Smat Angel application with artificial intelligence Receives: Other: Smart Angel |
| Basic Smart Angel | Experimental | Smat Angel application without artificial intelligence Receives: Other: Smart Angel |
| Control | No intervention | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
Non-scheduled hospitalization rates between groups
%
Measured: Day 5
Number of non-scheduled consultations between groups
%
Measured: Day 5
Rates of calls with nurses between groups
%
Measured: Day 5
Rates of calls with doctors between groups
%
Measured: Day 5
Rates of unplanned prescriptions between groups
%
Measured: Day 5
Rates of unplanned exams between groups
%
Measured: Day 5
Secondary outcomes (14)
Rate of complications between groups
% patients reported any of: nausea, vomiting, constipation, allergy, shivering, insomnia, pain, fever, sore throat, lower back pain, headache, hypotension, bradycardia, hallucination, fainting, reopening of the incision, repeated surgery, abscess, bleeding, or bruising
Measured: Day 1
Rate of complications between groups
% patients reported any of: nausea, vomiting, constipation, allergy, shivering, insomnia, pain, fever, sore throat, lower back pain, headache, hypotension, bradycardia, hallucination, fainting, reopening of the incision, repeated surgery, abscess, bleeding, or bruising
Measured: Day 2
Rate of complications between groups
% patients reported any of: nausea, vomiting, constipation, allergy, shivering, insomnia, pain, fever, sore throat, lower back pain, headache, hypotension, bradycardia, hallucination, fainting, reopening of the incision, repeated surgery, abscess, bleeding, or bruising
Measured: Day 3
Rate of complications between groups
% patients reported any of: nausea, vomiting, constipation, allergy, shivering, insomnia, pain, fever, sore throat, lower back pain, headache, hypotension, bradycardia, hallucination, fainting, reopening of the incision, repeated surgery, abscess, bleeding, or bruising
Measured: Day 4
Rate of complications between groups
% patients reported any of: nausea, vomiting, constipation, allergy, shivering, insomnia, pain, fever, sore throat, lower back pain, headache, hypotension, bradycardia, hallucination, fainting, reopening of the incision, repeated surgery, abscess, bleeding, or bruising
Measured: Day 5
Rate of complications between groups
% patients reported any of: nausea, vomiting, constipation, allergy, shivering, insomnia, pain, fever, sore throat, lower back pain, headache, hypotension, bradycardia, hallucination, fainting, reopening of the incision, repeated surgery, abscess, bleeding, or bruising
Measured: Month 1
Rate of readmission between groups
Yes/No
Measured: Month 1
Date of return to work or other activity
Dd/mm/yyyy
Measured: 1 Month
Patient satisfaction
Visual Analog Scale 0-10
Measured: Day 6
Patient quality of life
EQ-5D-5L questionnaire taken over the phone
Measured: 1 month
Difficulties in using the device
In-house developed usage questionnaire assessing measurement difficulties, saving errors, connection problems, problem contacting care staff
Measured: Day 5
Requirement of external help in using the device
Description of person sought for advice
Measured: Day 5
Times spent on device
Hours; automatically calculated by device for time used for manipulation and time for navigation
Measured: Day 5
Technical errors arising
Automatically calculated by device
Measured: Day 5
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Aug 2019
- Study start3 Feb 2020
- Primary completion21 Oct 2024
- Study completion18 Nov 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Ambulatory SurgeryStudies of the same condition, open and under way.
- More trials run by Centre Hospitalier Universitaire de NīmesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 1,260 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire de Nīmes
- Sponsor type
- University, hospital or other
- Collaborators
- Evolucare Technologies
- Responsible party
- Sponsor
- Investigators
- Christhophe Boisson, Study director, CHU Nimes
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04068584
- Sponsor's protocol ID
- CIVI/2018/PC-01
- Acronym
- SMART ANGEL 2
- Status last verified
- May 2026
- First submitted
- 22 Aug 2019
- Last updated
- 14 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of the Impact of the SMART ANGEL ™ Device on Follow-up at Home Following Major or Intermediate Outpatient Surgery: Randomized Controlled Open-label Trial
- ClinicalTrials.gov ID
- NCT04068584
- Acronym / sponsor ID
- SMART ANGEL 2 / CIVI/2018/PC-01
- Conditions
- Ambulatory Surgery
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,260 participants (actual)
- Lead sponsor
- Centre Hospitalier Universitaire de NīmesUniversity, hospital or other
- Collaborators
- Evolucare Technologies
- Study start
- 3 Feb 2020 (actual)
- Primary completion
- 21 Oct 2024 (actual)
- Study completion
- 18 Nov 2024 (actual)
- First posted
- 28 Aug 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The investigators hypothesize that by monitoring and analyzing physiological parameters (heart rate, blood pressure, saturation) and well-being (pain, nausea, vomiting, comfort) the SMART ANGEL ™ device improves the quality of care after major or intermediate outpatient surgery. This active surveillance will result in a decrease in the rate of unplanned recourse (hospitalization, consultation, telephone call).
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Complete Smart Angel | Experimental | Other: Smart AngelSmat Angel application with artificial intelligence |
| Basic Smart Angel | Experimental | Other: Smart AngelSmat Angel application without artificial intelligence |
| Control | No intervention | – |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- The patient must have given their free and informed consent and signed the consent form
- The patient must be a member or beneficiary of a health insurance plan
- The patient is undergoing ambulatory surgery for:
- The patient has sufficient intellectual and cognitive capacity to use the devices
- The patient must pass the test performed during the anesthesia consultation, namely:
Key exclusion criteria (9 listed)
- The subject is in a period of exclusion determined by a previous study
- The subject refuses to sign the consent
- It is impossible to give the subject informed information
- The patient is under safeguard of justice or state guardianship
- The patient is pregnant
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Smart AngelPatient issued with a tablet with the Smart Angel application to monitor clinical signs and symptoms | Other | Basic Smart Angel, Complete Smart Angel |
Primary outcome
Non-scheduled hospitalization rates between groups
Time frame: Day 5
%
Number of non-scheduled consultations between groups
Time frame: Day 5
%
Rates of calls with nurses between groups
Time frame: Day 5
%
Rates of calls with doctors between groups
Time frame: Day 5
%
Rates of unplanned prescriptions between groups
Time frame: Day 5
%
Rates of unplanned exams between groups
Time frame: Day 5
%
14 secondary outcomes
Rate of complications between groups
Time frame: Day 1
Rate of complications between groups
Time frame: Day 2
Rate of complications between groups
Time frame: Day 3
Rate of complications between groups
Time frame: Day 4
Rate of complications between groups
Time frame: Day 5
Rate of complications between groups
Time frame: Month 1
Rate of readmission between groups
Time frame: Month 1
Date of return to work or other activity
Time frame: 1 Month
Patient satisfaction
Time frame: Day 6
Patient quality of life
Time frame: 1 month
Difficulties in using the device
Time frame: Day 5
Requirement of external help in using the device
Time frame: Day 5
Times spent on device
Time frame: Day 5
Technical errors arising
Time frame: Day 5
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 May 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Christhophe Boisson study director
CHU Nimes
12 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Smart Angel in people with Ambulatory Surgery, run by Centre Hospitalier Universitaire de Nīmes at 12 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 15 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 12 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Non-scheduled hospitalization rates between groups (time frame: Day 5). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 May 2026.