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CTRI Number  CTRI/2026/03/106742 [Registered on: 23/03/2026] Trial Registered Prospectively
Last Modified On: 20/03/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Single Arm Study 
Public Title of Study   A study to evaluate the safety and effectiveness of a device that delivers medicines and fluids through the bone instead of a vein in patients who need emergency treatment. 
Scientific Title of Study   Prospective, Open Label, Single Arm, Interventional, Single Centre, Pilot Study to Evaluate the Safety, and Effectiveness of Ozyn-DTM, a Novel Intraosseous device for delivery of Medications and fluids 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
Protocol No. 01-Version-04 dated 26 February 2026  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Prakash Ranjan Mishra 
Designation  Principal Investigator & Associate Professor 
Affiliation  All India Institute of Medical Sciences, New Delhi 
Address  H.O.D. Office (EM-2), Department of Emergency Medicine, Ground Floor, All India Institute of Medical Sciences, Ansari Nagar, New Delhi

South
DELHI
110029
India 
Phone  918826118924  
Fax    
Email  ranjan.prakashmishra@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Prakash Ranjan Mishra 
Designation  Principal Investigator & Associate Professor 
Affiliation  All India Institute of Medical Sciences, New Delhi 
Address  H.O.D. Office (EM-2), Department of Emergency Medicine, Ground Floor, All India Institute of Medical Sciences, Ansari Nagar, New Delhi

South
DELHI
110029
India 
Phone  918826118924  
Fax    
Email  ranjan.prakashmishra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Jayant Sitaram Karve 
Designation  Director and CEO 
Affiliation  RCupe Lifesciences Private Limited 
Address  Unit NO 1301, Ardent Office One Hoodi circle, Mahadevapura

Bangalore
KARNATAKA
560048
India 
Phone  918317438104  
Fax    
Email  jayant.karve@rcupe.com  
 
Source of Monetary or Material Support  
Indian Council of Medical Research, New Delhi 
 
Primary Sponsor  
Name  Indian Council of Medical Research 
Address  Ansari Nagar, New Delhi, Delhi-110029 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Prakash Ranjan Mishra  All India Institute of Medical Sciences, New Delhi   Department of Emergency Medicine, Ground Floor, All India Institute of Medical Sciences, Ansari Nagar, New Delhi
South
DELHI 
918826118924

ranjan.prakashmishra@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
All India Institute of Medical Sciences, New Delhi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I999||Unspecified disorder of circulatory system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NA  NA 
Intervention  Ozyn-D™, is a novel Intraosseous (IO)  The Ozyn-D™, intraosseous device is primarily used during medical emergencies as an alternative to unsuccessful or difficult intravenous access for allowing access to circulation to infuse fluids and medications. The device will be inserted at time 0 and removed at 24 hours post-insertion or until intravenous access is available, and whichever is earlier 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Following subjects will be included in the study: 1. Adult male or female subjects greater than or equal to 18 years of age.
2.Visiting emergency department and requiring vascular access, in whom attempts to secure IV access have failed after performing 3 attempts.
3. Must be able to comply with the study related
procedures.
4. Subject or the legally accepted representative
willing to provide written Informed Consent before any study-specific tests or procedures are performed. 
 
ExclusionCriteria 
Details  Following subjects will be excluded from the study:
1. Patients below 18 years.
2. Areas of cellulitis, burns, or infection at the target site of IO access.
3. Pregnant or lactating women.
4. Subject who is currently participating or have participated in an investigational study, other than this study, within the past 60 days.
5. Known or suspected immuno-compromised subjects
6. Known/suspected case of bleeding &/or coagulation disorders
7. Known/suspected case of multiple myeloma, metastatic diseases.
8. Known/suspected case of pathophysiological conditions at skin,bone, or tissue at or near target site
9. Known/suspected patients with intracardiac shunts.
10. Patients with known/suspected fracture or vascular injury distal or proximal to the target site.
11. Any condition not found appropriate as per the Investigator discretion.
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Safety of Ozyn-D™ will be assessed by:
i. Frequency, incidence and severity of device,patient and
procedure related complications and other adverse events.
ii. Evidence of problem-free infusion of fluids
without soft tissue swelling
Adverse events will be assessed on a
continuous basis from the procedure through
the study completion. 
The observation will be made right after insertion, at 30 min, 1 hour, 2 hour and 4 hours post insertion. 
 
Secondary Outcome  
Outcome  TimePoints 
Effectiveness of Ozyn-D™ as determined by
problem free infusion of
at least 50 mL of fluids through the IO route
without any adverse
event 
The observations will be made right after insertion, at
30 min, 1 hour, 2 hours and 4 hours post insertion 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   01/05/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
The above-mentioned studies had certain limitations. The IO device was evaluated in adult human
cadavers. While there are significant learnings from the above studies, these results cannot be extrapolated to the patients, clinically.
Owing to the human cadaver, the occurrence of other live patient-related complications such as
hematoma, infection, fat embolism could not be assessed. However, such complications have been reported to be rare with IO insertion. In the feasibility study discussed above, all insertions were done by a single operator.
The device needs to be tested in patients to study the safety and effectiveness in performing its
intended action. This forms the basis of the present study to evaluate the safety and efficacy of
this device in patients where it is indicated for clinical use.
 
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