Assessment of Safety and Accuracy of the Microtech System in Patients Undergoing Left Ventricular Assist Device Implantation (Microtech-LVAD)
An Early Feasibility Trial to Assess the Safety and Accuracy of the Microtech System in Heart Failure Patients Undergoing Left Ventricular Assist Device Implantation
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Brenda Koltun Reuven
- Phone Number: +972542666688
- Email: brendak@medinol.com
Study Locations
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Petach Tikvah, Israel
- Rabin Medical Center
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New York
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New York, New York, United States, 10032
- Columbia University Medical Center/ NewYork Presbyterian Hospital or CUMC/NYPH
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient is scheduled to undergo an elective LVAD implantation via midline sternotomy based on routine practice at the participating center.
- Patient is characterized as INTERMACS profile 2 or greater.
- Patient is able and willing to provide written informed consent.
- Patient is willing and able to comply with all required post-procedure follow-up visits.
Exclusion Criteria:
- Pre-operative coagulopathy or thrombocytopenia
- For an intended LA implant, patient has a device implanted in the left atrial appendage (e.g., WATCHMAN or similar device) or a mechanical mitral valve
- Patient has an atrial myxoma
- Patient has pre-operative evidence of thrombus in the chamber in which the device is intended to be implanted
- Patient has a history of stroke or transient ischemic attack within 6 months prior to the index procedure
- History of systemic or pulmonary thromboembolism or deep vein thrombosis (DVT) within the last 6 months
- Patient has a history of congenital heart disease, including known atrial septal defect that is not corrected (including during the LVAD implantation procedure)
- Patient has severe mitral regurgitation (for an LA implant) or severe tricuspid regurgitation (for an RA implant) that is not intended to be corrected during the LVAD implantation
- Patient has known allergy to stainless steel or titanium
- Patient has noncardiac comorbidity that, in the opinion of the Principal Investigator, may limit life expectancy to less than 1 year
- Patient is pregnant or intends to become pregnant prior to completion of all protocol follow-up requirements
- Patient is participating in another investigational study that has not reached its primary endpoint
Intraoperative identification of any anatomical finding that would preclude safe access to, or closure of, the intended atrial chamber, or fixation of the device within the chamber including, but not limited to:
- Identification of thrombus in the atrium in which the device will be implanted
- Atrial anatomy deemed to be too thin or fragile to accept the implant
- Epicardial adhesions or any intraoperative finding that would complicate access or closure of the atrium in which the device is intended to be implanted
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Microtech System
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Microtech sensor implantation
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Co-Primary Efficacy Endpoint
Time Frame: 6 months
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6 months
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Co-Primary Safety Endpoint
Time Frame: 1 month
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1 month
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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The earliest post-operative day at which "valid" pressure measurements can be made from the Microtech implant
Time Frame: 1 month
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The earliest post-operative day at which "valid" pressure measurements can be made from the Microtech implant.
A "valid" pressure measurement will be defined as a signal for which the system indicates a "fidelity score" >0.7.
Details of the fidelity score are provided in the protocol
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1 month
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Accuracy of Microtech pressure measurements in comparison to those obtained simultaneously by pulmonary artery catheter
Time Frame: pre procedure, 3-6 months
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Accuracy of Microtech pressure measurements in comparison to those obtained simultaneously by pulmonary artery catheter (PAC; LAP from Microtech compared to PCWP from PAC, and RAP from Microtech and RAP from PAC or superior vena caval central line) at baseline and at a follow up between 3- and 6-months post implantation
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pre procedure, 3-6 months
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Accuracy of Microtech pressure measurements in comparison to those obtained simultaneously by pulmonary artery catheter
Time Frame: 1 year
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Accuracy of Microtech pressure measurements in comparison to those obtained simultaneously by pulmonary artery catheter (LAP from Microtech compared to PCWP from PAC, and RAP from Microtech and RAP from PAC or superior vena caval central line) at all follow visits from which data are available throughout the 1 year follow up period
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1 year
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Anatomic stability of the implant over the observation period
Time Frame: post operation, 1 month, 3-6 months, 9 months, 12 months
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Anatomic stability of the implant over the observation period, assessed by echocardiographic imaging at post-op, 1, 3-6, 9, 12 months follow-up visits
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post operation, 1 month, 3-6 months, 9 months, 12 months
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The incidence of device-related adverse events
Time Frame: 12 months
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The incidence of device-related adverse events through 1 year follow-up
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12 months
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Correlation of changes of sensor-measured atrial pressure
Time Frame: 1 month, 3-6 months , 9months and 12 month
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Correlation of changes of sensor-measured atrial pressure with the following clinical parameters performed on the 1, 3-6, 9 and 12 month follow up visits:
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1 month, 3-6 months , 9months and 12 month
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Usability of the system
Time Frame: baseline, 30-6 months, 12 months
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Usability of the system in order to obtain pressure measurements (Human Factors testing) at baseline, 3-6 months and 12 months visits
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baseline, 30-6 months, 12 months
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- Microtech-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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