Feasibility Study of the SEGER Device in Laparoscopic Gastrointestinal Surgery (SEGER-FIH)
A Prospective Study on the Usability and Clinical Outcomes of the SEGER IDEA™ Device for Enterotomy Closure
This is a first-in-human feasibility study designed to evaluate the safety and performance of the SEGER device in patients undergoing elective laparoscopic gastrointestinal surgery requiring intracorporeal anastomosis.
The study will include patients undergoing procedures such as small bowel-small bowel and colorectal anastomoses. The SEGER device is intended to facilitate closure of enterotomies and support intracorporeal anastomosis during minimally invasive surgery.
The primary objective of the study is to assess the safety of the device and its performance during surgery. Secondary objectives include evaluation of technical success, intraoperative usability, and early postoperative outcomes.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This is a prospective, single-arm, first-in-human feasibility study designed to evaluate the safety and performance of the SEGER device in patients undergoing elective laparoscopic gastrointestinal surgery requiring intracorporeal anastomosis.
The study will be conducted at a single clinical site in El Salvador. Eligible patients are adults undergoing elective laparoscopic procedures involving intracorporeal anastomosis, including but not limited to small bowel-small bowel (e.g., jejuno-jejunal) and colorectal anastomoses.
The SEGER device is intended to facilitate closure of enterotomies and support the creation of intracorporeal anastomoses during minimally invasive surgery. The device will be used intraoperatively according to the study protocol and the investigator's clinical judgment.
The primary objective of the study is to evaluate the safety of the device, including the incidence of device-related and procedure-related adverse events. Secondary objectives include assessment of device performance, technical success, intraoperative usability, and early postoperative outcomes.
Patients will be followed postoperatively according to the study protocol to assess clinical outcomes and recovery. Data collected will include intraoperative parameters, device performance metrics, and postoperative clinical outcomes.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Tal Lavi, Ph.D.
- Phone Number: +972527465388
- Email: talnewmail@gmail.com
Study Contact Backup
- Name: Jeniffer Bonilla, B.Sc.
- Phone Number: +50370983254
- Email: jeadrobo13@gmail.com
Study Locations
-
-
-
San Salvador, El Salvador
- Recruiting
- Hospital Nacional Zacamil
-
Contact:
- Alfredo Brito, MD
- Phone Number: +503 7854 4546
- Email: alfredopinedabrito@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Adults (e.g., age 18-80) who are candidates for
- Laparoscopic ileocolic resection
- Laparoscopic right hemicolectomy
- Elective laparoscopic small bowel-small bowel anastomosis (including jejuno-jejunostomy and ileo-ileal anastomosis) performed as part of gastric bypass surgery (a maximum of 40% of the total enrolled population may consist of bariatric (gastric bypass) cases).
- The surgeon has determined that an intracorporeal anastomosis is appropriate for the case,
- The patient is able to provide informed consent and is willing to participate in the study, and
- The patient has no condition that would preclude safe use of the device.
Exclusion Criteria:
- Patients in emergency surgery situations (urgent cases where study enrollment and the careful use of a new device are not feasible),
- Patients with extensive intra-abdominal adhesions or anatomical abnormalities that would make intracorporeal anastomosis technically impossible,
- Patients with a known hypersensitivity to titanium or stainless steel (although rare, this relates to staple/anvil materials),
- Pregnant patients.
- Patients with severe uncontrolled coagulopathy or other high-risk medical conditions that, in the judgment of the investigator and surgical team, do not allow for a safe surgical procedure
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Device Feasibility
- 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 |
|---|---|
|
Experimental: SEGER Device
The SEGER device is used intraoperatively during laparoscopic gastrointestinal surgery to facilitate closure of enterotomies and support intracorporeal anastomosis.
|
The SEGER device is an investigational surgical device used during laparoscopic gastrointestinal procedures to facilitate intracorporeal closure of enterotomies and support small bowel anastomosis.
The device is applied intraoperatively as part of the surgical workflow.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of anastomotic leaks
Time Frame: Within 30 days post-surgery
|
Incidence of anastomotic leaks within 30 days post-surgery, assessed by clinical symptoms, imaging findings, or need for reoperation.
|
Within 30 days post-surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Technical success rate
Time Frame: Intraoperative
|
Proportion of procedures with successful deployment of the SEGER IDEA™ device without intraoperative complications.
|
Intraoperative
|
|
Incidence of postoperative complications
Time Frame: Within 30 days post-surgery
|
Incidence of postoperative complications including bleeding, infection, stricture formation, or device-related adverse events.
|
Within 30 days post-surgery
|
|
Time to complete enterotomy closure
Time Frame: Intraoperative
|
Time from device deployment to completion of enterotomy closure.
|
Intraoperative
|
|
Length of hospital stay
Time Frame: Up to 30 days post-surgery
|
Number of days from surgery to hospital discharge.
|
Up to 30 days post-surgery
|
|
Need for additional intraoperative interventions
Time Frame: Intraoperative
|
Use of additional techniques such as reinforcement suturing or alternative closure methods.
|
Intraoperative
|
|
Patient recovery outcomes
Time Frame: Within 30 days post-surgery
|
Time to return to normal diet, bowel function, and physical activity.
|
Within 30 days post-surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Francisco José Alabi Montoya, MD, Hospital Nacional Zacamil
- Study Director: Barry Salky, MD, Icahn School of Medicine at Mount Sinai
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
Keywords
Other Study ID Numbers
Other Study ID Numbers
- SS-Pr-01
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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