- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02278640
Harmonic ACE®+7 Shears in Laparoscopic Hysterectomy
Prospective, Multicenter, Study Evaluating Vessel Sealing Utilizing the Harmonic ACE®+7 Shears During Total Laparoscopic Hysterectomy
This is a prospective, non-randomized, single arm, multicenter, study to assess the initial clinical experience with the Harmonic ACE®+7 Shears by evaluating vessel sealing during total laparoscopic hysterectomy. The study will not modify or influence current surgeon technique. Investigators will perform each procedure using the device in compliance with their standard surgical approach and product labeling.
The Harmonic ACE®+7 Shears is cleared for commercial distribution and will be used in accordance with approved product labeling. The Harmonic ACE®+7 Shears will be assembled, calibrated, and/or used in accordance with manufacturer design specifications, product instructions and guidelines
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Population: Subjects enrolled into this study will undergo elective total laparoscopic hysterectomy for benign indications wherein dissection and transection of the uterine vasculature is indicated.
Primary Variables: Percentage of subjects achieving hemostasis at the named vessel/pedicle (UA or UP) on the left side. Percentage of subjects achieving hemostasis at the named vessel/pedicle (UA or UP) on the right side.
Definition: Hemostasis of the named vessel or pedicle is a dichotomous variable (i.e. yes or no). "Yes" is defined as the hemostatic transection of the uterine vasculature (left / right) with at least one use of the device in Advanced Hemostasis mode (a completed cycle with the second activation tone heard) without the use of additional hemostatic measures (i.e. tissue sealers, cautery devices, hemoclips, staples, sutures, fibrin sealants, etc.) other than the Harmonic ACE®+7 device.
Note: Multiple applications of the Advanced Hemostasis mode and/or additional applications of the device in a maximum (MAX) or minimum (MIN) mode are allowed.
Secondary Endpoints:
Percentage of subjects achieving hemostasis at the OP on the left and/or right side.
If the study procedure also includes the transection and sealing of one or both OPs, hemostasis of the left and/or right OP will also be recorded. Hemostasis of the OP is a dichotomous variable (i.e. yes or no). "Yes" is defined as the hemostatic transection of the ovarian vasculature (left and/or right) with at least one use of the device in Advanced Hemostasis mode (a completed cycle with the second activation tone heard) without the use of additional hemostatic measures (i.e. tissue sealers, cautery devices, hemoclips, staples, sutures, fibrin sealants, etc.).
Note: Multiple applications of the Advanced Hemostasis mode or the device in a MAX or MIN mode are allowed.
Exploratory endpoints include:
Requirement for additional measures to obtain hemostasis on the named vessel/pedicle (UA or UP and/or OP) on the left and right side Use of other energy devices (tissue sealers, cautery devices) - Graded as yes or no; if "yes", the name and type, time of application (24 hour clock).
Use of additional hemostatic products (e.g. hemoclips, staples, sutures, fibrin sealants) - Graded as yes or no; if "yes", the name and type, number/volume, and time of application (24 hour clock).
Complications associated with vaginal cuff healing including dehiscence or separation, infection, cellulitis, abscess, inflammation, and granulation associated with each suture used as part of the study.
Adverse events attributed to the study device or procedure will be collected from time of surgery to Visit 4 (Approximately 4 to 6 weeks after study surgery or as per standard of care (SOC)).
No formal sample size determination is required for this study. Approximately 40 subjects from the United States and the European Union are planned to be enrolled into this study.
Global indication for use of the The Harmonic ACE®+7, 5mm Diameter Shears with Advanced Hemostasis:
Indicated for soft tissue incisions when bleeding control and minimal thermal injury are desired. The instruments can be used as an adjunct to or substitute for electrosurgery, lasers and steel scalpels in general, plastic, pediatric, gynecologic, urologic, thoracic, exposure to orthopedic structures (such as spine and joint space), sealing and transection of lymphatic vessels, and other open and endoscopic procedures. The instruments allow for the coagulation of vessels up to and including 7mm in diameter, using the Advanced Hemostasis function.
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Nijmegen, Netherlands
- Gynaecoloog (aandachtsgebied: endoscopische chirurgie)
-
-
-
-
-
Surrey, United Kingdom
- The Royal Surrey County Hospital NHS Trust
-
-
-
-
Florida
-
Celebration, Florida, United States, 34747
- Florida Hospital Celebration Health
-
-
Illinois
-
Schaumburg, Illinois, United States, 60173
- The Advanced Gynecological Surgery Institute
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Subjects satisfying all of the following criteria will be considered the screening population and will be eligible for participation in this study:
- Indicated for elective total laparoscopic hysterectomy
- Age >=40 years and no future desire for fertility
Exclusion Criteria:
Subjects with any of the following criteria will be excluded from the study:
Preoperative exclusion criteria:
- Known or suspected uncontrolled bleeding disorders
- Subjects unlikely to comply with protocol procedures or adhere to the study visit schedule
- Any condition rendering a subject unable to understand the nature, scope, and possible consequences of the study or study procedures
- Any Subject unwilling to sign the study informed consent document
- Any suspected malignancy
Any Subject of childbearing potential with a positive or serum pregnancy test within 24 hours prior to surgery
Intra-operative exclusion criteria:
- Any intra-operative findings identified by the surgeon that may preclude conduct of the study procedure
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Harmonic ACE®+7 Shears
Single Arm study using Harmonic ACE for dissection and transection in Hysterectomy
|
Vessel/pedicle sealing performance assessed for transection and sealing of the of the uterine vasculature.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of Subjects Achieving Hemostasis at the Named Vessel/Pedicle (UA or UP) on the Left Side.
Time Frame: Intraoperative
|
Hemostasis of the named vessel or pedicle is a dichotomous variable (i.e.
yes or no).
"Yes" is defined as the hemostatic transection of the uterine vasculature (left / right) with at least one use of the device in Advanced Hemostasis mode (a completed cycle with the second activation tone heard) without the use of additional hemostatic measures (i.e.
tissue sealers, cautery devices, hemoclips, staples, sutures, fibrin sealants, etc.) other than the Harmonic ACE®+7 device.
Multiple applications of the Advanced Hemostasis mode and/or additional applications of the device in a maximum (MAX) or minimum (MIN) mode are allowed.
|
Intraoperative
|
Percentage of Subjects Achieving Hemostasis at the Named Vessel/Pedicle (UA or UP) on the Right Side.
Time Frame: Intraoperative
|
Hemostasis of the named vessel or pedicle is a dichotomous variable (i.e.
yes or no).
"Yes" is defined as the hemostatic transection of the uterine vasculature (left / right) with at least one use of the device in Advanced Hemostasis mode (a completed cycle with the second activation tone heard) without the use of additional hemostatic measures (i.e.
tissue sealers, cautery devices, hemoclips, staples, sutures, fibrin sealants, etc.) other than the Harmonic ACE®+7 device.
Multiple applications of the Advanced Hemostasis mode and/or additional applications of the device in a maximum (MAX) or minimum (MIN) mode are allowed.
|
Intraoperative
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of Subjects Achieving Hemostasis at the Ovarian Pedicle on the Left Side.
Time Frame: Intraoperative
|
Hemostasis of the named vessel or pedicle is a dichotomous variable (i.e.
yes or no).
"Yes" is defined as the hemostatic transection of the uterine vasculature (left / right) with at least one use of the device in Advanced Hemostasis mode (a completed cycle with the second activation tone heard) without the use of additional hemostatic measures (i.e.
tissue sealers, cautery devices, hemoclips, staples, sutures, fibrin sealants, etc.) other than the Harmonic ACE®+7 device.
Multiple applications of the Advanced Hemostasis mode and/or additional applications of the device in a maximum (MAX) or minimum (MIN) mode are allowed.
|
Intraoperative
|
Percentage of Subjects Achieving Hemostasis at the Ovarian Pedicle on the Right Side.
Time Frame: Intraoperative
|
Hemostasis of the named vessel or pedicle is a dichotomous variable (i.e.
yes or no).
"Yes" is defined as the hemostatic transection of the uterine vasculature (left / right) with at least one use of the device in Advanced Hemostasis mode (a completed cycle with the second activation tone heard) without the use of additional hemostatic measures (i.e.
tissue sealers, cautery devices, hemoclips, staples, sutures, fibrin sealants, etc.) other than the Harmonic ACE®+7 device.
Multiple applications of the Advanced Hemostasis mode and/or additional applications of the device in a maximum (MAX) or minimum (MIN) mode are allowed.
|
Intraoperative
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- ENG-14-002
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.
Clinical Trials on Benign Disease Where Total Hysterectomy is Indicated
-
Istanbul UniversityUniversity of SurreyCompletedTotal Laparoscopic Hysterectomy | Benign ConditionsTurkey
-
Ethicon Endo-SurgeryCompletedBenign or Malignant Disease Indicated for ColectomyUnited States, Belgium, United Kingdom
-
University Hospital, Strasbourg, FranceUnknownWomen Who Undergo a Laparoscopic Hysterectomy for Benign Disease.France
-
Hospital de Concentracion Norte de PetroleosCompletedAbdominal Hysterectomy for Benign DiseaseMexico
-
SymBio PharmaceuticalsCompletedLow-grade B Cell Non-Hodgkin's Lymphoma | Mantle Cell Lymphoma Where Hematopoietic Stem Cell Transplantation is Not IndicatedJapan
-
Ospedale Regina ApostolorumCompletedBenign Thoroid Disease Requiring Total ThyroidectomyItaly
Clinical Trials on Harmonic ACE®+7 Shears
-
Ethicon Endo-SurgeryCompletedBenign or Malignant Disease Indicated for ColectomyUnited States, Belgium, United Kingdom
-
Centre hospitalier de l'Université de Montréal...Ethicon Endo-Surgery; Centre de Recherche du Centre Hospitalier de l'Université...Completed
-
Samsung Medical CenterUnknownStomach Cancer | Gastrectomy | Ultrasonic Coagulating ShearsKorea, Republic of
-
Centre hospitalier de l'Université de Montréal...Johnson & JohnsonCompleted
-
Centre hospitalier de l'Université de Montréal...Centre de Recherche du Centre Hospitalier de l'Université de MontréalCompleted
-
Centre hospitalier de l'Université de Montréal...Centre de Recherche du Centre Hospitalier de l'Université de MontréalCompleted
-
Hospital Universitari de BellvitgeUnknown
-
Ethicon Endo-SurgeryRecruitingPediatric Procedures | Adult Hepato-pancreato-biliary (HPB) Procedures | Adult Lower Gastrointestinal Procedures | Adult Gastric Procedures | Adult Gynecological Procedures | Adult Urological Procedures | Adult Thoracic ProceduresUnited States, Canada, United Kingdom
-
Yonsei UniversityUnknownHead and Neck CancerKorea, Republic of
-
Seoul St. Mary's HospitalUnknownThyroid CancerKorea, Republic of