- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03515811
A Post Market Study to Confirm the Safety and Performance of the Signia™ Stapling System.
To Confirm the Safety and Performance of the Signia™ Stapling System Using Signia™ Intelligent Loading Units With Tri-Staple™ 2.0 Intelligent Reloads in Abdominal and Thoracic Procedures.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Quebec
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Québec, Quebec, Canada, G1V4G5
- Institut Universitaire De Cardiologie Et De Pneumologie De Québec
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Monza, Italy, 20900
- Azienda Ospedaleria San Gerardo
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Sevilla, Spain, 41009
- Hospital Universitario Virgen Macarena
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Sevilla, Spain, 41009
- Hospital Universitario del Rocio
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Blackpool, United Kingdom, NE2 4NQ
- Blackpool Victoria Hospital
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California
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Los Angeles, California, United States, 90048
- Cedars Sinai Medical Center
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New York
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Albany, New York, United States, 12208
- Albany Medical College
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North Carolina
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Cary, North Carolina, United States, 27518
- WakeMed Bariatric Specialists of North Carolina
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Chapel Hill, North Carolina, United States, 27599
- UNC Chapel Hill
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Durham, North Carolina, United States, 27710
- Duke Regional Hospital
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Virginia
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Falls Church, Virginia, United States, 22042
- Inova Fairfax Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Adults (male or female) between 22 and 80 years of age inclusive at the time of the procedure.
- The subject must be willing and able to participate in the study procedures and to understand and sign the informed consent.
- The subject is scheduled to undergo an indicated primary abdominal or thoracic procedure for resection, transection and creation of anastomosis per the IFU where the Signia™ Stapling System with Endo GIA™ with Tri-Staple™ Technology and Tri-Staple™ 2.0 Intelligent Reloads will be used per its IFU.Additionally, if considered appropriate for the procedure only Medtronic buttresses can be used during the course of the study.
3a. Thoracic procedures may include, but are not limited to wedge resection and lobectomy, and may include video assisted thoracic surgery (VATS) or open procedures.
3b. Abdominal procedures may include, but are not limited to, laparoscopic sleeve gastrectomy (LSG), laparoscopic Roux-en-Y gastric bypass (LRYGB).
Exclusion Criteria:
- Subjects undergoing cardiac and vascular procedures.
- The procedure is an emergency procedure.
- The procedure is a revision/reoperation of a primary operation..
- Any female subject who is pregnant. 4a. Females of child-bearing potential will be required to undergo either a urine pregnancy test or serum pregnancy test during Screening and confirmed on the day of operation (except for subjects who are surgically sterile or are post-menopausal for at least two years) (USA only) and per EU local requirements.
- Any subject who is considered to be part of a vulnerable population (e.g. prisoners or those without sufficient mental capacity).
- The subject is unable or unwilling to comply with the study requirements or follow-up schedule.
- The subject has comorbidities which, in the clinical judgment of the Investigator, will not be appropriate for the study or the subject has an estimated life expectancy of less than 6 months.
- The subject has been diagnosed with a bleeding disorder and/or is undergoing active and not reversed anticoagulant treatment.
- The subject is concurrently enrolled in another investigational drug or device research study or has been enrolled in another study within 30 days of enrollment.
- Pre-existing/chronic conditions specific to Tri-Staple™ 2.0 Reload contraindications as described in the IFU.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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Abdominal
Signia™ Stapling System using Signia™ Intelligent Loading Units with Tri-Staple™ 2.0 Intelligent Reloads. Abdominal (approximately 53 subjects). |
Signia™ Stapling System using Signia™ Intelligent Loading Units with Tri- Staple™ 2.0 Intelligent Reloads.
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Thoracic
Signia™ Stapling System using Signia™ Intelligent Loading Units with Tri-Staple™ 2.0 Intelligent Reloads. Thoracic (approximately 74 subjects). |
Signia™ Stapling System using Signia™ Intelligent Loading Units with Tri- Staple™ 2.0 Intelligent Reloads.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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The Primary Endpoint is the Number of Subjects Reporting Serious Adverse Device Effects (SADEs), Including Intra- and Post-operative Leaks.
Time Frame: Up to and including 30 days intra- and post-operative.
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The primary endpoint is the number of subjects reporting serious adverse device effects (SADEs) up to and including 30 days, including intra- and post-operative leaks. A Serious Adverse Device Effect (SADE) is an adverse event related to the use of an investigational medical device, that is deemed serious in nature. To be deemed serious, and adverse event must meet one or more of the following criteria: Led to a death, b. Led to a serious deterioration in the health of the subject, that either resulted in:
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Up to and including 30 days intra- and post-operative.
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The Primary Endpoint is the Number of Subjects Reporting Serious Adverse Device Effects (SADEs), Including Intra- and Post-operative Leaks.
Time Frame: Up to and including 30 (+14) days post-procedure.
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The primary endpoint is the number of subjects reporting serious adverse device effects (SADEs), including intra- and post-operative leaks up to and including 30 (+14) days post-procedure. A Serious Adverse Device Effect (SADE) is an adverse event related to the use of an investigational medical device, that is deemed serious in nature. To be deemed serious, and adverse event must meet one or more of the following criteria: Led to a death, b. Led to a serious deterioration in the health of the subject, that either resulted in:
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Up to and including 30 (+14) days post-procedure.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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The Secondary Endpoint is Device Deficiencies/Malfunctions Affecting the Intended Performance of the Device.
Time Frame: Up to and including 30 (+14) days post-operative.
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The secondary endpoint is device deficiencies/malfunctions affecting the intended performance of the device. All recorded device deficiencies/malfunctions were captured and assessed by the Investigator. A Device Deficiency is defined as inadequacy of a medical device with respect to its identity, quality, durability, reliability, safety or performance. Note: Device deficiencies include malfunctions, use errors, and inadequate labeling. |
Up to and including 30 (+14) days post-operative.
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The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Staple Line Integrity (B Formation).
Time Frame: Up to and including 30 (+14) days post-operative.
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The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments.
B formation is defined as consistent formation of the staple-line fired by the Signia Stapling System handle.
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Up to and including 30 (+14) days post-operative.
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The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Number of Staple-line Bleeding (Measured as > 50 cc) Occurrences.
Time Frame: Up to and including 30 (+14) days post-operative.
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The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments.
Number of staple-line bleeding (measured as > 50 cc) refers to occurrences of bleeding at the staple-line only, and not in the study procedure as a whole.
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Up to and including 30 (+14) days post-operative.
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The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Additional Interventions to Treat Staple-line Failure.
Time Frame: Up to and including 30 (+14) days post-operative.
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The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments.
Examples of additional interventions to treat staple-line failure include: glue, manual over sew, Medtronic buttress as additional reinforcement, or intraoperative revision/recreation of the anastomosis.
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Up to and including 30 (+14) days post-operative.
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The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Number of Intra-operative Leakage.
Time Frame: Up to and including 30 (+14) days post-operative.
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The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments.
Number of intra-operative leakage as measured by air leak test performed by the surgeon, or standard of care, as applicable.
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Up to and including 30 (+14) days post-operative.
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The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Number of Post-operative Leakage.
Time Frame: Up to and including 30 (+14) days post-operative.
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The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments.
Number of post-operative leakage as evidenced confirmed by imaging, subject presentation or decline in status, or need for re-operation/re-intervention.
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Up to and including 30 (+14) days post-operative.
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The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Duration of Air Leakage >7 Days.
Time Frame: Up to and including 30 (+14) days post-operative.
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The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments.
Prolonged air leaks are considered >7 days in duration.
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Up to and including 30 (+14) days post-operative.
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The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Number of Post-operative Infection.
Time Frame: Up to and including 30 (+14) days post-operative.
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The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments.
Number of post-operative infection was assessed by the Investigator according to the standard of care and site policy, ex.
Positive wound culture.
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Up to and including 30 (+14) days post-operative.
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The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Additional Interventions to Treat Staple-line Failure.
Time Frame: Up to and including 30 (+14) days post-operative.
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The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments.
Examples of additional interventions to treat staple-line failure include: glue, manual over sew, Medtronic buttress as additional reinforcement, or intraoperative revision/recreation of the anastomosis.
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Up to and including 30 (+14) days post-operative.
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The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Number of Repeat Hospital Admissions for Primary Procedure-related Complications.
Time Frame: Up to and including 30 (+14) days post-operative.
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The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments.
The number of repeat hospital admissions for primary procedure-related complications was assessed.
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Up to and including 30 (+14) days post-operative.
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Kelley Kennedy, Medtronic
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- MDT17025SIG
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.
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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