- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04011631
Evaluation of the iD-SystemTM, One-Handed Disposable Internal Defibrillation System. (iD-System)
The Efficacy and Safety of Internal Defibrillation: Evaluation of the iD-System™, One-Handed Disposable Internal Defibrillation System
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The main aim is to evaluate the safety and efficacy of the iD-System™, One-handed Disposable Internal Defibrillation System The device is made for manual defibrillation during intra-thoracic procedure, by transferring a shock from a defibrillation device to the patient's heart, in combination with the iD-Electrode. The device will be used when the patient reaches a stage of ventricular fibrillation or rapid ventricular tachycardia during cardiac surgery.
In case ventricular fibrillation occurs and the iD-system is not effective to restore the sinus trythm, the conventional approach with use of the two paddels spoons will be performed immediately.
the following will be assessed:
- Ease of use of the device
- Safety of the device
- Efficacy of the device
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Genk, Belgium, B3600
- Ziekenhuis Oost-Limburg
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- All races and ethnicity (>18 years)
- Written informed consent form (ICF) has to be obtained from the patient.
Elective surgery: cardiac surgery on pump (CPB)
- Coronary artery bypass surgery
Heart valve repair and/or replacement
- Mini sternotomy
- Median sternotomy
- Redo surgery
Exclusion Criteria:
- Patients without cardiopulmonary bypass (referred to as heart-lung machine or pump)
- Emergency surgery without a sufficient amount of time to explain and ask for ICF
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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EXPERIMENTAL: Patients with cardiac surgery
All patients undergoing cardiac surgery at the Ziekenhuis Oost-Limburg, meeting all inclusion and no exclusion criteria, are asked to participate in the investigation.
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When ventricular fibrillation of ventricular tachycardia occurs during surgery, the iD-Paddle will be applied directly to the heart.
A maximum of 4 shocks are delivered to the heart to restore normal sinus rhythm.
If 4 shocks are not successful standard operating procedure will be enable conform hospital protocol.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Number of Patients With Skin Symptoms
Time Frame: During intra-thoracic procedure
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Safety of the iD-system will be evaluated to assess if there are skin symptoms to the electrode by confirming if irritation is visible on the back of the patient after removal of the iD elektrode or not.
For the more subjects the irritation will be visible, the worse will be the safety of the iD-elektrode.
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During intra-thoracic procedure
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Number of Patients With Increased Troponin-t Level Classified as Adverse Event
Time Frame: During intra-thoracic procedure till 36 hours post surgery
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Safety of the iD-system will be evaluated via troponine measurement to assess myocardial injury.
Troponine will be measured at 4, 8, 16, 24 and 36 hours post-surgery and will be reported in ng/L.
A significant increase of the troponine value during these different time points indicates myocardial injury.
The investigator will evaluate every case to assess if it is an Adverse Event or not.
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During intra-thoracic procedure till 36 hours post surgery
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Number of Patients Where the iD-System TM Fails
Time Frame: During intra-thoracic procedure
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Efficacy of the the iD-System will be evaluated to assess a successful restoration of the sinus rythm by counting the number of failed attempts to defibrillate which were attributable to device malfunction.
This will be captured by a questionnaire, to be completed by the investigator after the surgery.
A maximum of 4 shocks can be applied.
If the normal arterial hearth rhythm cannot be restored after 4 shocks with the iD-System, conversion to the conventional system occurs.
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During intra-thoracic procedure
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Ease of Use of the iD-System as Assessed Via Investigator Questionnaire
Time Frame: During intra-thoracic procedure
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Ease of use of the iD-System will be evaluated by a questionnaire, to be completed after the procedure. The following items will be assessed:
The questionnaire will consist of 16 questions, each addressing a specific topic of the ease of use, to be scored by the investigator from 1 to 5. 1= very poor, 2= poor, 3= neutral, 4= sufficient, 5= excellent The higher the total score, the better the outcome of the 'ease of use' evaluation. |
During intra-thoracic procedure
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: M. Beran, Dr., Anesthesiologist
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
- iD-System
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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