[Studie mit einem Gerät, das nicht von der US-amerikanischen FDA zugelassen oder freigegeben ist]
This study will evaluate the safety and performance of the Medtronic Hugo™ RAS System when used for urologic RAS procedures.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
A prospective, multicenter, single-arm pivotal study in subjects undergoing a urologic RAS procedure using the Medtronic Hugo™ RAS System. Subjects without an oncologic indication will be followed for 30 days post-procedure. Oncologic subjects will be followed annually through 5 years. The study will be conducted in up to 6 investigative sites in the United States of America (USA).
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
-
-
California
-
Duarte, California, Vereinigte Staaten, 91010
- City of Hope
-
-
Illinois
-
Chicago, Illinois, Vereinigte Staaten, 60612
- University of Chiago
-
-
New York
-
New York, New York, Vereinigte Staaten, 10029
- Mount Sinai
-
-
North Carolina
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Durham, North Carolina, Vereinigte Staaten, 27710
- Duke Medical Center
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Ohio
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Cleveland, Ohio, Vereinigte Staaten, 44195
- Cleveland Clinic
-
-
Washington
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Seattle, Washington, Vereinigte Staaten, 98122
- Swedish Medical Center
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Adult subjects (age ≥ 22 years) as required by local law
- Subject has been indicated for a radical prostatectomy, radical cystectomy, or nephrectomy (partial or radical) surgical procedure
- Subject is an acceptable candidate for a fully robotic assisted surgical procedure, a laparoscopic surgical procedure, or an open surgical procedure
- The subject is willing to participate and consents to participate, as documented by a signed and dated informed consent form
Exclusion Criteria:
- Subjects for which minimally invasive surgery is contraindicated as determined by the Investigator
- Subjects with comorbidities or medical characteristics, which would preclude the surgical procedure in the opinion of the Investigator
- Subjects diagnosed with a bleeding disorder and/or cannot be removed from their anticoagulants prior to surgery based on surgeon discretion and standard-of-care
- Non-oncology subjects with an estimated life expectancy of less than 6 months; oncology subjects considered for cystectomy with a life expectancy less than 24 months; oncology subjects considered for nephrectomy with a life expectancy less than 60 months; oncology subjects considered for prostatectomy with less than a 10-year life expectancy.
- Female subjects pregnant at the time of the surgical procedure.
- Subjects who are considered to be part of a vulnerable population (e.g., prisoners or those without sufficient mental capacity)
- Subjects who have participated in an investigational drug or device research study within 30 days of enrollment that would interfere with this study
- Subjects with active infections including but not limited to pneumonia, urinary tract, cellulitis, or bacteremia
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: N / A
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Sonstiges: Robotic Assisted Surgery (RAS) Urologic Surgery
Robotic Assisted Surgery (RAS) urologic surgery under the umbrella of procedures outlined by the FDA (prostatectomy, cystectomy and nephrectomy). |
Subjects indicated for Robotic Assisted Surgery (RAS) for prostatectomy will have RAS surgery using the Medtronic Hugo RAS system. Subjects indicated for Robotic Assisted Surgery (RAS) for cystectomy will have RAS surgery using the Medtronic Hugo RAS system. Subjects indicated for Robotic Assisted Surgery (RAS) for nephrectomy (Radical/Partial) will have RAS surgery using the Medtronic Hugo RAS system. |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Primary Effectiveness Endpoint - Surgical Success Rate, Defined as the Procedure Not Going Into Conversion
Zeitfenster: During surgical procedure
|
The primary effectiveness endpoint is the surgical success rate, defined as the procedure not going into conversion. Conversion is defined as the switch from a robotic assisted approach using the Hugo system to a robotic assisted approach utilizing an FDA cleared robotic-assisted device, laparoscopic, or open surgery. |
During surgical procedure
|
|
Primary Safety Endpoint - Rate of Subjects With Complications Meeting Grade III - Grade V Criteria Per the Clavien-Dindo Classification System.
Zeitfenster: 30 days
|
Complications meeting Grade III criteria or higher per the Clavien-Dindo Classification system, from first incision through 30 days post-procedure. Clavien-Dindo Classification of Surgical Complications: Grade I: Any deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic, and radiological interventions. Grade II: Requiring pharmacological treatment with drugs other than such allowed for grade I complications. Blood transfusions and total parenteral nutrition are also included. Grade III: Requiring surgical, endoscopic or radiological intervention Grade IIIa: Intervention not under general anesthesia Grade IIIb: Intervention under general anesthesia Grade IV: Life-threatening complication requiring IC/ICU management Grade IVa: Single organ dysfunction (including dialysis) Grade IVb: Multiorgan dysfunction Grade V: Death of a patient |
30 days
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Secondary Endpoint - Overall Complication Rate From First Incision Through 30 Days Post-procedure.
Zeitfenster: 30 days
|
Complication rate: Overall rate of subjects with one or more complications (Clavien-Dindo Grade I or higher), from the first incision through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Operative Time (Min)
Zeitfenster: up to 720 minutes
|
Operative time shall be collected through the length of the procedure. |
up to 720 minutes
|
|
Secondary Endpoint - Intraoperative Estimated Blood Loss (mL).
Zeitfenster: intraoperative
|
Intraoperative estimated blood loss shall be collected through the length of the procedure. |
intraoperative
|
|
Secondary Endpoint - Transfusion Rate Through 30 Days.
Zeitfenster: 30 days
|
Transfusion rate shall be collected through 30 days post-procedure |
30 days
|
|
Secondary Endpoint - Rate of Device-related Conversions
Zeitfenster: intraoperative
|
Rate of device-related conversions shall be collected through the length of the procedure. |
intraoperative
|
|
Secondary Endpoint - Hospital Length of Stay (Days)
Zeitfenster: 30 days
|
Hospital length of stay (days) shall be collected through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Readmission Rate (Through 30 Days)
Zeitfenster: 30 days
|
Readmission rate shall be collected though 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Reoperation Rate (Through 30 Days).
Zeitfenster: 30 days
|
Reoperation rate shall be collected through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Mortality Rate (Through 30 Days).
Zeitfenster: 30 days
|
Mortality rate shall be collected through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Progression-free Survival
Zeitfenster: 5 years
|
Progression-free survival rate will be assessed through 5 years in oncologic subjects. |
5 years
|
|
Secondary Endpoint - Disease-free Survival
Zeitfenster: 5 years
|
Disease-free survival rate will be assessed through 5 years in oncologic subjects. |
5 years
|
|
Secondary Endpoint - Overall Survival
Zeitfenster: 5 years
|
Overall survival rate will be assessed through 5 years in oncologic subjects. |
5 years
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Studienstuhl: Michael Abern, MD, Duke Medical Center
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
- Urogenitale Erkrankungen
- Genitalerkrankungen
- Pathologische Prozesse
- Genitale Neubildungen, männlich
- Urogenitale Neoplasmen
- Neubildungen nach Standort
- Neubildungen
- Genitalerkrankungen, männlich
- Prostataerkrankungen
- Männliche Urogenitalerkrankungen
- Nierenerkrankungen
- Urologische Erkrankungen
- Weibliche Urogenitalerkrankungen
- Weibliche Urogenitalerkrankungen und Schwangerschaftskomplikationen
- Chronische Erkrankung
- Krankheitsattribute
- Neubildungen nach histologischem Typ
- Neubildungen, Drüsen und Epithelien
- Adenokarzinom
- Niereninsuffizienz
- Urologische Neubildungen
- Karzinom
- Erkrankungen der Harnblase
- Niereninsuffizienz, chronisch
- Zystitis
- Angeborene, erbliche und neonatale Krankheiten und Anomalien
- Pathologische Zustände, Anzeichen und Symptome
- Angeborene Anomalien
- Prostataneoplasmen
- Beckenneoplasmen
- Karzinom, Nierenzelle
- Neoplasien der Harnblase
- Nierenversagen, chronisch
- Nierentumoren
- Zystitis, interstitielle
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- MDT19051EINURO
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Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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