[Prueba de dispositivo que no está aprobado o aprobado por la FDA de EE. UU.]
This study will evaluate the safety and performance of the Medtronic Hugo™ RAS System when used for urologic RAS procedures.
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Descripción detallada
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).
Tipo de estudio
Tipo de estudio
Inscripción (Actual)
Inscripción
Fase
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
-
-
California
-
Duarte, California, Estados Unidos, 91010
- City of Hope
-
-
Illinois
-
Chicago, Illinois, Estados Unidos, 60612
- University of Chiago
-
-
New York
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New York, New York, Estados Unidos, 10029
- Mount Sinai
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North Carolina
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Durham, North Carolina, Estados Unidos, 27710
- Duke Medical Center
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Ohio
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Cleveland, Ohio, Estados Unidos, 44195
- Cleveland Clinic
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Washington
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Seattle, Washington, Estados Unidos, 98122
- Swedish Medical Center
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-
Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
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
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Número de brazos
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
|---|---|
|
Otro: 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. |
¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Primary Effectiveness Endpoint - Surgical Success Rate, Defined as the Procedure Not Going Into Conversion
Periodo de tiempo: 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.
Periodo de tiempo: 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
|
Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Secondary Endpoint - Overall Complication Rate From First Incision Through 30 Days Post-procedure.
Periodo de tiempo: 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)
Periodo de tiempo: 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).
Periodo de tiempo: intraoperative
|
Intraoperative estimated blood loss shall be collected through the length of the procedure. |
intraoperative
|
|
Secondary Endpoint - Transfusion Rate Through 30 Days.
Periodo de tiempo: 30 days
|
Transfusion rate shall be collected through 30 days post-procedure |
30 days
|
|
Secondary Endpoint - Rate of Device-related Conversions
Periodo de tiempo: intraoperative
|
Rate of device-related conversions shall be collected through the length of the procedure. |
intraoperative
|
|
Secondary Endpoint - Hospital Length of Stay (Days)
Periodo de tiempo: 30 days
|
Hospital length of stay (days) shall be collected through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Readmission Rate (Through 30 Days)
Periodo de tiempo: 30 days
|
Readmission rate shall be collected though 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Reoperation Rate (Through 30 Days).
Periodo de tiempo: 30 days
|
Reoperation rate shall be collected through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Mortality Rate (Through 30 Days).
Periodo de tiempo: 30 days
|
Mortality rate shall be collected through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Progression-free Survival
Periodo de tiempo: 5 years
|
Progression-free survival rate will be assessed through 5 years in oncologic subjects. |
5 years
|
|
Secondary Endpoint - Disease-free Survival
Periodo de tiempo: 5 years
|
Disease-free survival rate will be assessed through 5 years in oncologic subjects. |
5 years
|
|
Secondary Endpoint - Overall Survival
Periodo de tiempo: 5 years
|
Overall survival rate will be assessed through 5 years in oncologic subjects. |
5 years
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Investigadores
Investigadores
- Silla de estudio: Michael Abern, MD, Duke Medical Center
Publicaciones y enlaces útiles
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Inicio del estudio
Finalización primaria (Actual)
Finalización primaria
Finalización del estudio (Estimado)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
- Enfermedades urogenitales
- Enfermedades Genitales
- Procesos Patológicos
- Neoplasias Genitales Masculinas
- Neoplasias urogenitales
- Neoplasias por sitio
- Neoplasias
- Enfermedades Genitales Masculinas
- Enfermedades prostáticas
- Enfermedades urogenitales masculinas
- Enfermedades Renales
- Enfermedades urológicas
- Enfermedades urogenitales femeninas
- Enfermedades urogenitales femeninas y complicaciones del embarazo
- Enfermedad crónica
- Atributos de la enfermedad
- Neoplasias por tipo histológico
- Neoplasias Glandulares y Epiteliales
- Adenocarcinoma
- Insuficiencia renal
- Neoplasias Urológicas
- Carcinoma
- Enfermedades de la vejiga urinaria
- Insuficiencia Renal Crónica
- Cistitis
- Enfermedades y anomalías congénitas, hereditarias y neonatales
- Condiciones Patológicas, Signos y Síntomas
- Anomalías congénitas
- Neoplasias prostáticas
- Neoplasias pélvicas
- Carcinoma De Célula Renal
- Neoplasias de la vejiga urinaria
- Insuficiencia Renal Crónica
- Neoplasias Renales
- Cistitis Intersticial
Otros números de identificación del estudio
Otros números de identificación del estudio
- MDT19051EINURO
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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