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[Tester av enhet som inte är godkänd eller godkänd av U.S. FDA]

19 oktober 2026 uppdaterad av: Medtronic - MITG

This study will evaluate the safety and performance of the Medtronic Hugo™ RAS System when used for urologic RAS procedures.

Studieöversikt

Detaljerad beskrivning

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).

Studietyp

Interventionell

Inskrivning (Faktisk)

144

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

    • California
      • Duarte, California, Förenta staterna, 91010
        • City of Hope
    • Illinois
      • Chicago, Illinois, Förenta staterna, 60612
        • University of Chiago
    • New York
      • New York, New York, Förenta staterna, 10029
        • Mount Sinai
    • North Carolina
      • Durham, North Carolina, Förenta staterna, 27710
        • Duke Medical Center
    • Ohio
      • Cleveland, Ohio, Förenta staterna, 44195
        • Cleveland Clinic
    • Washington
      • Seattle, Washington, Förenta staterna, 98122
        • Swedish Medical Center

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

22 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  1. Adult subjects (age ≥ 22 years) as required by local law
  2. Subject has been indicated for a radical prostatectomy, radical cystectomy, or nephrectomy (partial or radical) surgical procedure
  3. Subject is an acceptable candidate for a fully robotic assisted surgical procedure, a laparoscopic surgical procedure, or an open surgical procedure
  4. The subject is willing to participate and consents to participate, as documented by a signed and dated informed consent form

Exclusion Criteria:

  1. Subjects for which minimally invasive surgery is contraindicated as determined by the Investigator
  2. Subjects with comorbidities or medical characteristics, which would preclude the surgical procedure in the opinion of the Investigator
  3. 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
  4. 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.
  5. Female subjects pregnant at the time of the surgical procedure.
  6. Subjects who are considered to be part of a vulnerable population (e.g., prisoners or those without sufficient mental capacity)
  7. Subjects who have participated in an investigational drug or device research study within 30 days of enrollment that would interfere with this study
  8. Subjects with active infections including but not limited to pneumonia, urinary tract, cellulitis, or bacteremia

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Övrig: 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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Primary Effectiveness Endpoint - Surgical Success Rate, Defined as the Procedure Not Going Into Conversion
Tidsram: 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.
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Secondary Endpoint - Overall Complication Rate From First Incision Through 30 Days Post-procedure.
Tidsram: 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)
Tidsram: 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).
Tidsram: intraoperative

Intraoperative estimated blood loss shall be collected through the length of the procedure.

intraoperative
Secondary Endpoint - Transfusion Rate Through 30 Days.
Tidsram: 30 days

Transfusion rate shall be collected through 30 days post-procedure

30 days
Secondary Endpoint - Rate of Device-related Conversions
Tidsram: intraoperative

Rate of device-related conversions shall be collected through the length of the procedure.

intraoperative
Secondary Endpoint - Hospital Length of Stay (Days)
Tidsram: 30 days

Hospital length of stay (days) shall be collected through 30 days post-procedure.

30 days
Secondary Endpoint - Readmission Rate (Through 30 Days)
Tidsram: 30 days

Readmission rate shall be collected though 30 days post-procedure.

30 days
Secondary Endpoint - Reoperation Rate (Through 30 Days).
Tidsram: 30 days

Reoperation rate shall be collected through 30 days post-procedure.

30 days
Secondary Endpoint - Mortality Rate (Through 30 Days).
Tidsram: 30 days

Mortality rate shall be collected through 30 days post-procedure.

30 days
Secondary Endpoint - Progression-free Survival
Tidsram: 5 years

Progression-free survival rate will be assessed through 5 years in oncologic subjects.

5 years
Secondary Endpoint - Disease-free Survival
Tidsram: 5 years

Disease-free survival rate will be assessed through 5 years in oncologic subjects.

5 years
Secondary Endpoint - Overall Survival
Tidsram: 5 years

Overall survival rate will be assessed through 5 years in oncologic subjects.

5 years

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Utredare

  • Studiestol: Michael Abern, MD, Duke Medical Center

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

14 december 2022

Primärt slutförande (Faktisk)

10 oktober 2024

Avslutad studie (Beräknad)

31 januari 2030

Studieregistreringsdatum

Först inskickad

18 november 2022

Först inskickad som uppfyllde QC-kriterierna

23 januari 2023

Första postat (Faktisk)

25 januari 2023

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

3 november 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

19 oktober 2026

Senast verifierad

1 oktober 2026

Mer information

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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