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Bladder Morphology Using 2 Different Catheter Designs

2017年4月10日 更新者：Lennox Hoyte, MD、The Pelvic Floor Institute

Bladder Morphology Using 2 Different Catheter Designs Foley Catheter vs. Cystosure Urinary Access System

Demonstrate and compare the 3D morphology of the bladder wall in full and drained states with 2 different kinds of bladder catheters in place. (Foley Catheter vs. Cystosure Catheter)

研究概览

地位

未知

条件

干预/治疗

详细说明

The Foley catheter has been the mainstay of bladder drainage for many decades. There has been little design change despite risks associated with Foley catheter use including cather associated Urinary Tract Infections(UTIs). However, recent incentives and penalties related to iatrogenic bladder infections have encouraged healthcare providers to search for ways to decrease catheter-associated infections. Data suggests that the design of the traditional Foley catheter may be responsible for bladder mucosal injury due to contact with the drainage tip, which in turn contribute to bladder infections associated with long term indwelling Foley catheter usage. The Cystosure catheter is an FDA approved bladder drainage device, with a shortened drainage port, designed to avoid contact with the bladder mucosa. It is postulated that the lack of contact with the mucosa would decrease mucosal injury, possibly leading to decreased incidence of catheter related bladder infections. Early sheep bladder microscopy studies have suggested that the Cystosure catheter produces significantly less mucosal injury compared to the Foley catheter following a short period of indwelling bladder catheterization. The present study is designed to compare bladder wall geometry around the drainage balloon in the Foley versus the Cystosure drainage catheters in living women. It is hypothesized that the "tip-less" cystosure catheter will have a smoother, more continuous bladder contour around the drainage port, compared to the traditional Foley catheter tip.

研究类型

介入性

注册 (预期的)

3

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 美国
    • Florida
      • Tampa、Florida、美国、33609
        • 招聘中
        • The Pelvic Floor Institute
        • 接触：
          • Lennox Hoyte, MD, MSEECS
          • 电话号码：813-551-3540
          • 邮箱：lhoyte@mypfi.org
        • 接触：
        • 首席研究员：
          • Lennox Hoyte, MD, MSEECS

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

21年 至 70年 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

女性

描述

Inclusion Criteria:

  • Pelvic Floor Institute patients aged between 21 and 70 years of age, who are able to speak and understand English, who are not currently pregnant, or had a pregnancy in the previous 6 months.

Exclusion Criteria:

  • Women with claustrophobia or any contraindication to undergoing an MRI scan will be excluded. Similarly, women with hip, knee, or shoulder replacements will be excluded because of the need for urethral catheterization. Women with significant mitral valve prolapse will also be excluded for the same reason. Women with history of 3 or more culture-documented UTIs over the last 12 months will be excluded. Women who are unable or unwilling to give informed consent will also be excluded. Women who are unable to tolerate 300 cc of fluid in the bladder will be excluded. Women with a nitrite-positive urinalysis at the time of study enrollment will be excluded until they can demonstrate a negative urine culture.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：基础科学
  • 分配：不适用
  • 介入模型：单组作业
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
其他：Arm 1

Women who agree to participate will undergo a standard high resolution, thin slice pelvic floor static/dynamic MRI study, first with a full bladder, and after the bladder is emptied. Bladder filling and drainage will be performed sequentially, using each of the 2 catheter types (Cystosure Urinary Access Catheter and Foley Catheter). During bladder emptying, a cine video scan will be taken at the midsagittal plane to show the dynamics of the bladder fluid and walls during emptying. Each subject will serve as their own control.

Interventions are listed in the "Interventions" Section.
设备：Cystosure Urinary Access System

  1. Demonstrate the 3D bladder wall anatomy with 300 cc of fluid infused with each of the following bladder drainage mechanisms

    1. The traditional Foley catheter (Catheter A)
    2. The novel FDA approved Cystosure catheter (Catheter B)

  2. Compare the fluid flow pattern during bladder drainage for

    1. The traditional Foley catheter (Catheter A)
    2. The novel FDA approved Cystosure catheter (Catheter B)

  3. Compare the 3D bladder wall anatomy after emptying the bladder with

    1. The traditional Foley catheter (Catheter A)
    2. The novel FDA approved Cystosure catheter (Catheter B)
其他名称：
  • Emmy Medical Cystosure Urinary Access System 10-200
设备：Foley Catheter

  1. Demonstrate the 3D bladder wall anatomy with 300 cc of fluid infused with each of the following bladder drainage mechanisms

    1. The traditional Foley catheter (Catheter A)
    2. The novel FDA approved Cystosure catheter (Catheter B)

  2. Compare the fluid flow pattern during bladder drainage for

    1. The traditional Foley catheter (Catheter A)
    2. The novel FDA approved Cystosure catheter (Catheter B)

  3. Compare the 3D bladder wall anatomy after emptying the bladder with

    1. The traditional Foley catheter (Catheter A)
    2. The novel FDA approved Cystosure catheter (Catheter B)
其他名称：
  • BARD Medical Foley Catheter

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Bladder shape after emptying
大体时间：1 month
Bladder shape after emptying using both catheters will be assessed. The 3D reconstructed images will be compared to determine if there are any differences in bladder shape in full and empty states between the 2 catheter types.
1 month

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

The Pelvic Floor Institute

合作者

Cystosure
Innovative Research Inc.

调查人员

  • 首席研究员：Lennox Hoyte, MD, MSEECS、The Pelvic Floor Institute

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (预期的)

2017年4月1日

初级完成 (预期的)

2017年5月1日

研究完成 (预期的)

2017年6月1日

研究注册日期

首次提交

2017年3月30日

首先提交符合 QC 标准的

2017年4月4日

首次发布 (实际的)

2017年4月11日

研究记录更新

最后更新发布 (实际的)

2017年4月12日

上次提交的符合 QC 标准的更新

2017年4月10日

最后验证

2017年4月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • 03082017

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

是的

在美国制造并从美国出口的产品

是的

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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赞助者和合作者

医疗条件

药物干预

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条件

罕见疾病

药物干预

膳食补充剂

赞助者/合作者

地点

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