An observational study in Abdominal Injury and Thoracic Diseases, sponsored by Medtronic - MITG. Completed at 11 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-10.
Sponsored by Medtronic - MITG (part of Medtronic) · Observational
The objectives of this prospective, two-arm, multicenter post-market study is to confirm safety and performance through the incidence of subjects reporting serious adverse device effects (ADEs) up to and including 30 days following use of Signia™ Stapling System with Endo GIA™ with Tri-Staple™ Technology and Tri-Staple™ 2.0 Intelligent Reloads in subjects undergoing indicated abdominal or thoracic procedures for resection, transection and creation of anastomosis per the IFU.
This study will evaluate the use of Signia™ Stapling System using Signia™ Intelligent Loading Units with Tri-Staple™ 2.0 Intelligent Reloads in indicated abdominal or thoracic procedures (e.g., resection, transection of tissue, and creation of anastomoses). Subjects who meet the eligibility criteria will be considered for study participation at a minimum of 10 sites and will be followed up to and including 30 days post-operative. Overall the study is estimated to progress for up to 24 months.
72 studies on the registry are indexed under Abdominal Injuries; 18 are open to participants now.
This study's enrollment of 136 is below the median of 200 across 38 observational studies indexed under Abdominal Injuries.
Browse Abdominal Injuries studies →Medtronic - MITG is the lead sponsor of 178 studies on the registry; 4 are open to participants now.
Of its 17 completed or terminated interventional studies of FDA-regulated products, 17 (100%) have results posted.
Counted across the registry records on this site, refreshed daily.
74 Thoracic subjects arm 53 abdominal subjects arm
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
3a. Thoracic procedures may include, but are not limited to wedge resection and lobectomy, and may include video assisted thoracic surgery (VATS) or open procedures.
3b. Abdominal procedures may include, but are not limited to, laparoscopic sleeve gastrectomy (LSG), laparoscopic Roux-en-Y gastric bypass (LRYGB).
Exclusion Criteria:
Signia™ Stapling System using Signia™ Intelligent Loading Units with Tri-Staple™ 2.0 Intelligent Reloads. Abdominal (approximately 53 subjects).
Device: Signia™ Stapling System
Signia™ Stapling System using Signia™ Intelligent Loading Units with Tri-Staple™ 2.0 Intelligent Reloads. Thoracic (approximately 74 subjects).
Device: Signia™ Stapling System
Signia™ Stapling System using Signia™ Intelligent Loading Units with Tri- Staple™ 2.0 Intelligent Reloads.
The Primary Endpoint is the Number of Subjects Reporting Serious Adverse Device Effects (SADEs), Including Intra- and Post-operative Leaks.
The primary endpoint is the number of subjects reporting serious adverse device effects (SADEs) up to and including 30 days, including intra- and post-operative leaks. A Serious Adverse Device Effect (SADE) is an adverse event related to the use of an investigational medical device, that is deemed serious in nature. To be deemed serious, and adverse event must meet one or more of the following criteria: Led to a death, b. Led to a serious deterioration in the health of the subject, that either resulted in: 1. Resulted in a life-threatening illness or injury, or 2. Resulted in a permanent impairment of a body structure or a body function, or 3. In-patient or prolonged hospitalization, or 4. Medical or surgical intervention to prevent life threatening illness or injury or permanent impairment to a body structure or a body function, or c. Led to fetal distress, fetal death or a congenital abnormality or birth defect.
Time frame: Up to and including 30 days intra- and post-operative.
The Primary Endpoint is the Number of Subjects Reporting Serious Adverse Device Effects (SADEs), Including Intra- and Post-operative Leaks.
The primary endpoint is the number of subjects reporting serious adverse device effects (SADEs), including intra- and post-operative leaks up to and including 30 (+14) days post-procedure. A Serious Adverse Device Effect (SADE) is an adverse event related to the use of an investigational medical device, that is deemed serious in nature. To be deemed serious, and adverse event must meet one or more of the following criteria: Led to a death, b. Led to a serious deterioration in the health of the subject, that either resulted in: 1. Resulted in a life-threatening illness or injury, or 2. Resulted in a permanent impairment of a body structure or a body function, or 3. In-patient or prolonged hospitalization, or 4. Medical or surgical intervention to prevent life threatening illness or injury or permanent impairment to a body structure or a body function, or c. Led to fetal distress, fetal death or a congenital abnormality or birth defect.
Time frame: Up to and including 30 (+14) days post-procedure.
The Secondary Endpoint is Device Deficiencies/Malfunctions Affecting the Intended Performance of the Device.
The secondary endpoint is device deficiencies/malfunctions affecting the intended performance of the device. All recorded device deficiencies/malfunctions were captured and assessed by the Investigator. A Device Deficiency is defined as inadequacy of a medical device with respect to its identity, quality, durability, reliability, safety or performance. Note: Device deficiencies include malfunctions, use errors, and inadequate labeling.
Time frame: Up to and including 30 (+14) days post-operative.
The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Staple Line Integrity (B Formation).
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. B formation is defined as consistent formation of the staple-line fired by the Signia Stapling System handle.
Time frame: Up to and including 30 (+14) days post-operative.
The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Number of Staple-line Bleeding (Measured as > 50 cc) Occurrences.
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Number of staple-line bleeding (measured as \> 50 cc) refers to occurrences of bleeding at the staple-line only, and not in the study procedure as a whole.
Time frame: Up to and including 30 (+14) days post-operative.
The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Additional Interventions to Treat Staple-line Failure.
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Examples of additional interventions to treat staple-line failure include: glue, manual over sew, Medtronic buttress as additional reinforcement, or intraoperative revision/recreation of the anastomosis.
Time frame: Up to and including 30 (+14) days post-operative.
The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Number of Intra-operative Leakage.
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Number of intra-operative leakage as measured by air leak test performed by the surgeon, or standard of care, as applicable.
Time frame: Up to and including 30 (+14) days post-operative.
The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Number of Post-operative Leakage.
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Number of post-operative leakage as evidenced confirmed by imaging, subject presentation or decline in status, or need for re-operation/re-intervention.
Time frame: Up to and including 30 (+14) days post-operative.
The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Duration of Air Leakage >7 Days.
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Prolonged air leaks are considered \>7 days in duration.
Time frame: Up to and including 30 (+14) days post-operative.
The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Number of Post-operative Infection.
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Number of post-operative infection was assessed by the Investigator according to the standard of care and site policy, ex. Positive wound culture.
Time frame: Up to and including 30 (+14) days post-operative.
The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Additional Interventions to Treat Staple-line Failure.
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Examples of additional interventions to treat staple-line failure include: glue, manual over sew, Medtronic buttress as additional reinforcement, or intraoperative revision/recreation of the anastomosis.
Time frame: Up to and including 30 (+14) days post-operative.
The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Number of Repeat Hospital Admissions for Primary Procedure-related Complications.
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. The number of repeat hospital admissions for primary procedure-related complications was assessed.
Time frame: Up to and including 30 (+14) days post-operative.
| Milestone | Abdominal | Thoracic |
|---|---|---|
| Started | 51 | 85 |
| Completed | 46 | 77 |
| Not completed | 5 | 8 |
| Withdrew: Lost to follow-up | 2 | 1 |
| Withdrew: Protocol violation | 1 | 1 |
| Withdrew: Death | 1 | 1 |
| Withdrew: Withdrawal by subject | 0 | 2 |
| Withdrew: Technical problems | 1 | 0 |
| Withdrew: Subject unable to return for follow-up | 0 | 2 |
| Withdrew: Covid-19 | 0 | 1 |
The primary endpoint is the number of subjects reporting serious adverse device effects (SADEs) up to and including 30 days, including intra- and post-operative leaks. A Serious Adverse Device Effect (SADE) is an adverse event related to the use of an investigational medical device, that is deemed serious in nature. To be deemed serious, and adverse event must meet one or more of the following criteria: Led to a death, b. Led to a serious deterioration in the health of the subject, that either resulted in: 1. Resulted in a life-threatening illness or injury, or 2. Resulted in a permanent impairment of a body structure or a body function, or 3. In-patient or prolonged hospitalization, or 4. Medical or surgical intervention to prevent life threatening illness or injury or permanent impairment to a body structure or a body function, or c. Led to fetal distress, fetal death or a congenital abnormality or birth defect.
| Participants | Abdominal | Thoracic |
|---|---|---|
| The Primary Endpoint is the Number of Subjects Reporting Serious Adverse Device Effects (SADEs), Including Intra- and Post-operative Leaks. | 0 | 9 |
The primary endpoint is the number of subjects reporting serious adverse device effects (SADEs), including intra- and post-operative leaks up to and including 30 (+14) days post-procedure. A Serious Adverse Device Effect (SADE) is an adverse event related to the use of an investigational medical device, that is deemed serious in nature. To be deemed serious, and adverse event must meet one or more of the following criteria: Led to a death, b. Led to a serious deterioration in the health of the subject, that either resulted in: 1. Resulted in a life-threatening illness or injury, or 2. Resulted in a permanent impairment of a body structure or a body function, or 3. In-patient or prolonged hospitalization, or 4. Medical or surgical intervention to prevent life threatening illness or injury or permanent impairment to a body structure or a body function, or c. Led to fetal distress, fetal death or a congenital abnormality or birth defect.
| Participants | Overall |
|---|---|
| The Primary Endpoint is the Number of Subjects Reporting Serious Adverse Device Effects (SADEs), Including Intra- and Post-operative Leaks. | 9 |
The secondary endpoint is device deficiencies/malfunctions affecting the intended performance of the device. All recorded device deficiencies/malfunctions were captured and assessed by the Investigator. A Device Deficiency is defined as inadequacy of a medical device with respect to its identity, quality, durability, reliability, safety or performance. Note: Device deficiencies include malfunctions, use errors, and inadequate labeling.
| Participants | Abdominal | Thoracic |
|---|---|---|
| The Secondary Endpoint is Device Deficiencies/Malfunctions Affecting the Intended Performance of the Device. | 2 | 2 |
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. B formation is defined as consistent formation of the staple-line fired by the Signia Stapling System handle.
| Participants | Abdominal | Thoracic |
|---|---|---|
| The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Staple Line Integrity (B Formation). | 44 | 55 |
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Number of staple-line bleeding (measured as \> 50 cc) refers to occurrences of bleeding at the staple-line only, and not in the study procedure as a whole.
| Participants | Abdominal | Thoracic |
|---|---|---|
| The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Number of Staple-line Bleeding (Measured as > 50 cc) Occurrences. | 0 | 0 |
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Examples of additional interventions to treat staple-line failure include: glue, manual over sew, Medtronic buttress as additional reinforcement, or intraoperative revision/recreation of the anastomosis.
| Participants | Abdominal | Thoracic |
|---|---|---|
| The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Additional Interventions to Treat Staple-line Failure. | 3 | 42 |
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Number of intra-operative leakage as measured by air leak test performed by the surgeon, or standard of care, as applicable.
| Participants | Abdominal | Thoracic |
|---|---|---|
| The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Number of Intra-operative Leakage. | 0 | 5 |
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Number of post-operative leakage as evidenced confirmed by imaging, subject presentation or decline in status, or need for re-operation/re-intervention.
| Participants | Abdominal | Thoracic |
|---|---|---|
| The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Number of Post-operative Leakage. | 0 | 7 |
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Prolonged air leaks are considered \>7 days in duration.
| Participants | Abdominal | Thoracic |
|---|---|---|
| The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Duration of Air Leakage >7 Days. | 0 | 3 |
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Number of post-operative infection was assessed by the Investigator according to the standard of care and site policy, ex. Positive wound culture.
| Participants | Abdominal | Thoracic |
|---|---|---|
| The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Number of Post-operative Infection. | 1 | 8 |
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Examples of additional interventions to treat staple-line failure include: glue, manual over sew, Medtronic buttress as additional reinforcement, or intraoperative revision/recreation of the anastomosis.
| Participants | Abdominal | Thoracic |
|---|---|---|
| The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Additional Interventions to Treat Staple-line Failure. | 0 | 2 |
The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. The number of repeat hospital admissions for primary procedure-related complications was assessed.
| Participants | Abdominal | Thoracic |
|---|---|---|
| The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Number of Repeat Hospital Admissions for Primary Procedure-related Complications. | 1 | 4 |
Collected over Adverse events were collected up to and including 30 (+14) days post-procedure.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Abdominal | 1/51 (2%) | 6/51 (11.8%) | 0/51 (0%) |
| Thoracic | 1/85 (1.2%) | 21/85 (24.7%) | 31/85 (36.5%) |
| Event | Abdominal | Thoracic |
|---|---|---|
| PneumothoraxRespiratory, thoracic and mediastinal disorders | 0/51 | 8/85 |
| PneumoniaInfections and infestations | 0/51 | 3/85 |
| Pleural effusionRespiratory, thoracic and mediastinal disorders | 0/51 | 3/85 |
| Subcutaneous emphysemaSkin and subcutaneous tissue disorders | 0/51 | 3/85 |
| Atrial fibrillationCardiac disorders | 0/51 | 2/85 |
| Abdominal painGastrointestinal disorders | 1/51 | 0/85 |
| Abdominal pain upperGastrointestinal disorders | 1/51 | 0/85 |
| DehydrationMetabolism and nutrition disorders | 1/51 | 0/85 |
| Pain in extremityMusculoskeletal and connective tissue disorders | 1/51 | 0/85 |
| SyncopeNervous system disorders | 1/51 | 0/85 |
| Event | Abdominal | Thoracic |
|---|---|---|
| PneumothoraxRespiratory, thoracic and mediastinal disorders | 0/51 | 15/85 |
| Subcutaneous emphysemaSkin and subcutaneous tissue disorders | 0/51 | 9/85 |
| Post-operative leakSurgical and medical procedures | 0/51 | 7/85 |
| Age, Continuous(years) | Abdominal | Thoracic | Total |
|---|---|---|---|
| Median | 48.0 ± 13.25 | 68.0 ± 10.16 | 62.5 ± 14.23 |
| Sex: Female, Male(Participants) | Abdominal | Thoracic | Total |
|---|---|---|---|
| Female | 40 | 35 | 75 |
| Male | 11 | 50 | 61 |
| Ethnicity (NIH/OMB)(Participants) | Abdominal | Thoracic | Total |
|---|---|---|---|
| Hispanic or Latino | 14 | 5 | 19 |
| Not Hispanic or Latino | 37 | 49 | 86 |
| Unknown or Not Reported | 0 | 31 | 31 |
| Race (NIH/OMB)(Participants) | Abdominal | Thoracic | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 1 | 2 | 3 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 11 | 4 | 15 |
| White | 38 | 79 | 117 |
| More than one race | 1 | 0 | 1 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(participants) | Abdominal | Thoracic | Total |
|---|---|---|---|
| Canada | 0 | 5 | 5 |
| United States | 38 | 38 | 76 |
| Italy | 0 | 18 | 18 |
| United Kingdom | 0 | 13 | 13 |
| Spain | 13 | 11 | 24 |
| Pregnancy Test Performed(Participants) | Abdominal | Thoracic | Total |
|---|---|---|---|
| Count of participants | 20 | 7 | 27 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Undecided
Ran from Jan 2019 to primary completion in Jul 2020, 17 months.
Results were first posted in Mar 2023, 2 years 8 months after primary completion.
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