CClinicalTrials.gg
CompletedNCT03722446Updated Oct 6, 2020Results posted

Epidural Catheter Thread Between Two Different Vendors

An interventional study of Arrow Catheter Kit. and B.Braun Catheter Kit in Labor Pain, sponsored by University of Michigan. Completed at 1 site in United States. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-10-06.

Sponsored by University of Michigan · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
257
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
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Study summary

The aim of the study is to assess if there is a difference in ability to thread the epidural catheter from two different epidural pain management kits vendors

Read the detailed description

The aim of the study is to assess if there is a difference in ability to thread the epidural catheter from two different pain management kits. In order to improve patient care, if there is a difference in the time to thread epidurals with one kit over the other, we would like to use the kit with decreased time to thread in the future.

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Conditions studied

  • Labor Pain

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In context

Labor Pain

396 studies on the registry are indexed under Labor Pain; 66 are open to participants now.

This study's enrollment of 257 is above the median of 100 across 326 interventional studies indexed under Labor Pain.

Browse Labor Pain studies →

Lead sponsor

University of Michigan is the lead sponsor of 1,475 studies on the registry; 196 are open to participants now.

Of its 162 completed or terminated interventional studies of FDA-regulated products, 128 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria: women in labor

-

Exclusion Criteria:

  • none
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
257 participants (actual)

Study arms

  • Other
    Arrow Catheter Kit.

    Arrow FlexTip Plus Epidural Catheterization Kit is a single orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks.

    Device: Arrow Catheter Kit.

  • Other
    B.Braun Catheter Kit

    Perifix FX Springwound Epidural Catheter Kit is a multi-orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks.

    Device: B.Braun Catheter Kit

Interventions

  • DeviceArrow Catheter Kit.

    The group will be randomized to receive this labor analgesia kit.

  • DeviceB.Braun Catheter Kit

    The group will be randomized to receive this labor analgesia kit.

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What researchers measure

Primary outcomes

  1. Number of Participants Who Experienced a Successful Thread at First Pass

    A thread is considered successful at first pass if there were no minor or major manipulations required.

    Time frame: within 60min of first attempt at placement

Secondary outcomes

  1. Time to Thread Epidural Catheter

    At the epidural placement, total amount of time required to establish successful epidural catheter thread

    Time frame: within 60min of first attempt at placement

  2. Incidence of Unintended Dural Punctures

    Count of participants for whom there was an unintended dural puncture after placement

    Time frame: within 60min of first attempt at placement

  3. Incidence of Paresthesia

    Count of participants for whom there was an incidence of paresthesia

    Time frame: within 60min of first attempt at placement

  4. Incidence of Epidural Intravascular Cannulations

    Count of participants for whom there was an incidence of epidural intravascular cannulation

    Time frame: within 60min of first attempt at placement

  5. Epidural Needle Manipulations Needed to Successfully Advance

    For each participant, the number of total manipulations (major or minor) needed to successfully advance catheter

    Time frame: within 60min of first attempt at placement

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Results

Posted Oct 6, 2020

Participant flow

Patients in labor requesting epidural analgesia for an expected vaginal delivery.

Participant flow — Overall Study
MilestoneArrow Catheter Kit.B.Braun Catheter Kit
Started135122
Completed120120
Not completed152
Withdrew: Protocol violation152

Outcome measures

PrimaryNumber of Participants Who Experienced a Successful Thread at First Pass

A thread is considered successful at first pass if there were no minor or major manipulations required.

Time frame:
within 60min of first attempt at placement
Reported as:
Count of participants · Participants
Number of Participants Who Experienced a Successful Thread at First Pass
ParticipantsArrow Catheter Kit.B.Braun Catheter Kit
Number of Participants Who Experienced a Successful Thread at First Pass81117
Statistical analysis
  • Arrow Catheter Kit. vs B.Braun Catheter Kit · Chi-squared · p = <0.0001
SecondaryTime to Thread Epidural Catheter

At the epidural placement, total amount of time required to establish successful epidural catheter thread

Time frame:
within 60min of first attempt at placement
Reported as:
Mean · seconds
Time to Thread Epidural Catheter
secondsArrow Catheter Kit.B.Braun Catheter Kit
Time to Thread Epidural Catheter135 ± 18651 ± 31
Statistical analysis
  • Arrow Catheter Kit. vs B.Braun Catheter Kit · t-test, 1 sided · p = 0.01020
SecondaryIncidence of Unintended Dural Punctures

Count of participants for whom there was an unintended dural puncture after placement

Time frame:
within 60min of first attempt at placement
Reported as:
Count of participants · Participants
Incidence of Unintended Dural Punctures
ParticipantsArrow Catheter Kit.B.Braun Catheter Kit
Incidence of Unintended Dural Punctures01
Statistical analysis
  • Arrow Catheter Kit. vs B.Braun Catheter Kit · Chi-squared · p = 1.0000
SecondaryIncidence of Paresthesia

Count of participants for whom there was an incidence of paresthesia

Time frame:
within 60min of first attempt at placement
Reported as:
Count of participants · Participants
Incidence of Paresthesia
ParticipantsArrow Catheter Kit.B.Braun Catheter Kit
Incidence of Paresthesia84
Statistical analysis
  • Arrow Catheter Kit. vs B.Braun Catheter Kit · Chi-squared · p = 0.3753
SecondaryIncidence of Epidural Intravascular Cannulations

Count of participants for whom there was an incidence of epidural intravascular cannulation

Time frame:
within 60min of first attempt at placement
Reported as:
Count of participants · Participants
Incidence of Epidural Intravascular Cannulations
ParticipantsArrow Catheter Kit.B.Braun Catheter Kit
Incidence of Epidural Intravascular Cannulations11
Statistical analysis
  • Arrow Catheter Kit. vs B.Braun Catheter Kit · Chi-squared · p = 1.0000
SecondaryEpidural Needle Manipulations Needed to Successfully Advance

For each participant, the number of total manipulations (major or minor) needed to successfully advance catheter

Time frame:
within 60min of first attempt at placement
Reported as:
Count of participants · Participants
Epidural Needle Manipulations Needed to Successfully Advance
ParticipantsArrow Catheter Kit.B.Braun Catheter Kit
0 manipulations81117
1 manipulation192
2 manipulations60
3 manipulations60
4 manipulations50
5 manipulations21
6 manipulations10
Statistical analysis
  • Arrow Catheter Kit. vs B.Braun Catheter Kit · t-test, 1 sided · p = <0.0001

Adverse events

Collected over Within 60 minutes of first attempt at placement. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arrow Catheter Kit.0/120 (0%)0/120 (0%)0/120 (0%)
B.Braun Catheter Kit0/120 (0%)0/120 (0%)0/120 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Arrow Catheter Kit.B.Braun Catheter KitTotal
Mean30 ± 530 ± 630 ± 6
Sex: Female, Male
Sex: Female, Male(Participants)Arrow Catheter Kit.B.Braun Catheter KitTotal
Female120120240
Male000
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Arrow Catheter Kit.B.Braun Catheter KitTotal
Count of participants——0
Gestational Age
Gestational Age(weeks)Arrow Catheter Kit.B.Braun Catheter KitTotal
Mean38.9 ± 1.538.6 ± 2.638.8 ± 2.1
BMI
BMI(kg/m^2)Arrow Catheter Kit.B.Braun Catheter KitTotal
Mean31.5 ± 5.631.6 ± 6.731.6 ± 6.2
Cervical Dilation
Cervical Dilation(cm)Arrow Catheter Kit.B.Braun Catheter KitTotal
Mean4 ± 24 ± 24 ± 2
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Study locations

1 site
  • von Voitlander Women's Hospital
    Ann Arbor, Michigan 48109, United States
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References and documents

Publications

  • Pancaro C, Purtell J, LaBuda D, Saager L, Klumpner TT, Dubovoy T, Rajala B, Singh S, Cassidy R, Vahabzadeh C, Maxwell S, Manica V, Eckmann DM, Mhyre JM, Engoren MC. Difficulty in Advancing Flexible Epidural Catheters When Establishing Labor Analgesia: An Observational Open-Label Randomized Trial. Anesth Analg. 2021 Jul 1;133(1):151-159. doi: 10.1213/ANE.0000000000005526. PubMed 33835077 ↗

Study documents

  • Protocol and statistical analysis plan · Oct 4, 2018

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes

Supporting information: Study protocol

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 6, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03722446
Lead sponsor
University of Michigan
Responsible party
Carlo Pancaro (Associate Professor of Anesthesiology, University of Michigan) — Principal investigator
First posted
Oct 29, 2018
Start date
Nov 16, 2018
Primary completion
Sep 21, 2019
Completion
Sep 21, 2019
Results posted
Oct 6, 2020
Last update
Oct 6, 2020

Study contacts

Carlo Pancaro, MD
principal investigator · University of Michigan

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2020. You cannot join it, but the record below documents what was studied.

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