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Status unknownNCT03734471UNCUTUpdated Nov 8, 2018

Reactor Thoracostomy

A Phase 3 interventional study of Reactor Device and Tube thoracostomy in Pneumothorax and Hemothorax, sponsored by Crozer-Keystone Health System. Status unknown. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-11-08.

Sponsored by Crozer-Keystone Health System · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Nov 2018), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Tube thoracostomy is commonly performed in the emergency department for patients suffering from traumatic hemo- or pneumo-thorax. The procedure involves the use of a scalpel incision at the skin followed by blunt dissection through tissue, penetration into the thoracic cavity, dilation of a tract for tube placement, exploration of the thoracic cavity with a gloved finger, and finally insertion of a sterile tube into the intrathoracic space. The procedure is considered extremely painful despite the routine provision of systemic analgesics and local anesthetics.

Cadaver and animal studies have demonstrated the use of the Reactor chest tube device, a squeeze-activated thoracostomy trochar with placement of a clear sheath for chest tube insertion, to decrease procedure time, incision size, and blood loss. Case series and observational reports suggest lower rates of procedural complication and failure as well as increased patient satisfaction due to pain reduction.

02

Conditions studied

  • Pneumothorax
  • Hemothorax
03

In context

Pneumothorax

183 studies on the registry are indexed under Pneumothorax; 41 are open to participants now.

This study's planned enrollment of 54 is below the median of 100 across 111 interventional studies indexed under Pneumothorax.

Browse Pneumothorax studies →

Lead sponsor

Crozer-Keystone Health System is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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.

Inclusion criteria

  1. Subjects age ≥ 18 years old
  2. Attending physician determination of need for urgent tube thoracostomy for treatment of traumatic pneumothorax, hemothorax, or hemopneumothorax.
  3. Hemodynamically stable

Exclusion criteria

Exclusion Criteria:

  1. Pregnant patients
  2. Prisoners
  3. Need for emergency thoracostomy
  4. Hemodynamic instability
  5. Respiratory distress
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
54 participants (estimated)

Study arms

  • Active comparator
    Traditional

    Procedure: Tube thoracostomy

  • Experimental
    Reactor Device

    Device: Reactor Device

Interventions

  • DeviceReactor Device

    The Reactor is a Class II FDA medical device to facilitate the insertion of chest tubes into the thoracic cavity.

  • ProcedureTube thoracostomy

    Traditional chest tube placement

06

What researchers measure

Primary outcomes

  1. Patient report of pain

    As measured on a 100mm VAS

    Time frame: During procedure

Secondary outcomes

  1. Procedure time

    Time frame: During procedure

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 8, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03734471
Lead sponsor
Crozer-Keystone Health System
Responsible party
Richard Pescatore (Director of Clinical Research, Crozer-Keystone Health System) — Principal investigator
First posted
Nov 8, 2018
Start date
Jan 1, 2019 (estimated)
Primary completion
Jul 1, 2019 (estimated)
Completion
Nov 1, 2019 (estimated)
Last update
Nov 8, 2018

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 status unknown, as verified in Nov 2018. You cannot join it, but the record below documents what was studied.

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