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CompletedNCT04869462DOSTILCUUpdated Apr 12, 2022

DS Titanium Ligation Clip in Urology (Prostatectomy and Nephrectomy)

An observational study in Prostate Cancer, Kidney Cancer and Congenital Abnormality of Kidney, sponsored by Aesculap AG. Completed at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-04-12.

Sponsored by Aesculap AG · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
67
Ages
18 Years and older
Sex
All
01

Study summary

Prospective, monocentric, single arm, observational PMCF - Study on the Performance and Safety of Double-Shank Titanium Ligation Clip in Urology (Prostatectomy and Nephrectomy)

Read the detailed description

The objective of this observational study is to collect systematically and proactively data regarding the Aesculap® DS Titanium Ligation Clip under daily clinical practice when used in urology in different indications.

The hypothesis of this study is that this event, slippage / movement of the clip, is extremely rare through the design if used in accordance with the Instructions for Use (IfU). The observed rate through the total number of clips might be a valuable parameter and could influence future research.

Furthermore, this study is one of the PMCF measures which enable the manufacturer to monitor the safety and performance of the Aesculap® DS Titanium Ligation Clips. The products bear the CE-marking and are routinely used within this institution for the above-mentioned procedures.

02

Conditions studied

  • Prostate Cancer
  • Kidney Cancer
  • Congenital Abnormality of Kidney
  • Nephrolithiasis
  • Kidney Tuberculosis
  • Nephritis
  • Kidney Injury
  • Hydronephrosis

Keywords

  • Ligature of vessels and hollow organs
  • Marking of anatomic structures for radiological detection
  • Ligation
  • Prostatectomy
  • Nephrectomy
  • Minimally Invasive Surgical Procedures
  • Laparoscopy
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Data is collected preoperatively, intraoperatively and until discharge of all consecutive patients fulfilling the inclusion and exclusion criteria in a single site.

Eligibility criteria

Inclusion: Inclusion Criteria:

  • Planned Da Vinci radical prostatectomy using DS Titanium Ligation Clips (according to the IfU) - OR
  • Planned laparoscopic nephrectomy using Titanium Ligation Clip (according to the IfU) - OR
  • Planned Da Vinci partial nephrectomy using Titanium Ligation Clip (according to the IfU)
  • Patient's written informed consent
  • Age ≥ 18 years
  • Intraoperative Usage of DS Titanium Ligation Clips (according to the IfU)

Exclusion: Exclusion Criteria:

  • None
04

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
67 participants (actual)
05

What researchers measure

Primary outcomes

  1. Rate of slippage / movement of the clip in relationship to the total number of used clips.

    Slippage / movement of the Aesculap® DS Titanium Ligation Clip is an observable slippage, movement, or rotation after the clip was successfully applied and the application forceps was removed. The number of observed slippage / movement of the clip will be documented on the CRF, the clip size, step of the procedure and further measures were necessary, i.e. removal of the clip or application of another clip, will be documented. In the end the rate will be brought in relationship to the overall number of applied clips. Thus, the number of applied clips is documented, for each clip size.

    Time frame: Intraoperatively

Secondary outcomes

  1. Rate of Adverse events (intra- and postoperative)

    * Postoperative bleedings * Infections * Urine extravasation in partial nephrectomy * Prolonged urinary catheter drainage in radical prostatectomies * Ileus * Venous thrombo-embolic events * Sepsis * Other

    Time frame: up to discharge from hospital (approximately 10 days post surgery)

Other outcomes

  1. intraoperative blood loss

    Estimated intraoperative blood loss

    Time frame: intraoperatively

  2. Total operative time

    Estimated operative time from first cut to last stitch

    Time frame: intraoperatively

  3. Length of hospital stay

    Length of patient's stay in hospital after surgery

    Time frame: up to discharge from hospital (approximately 10 days post surgery)

  4. Handling parameters

    The handling performance of the clip is assessed on a five point likert scale (very good, good, acceptable, poor) in four different handling aspects

    Time frame: intraoperatively

06

Study locations

1 site
  • Ortenau Klinikum Klinik für Urologie und Kinderurologie
    Offenburg, 77654, Germany
07

Registry details

Key details

Study ID
NCT04869462
Lead sponsor
Aesculap AG
Responsible party
Sponsor
First posted
May 3, 2021
Start date
May 27, 2021
Primary completion
Jan 26, 2022
Completion
Jan 29, 2022
Last update
Apr 12, 2022

Study contacts

Jörg Simon, PD Dr. med.
principal investigator · Ortenau KlinikumKlinik für Urologie und Kinderurologie ChefarztEbertplatz 1277654 Offenburg

Oversight

Data monitoring committee
No
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