ClinicalTrials.gg
RecruitingNCT05867927GENERATEUpdated Nov 4, 2026

GENERATE - Next GENERATion of GynEcological Surgery - Robotic Assisted Surgery in Gynecological Indications

An observational study in GYN Disorders, sponsored by Intuitive Surgical. Recruiting at 15 sites in Germany. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by Intuitive Surgical · Observational

From the registry’s dates

  • Started Oct 2023; still recruiting 3 years later.
Updated Nov 4, 2026Primary completion movedStudy completion movedGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,250
Ages
18 Years and older
Sex
Female
01

Study summary

GENERATE - Next GENERATion of GynEcological Surgery - Robotic Assisted Surgery in Gynecological Indications

Generate real-world evidence in the use of the da Vinci Surgical Systems for gynecological indications within the German health care system.

Read the detailed description

A prospective, non-interventional, multi-center, post market clinical study.

02

Conditions studied

  • GYN Disorders
03

In context

Genital Diseases, Female

161 studies on the registry are indexed under Genital Diseases, Female; 31 are open to participants now.

This study's planned enrollment of 1,250 is above the median of 200 across 37 observational studies indexed under Genital Diseases, Female.

Browse Genital Diseases, Female studies →

Lead sponsor

Intuitive Surgical is the lead sponsor of 62 studies on the registry; 6 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 1 (14%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients with gynecological disease that may be treated by surgical intervention.

Eligibility criteria

Key Inclusion Criteria:

  • Woman with 18 years of age or older
  • Patient is willing to participate and to comply with the study procedures as demonstrated by signing the
  • Patient is a candidate for a gynecological procedure to be performed with the Intuitive Surgical System

Key Exclusion Criteria:

  • of less than 1 year
  • Pregnancy, or positive pregnancy test for women prior to menopause or breastfeeding women
  • Current participation in a clinical study, if not pre-approved by Intuitive
  • Individuals who are unable to fully understand all aspects of the study that are relevant to the decision to participate (mentally or verbally), or who could be manipulated or unduly influenced as a result of a compromised position, expectation of benefits or fear of retaliation
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,250 participants (estimated)
Patient registry
No

Groups and cohorts

  • da Vinci Patients

    Consecutive enrollment of patients with indications of interest and having a da Vinci robotic-assisted surgery

    Device: Robotic-assisted surgery (da Vinci)

  • Epidemiological Data Audit

    Extended data collection on patients with indications of interest, eligible for a robotic-assisted surgery, but treatment choice was not a da Vinci surgery

    Device: Non-da Vinci Surgery

Interventions

  • DeviceRobotic-assisted surgery (da Vinci)

    Robotic-assisted surgery (da Vinci)

  • DeviceNon-da Vinci Surgery

    Non-da Vinci Surgery

06

What researchers measure

Primary outcomes

  1. Number of complications related to the surgery up to 30 days

    Describe the number of complications related to the surgery up to 30 days; adverse events as documented during the first 30 days will be classified as four different levels of causality to the surgery (not related, possible, probable and causal relationship). Descriptive analysis will be performed.

    Time frame: 30 days

  2. Describe the number of patient-reported outcomes up to 12 months

    Describe the patient-reported outcomes up to 12 months; descriptive analysis will be performed on the data directly reported via the patients (patient questionnaires); information included are number of complications, re-hospitalizations, re-operations, disease recurrence, disease remission, new disease diagnosis and pain status including pain medication

    Time frame: 12 months

  3. Characterize the treatment decision as reported by the treating physician

    Characterize the treatment decision per data provided by the treating physician (within the study database) including the rationale given for the treatment decision (e.g., age of the patient or co-morbidity); number of treatment decisions, e.g., for surgical therapy (open surgery or minimal-invasive therapy), watchful waiting, or treatment with medication will be described; descriptive analysis will be performed

    Time frame: 30 days

Secondary outcomes

  1. Investigate the impact of patient characteristics on surgery

    Descriptive analysis of patient characteristics such as age on surgery (e.g., duration of surgery, instrument usage)

    Time frame: 30 days

  2. Investigate the impact of patient characteristics on clinical outcome

    Descriptive analysis of patient characteristics such as age on clinical outcome (e.g., re-operation)

    Time frame: 30 days

  3. Investigate the impact of patient characteristics on complications

    Descriptive analysis of patient characteristics such as age on complication (number of complications reported during and after the surgery)

    Time frame: 30 days

  4. Describe the impact from surgery to the patient's quality of life and function

    Describe the impact from surgery to the patient's quality of life and function by comparing the baseline quality of life and functional status with the post-operative status (post-operative day 1-3, 30 days, 90 days, 6 months and 12 months)

    Time frame: 12 months

  5. Describe the number of Intuitive instruments used per procedure and patient characteristics

    Describe the number of Intuitive instruments used per procedure and patient characteristics; descriptive analysis will be performed on the number of instruments used per specific procedure and patient

    Time frame: 30 days

  6. Describe the number of disease recurrence and re-operation at final patient follow-up

    Describe the number disease recurrence and re-operation at final patient follow-up; descriptive analysis will be performed

    Time frame: 12 months

  7. Describe the number of conversion per procedure and patient characteristics

    Describe the number conversion per procedure and patient characteristics; descriptive analysis will be performed

    Time frame: 30 days

  8. Describe the impact of surgeon experience on surgical times (duration of surgery per treating surgeon)

    Describe the impact of surgeon experience on surgical times, descriptive analysis will be performed on the surgical times (duration of surgery) per treating surgeon

    Time frame: 30 days

  9. Describe the impact of surgeon experience on clinical outcome (number of clinical outcomes per treating surgeon)

    Describe the impact of surgeon experience on clinical outcome; descriptive analysis will be performed, e.g., on number of re-operation or re-hospitalization per treating surgeon

    Time frame: 30 days

  10. Describe the impact of surgeon experience on complications (number of events per surgeon)

    Describe the impact of surgeon experience on complications; descriptive analysis will be performed on number of adverse events per treating surgeon

    Time frame: 30 days

07

Study locations

2 of 15 sites recruiting
  • Albertinen Krankenhaus Hamburg
    Hamburg, Free and Hanseatic City of Hamburg 22457, Germany
    Active, not recruiting

    Not enrolling at this site.

  • St. Josefs-Hospital Wiesbaden
    Wiesbaden, Hesse 65189, Germany
    Active, not recruiting

    Not enrolling at this site.

  • Charité - Universitätsmedizin Berlin - Klinik für Gynäkologie
    Berlin, 13353, Germany
    Active, not recruiting

    Not enrolling at this site.

  • Augusta-Kranken-Anstalt Bochum
    Bochum, 44791, Germany
    Active, not recruiting

    Not enrolling at this site.

  • Sana Kliniken Coburg
    Coburg, 96450, Germany
    Active, not recruiting

    Not enrolling at this site.

  • St. Elisabeth-Krankenhaus Köln-Hohenlind
    Cologne, 50935, Germany
    Terminated

    Not enrolling at this site.

  • Universitätsklinikum Essen
    Essen, 45147, Germany
    Active, not recruiting

    Not enrolling at this site.

  • Agaplesion Markus Krankenhaus Frankfurt am Main
    Frankfurt am Main, 60431, Germany
    Active, not recruiting

    Not enrolling at this site.

  • Universitätsklinikum Freiburg - Klinik für Frauenheilkunde
    Freiburg im Breisgau, 79106, Germany
    Recruiting
    • Markus Hübner, Prof. Dr. · Contact
  • Universitätsmedizin Greifswald
    Greifswald, 17475, Germany
    Recruiting
  • St. Ansgar Krankenhaus Höxter
    Höxter, 37671, Germany
    Active, not recruiting

    Not enrolling at this site.

  • Universitätsklinikum Kiel
    Kiel, 24105, Germany
    Active, not recruiting

    Not enrolling at this site.

  • Klinikum Nürnberg Nord / Klinik für Frauenheilkunde
    Nuremberg, 90419, Germany
    Active, not recruiting

    Not enrolling at this site.

  • Helios Kliniken Schwerin
    Schwerin, 19055, Germany
    Active, not recruiting

    Not enrolling at this site.

  • Universitätsklinikum Tübingen - Frauenklinik
    Tübingen, 72076, Germany
    Active, not recruiting

    Not enrolling at this site.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Started Oct 2023 (actual). Primary completion is estimated for Feb 2028, 52 months after the start.

Since we started tracking on Sep 25, 2026, the dates moved once, on Nov 4, 2026: primary completion Dec 2027 → Feb 2028 and completion Mar 2028 → Jul 2028.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
May 2, 2023
First posted
May 22, 2023
StartActual
Oct 25, 2023
Primary completionEst.
Feb 2028was Dec 2027
CompletionEst.
Jul 2028was Mar 2028
Last update
Nov 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Primary completion
Dec 2027→Feb 2028
Nov 4, 2026
Study completion
Mar 2028→Jul 2028
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    Primary completion Dec 2027→Feb 2028
    Study completion Mar 2028→Jul 2028
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05867927
Lead sponsor
Intuitive Surgical
Responsible party
Sponsor
First posted
May 22, 2023
Start date
Oct 25, 2023
Primary completion
Feb 2028 (estimated)
Completion
Jul 2028 (estimated)
Last update
Nov 4, 2026

Study contacts

Petra Kremer
Contact
petra.kremer@intusurg.com
+49 151 62679136
Peter Appenrodt
Contact
peter.appenrodt@intusurg.com
+49 173 2043740
Ingolf Juhasz-Böss, Prof. Dr.
principal investigator · University Hospital Freiburg

Oversight

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

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