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RecruitingNCT05915078Updated Jul 23, 2024

Evaluation of Outcomes Following In-office Tympanostomy Using the Tula® System: a Prospective, Multi-center Registry

An observational study in Otitis Media With Effusion, Acute Otitis Media and Otitis Media, sponsored by Smith & Nephew, Inc.. Recruiting at 6 sites in United States. Open to participants aged 6 Months to 17 Years. Per ClinicalTrials.gov, last updated 2024-07-23.

Sponsored by Smith & Nephew, Inc. · Observational

From the registry’s dates

  • Primary completion was expected by Mar 2025, 1 year 6 months ago, but the record still lists the study as recruiting.
  • Started Jun 2023; still recruiting 3 years 4 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Ages
6 Months to 17 Years
Sex
All
01

Study summary

This prospective, single-arm, multicenter registry is being conducted to collect real world post-market data from patients aged from 6 months to 17 years of age who are undergoing an in-office ear tube placement procedure (tympanostomy) using the Tula® System. The Registry will include up to 20 centers in the US and up to 200 patients for the initial evaluation.

The FDA-approved Tula System includes the Tula Iontophoresis System (IPS) with TYMBION™ otic anesthetic for local anesthesia of the ear drum and the Tula Tube Delivery System (TDS) for ear tube placement. Clinical research established the safety, efficacy and tolerability of this system for in-office procedures in the pediatric population. Patients will be treated and evaluated according to standard medical care. Outcome data is collected up to 6 months following extrusion or removal of their tube(s).

02

Conditions studied

  • Otitis Media With Effusion
  • Acute Otitis Media
  • Otitis Media

Keywords

  • Otitis media
  • pediatric
  • tympanostomy
  • office procedure
  • local anesthesia
03

In context

Otitis Media with Effusion

85 studies on the registry are indexed under Otitis Media with Effusion; 15 are open to participants now.

This study's planned enrollment of 200 is above the median of 125 across 20 observational studies indexed under Otitis Media with Effusion.

Browse Otitis Media with Effusion studies →

Lead sponsor

Smith & Nephew, Inc. is the lead sponsor of 133 studies on the registry; 11 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 10 (91%) have results posted.

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

04

Who can participate

Ages eligible
6 Months to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participating centers will invite eligible patients ages 6 months to 17 years of age indicated for tympanostomy to participate in the Registry

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

  • Patients ages 6 months through 17 years of age (inclusive) at time of tympanostomy in-office using the Tula® System
  • Patients who are candidates for in-office tube placement using the Tula System according to the System Instructions For Use

Exclusion criteria

Exclusion Criteria:

  • Patients who are wards are not included
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
200 participants (estimated)
Target follow-up
2 Years
Patient registry
Yes

Groups and cohorts

  • Tula Tympanostomy

    Patients undergoing in-office tympanostomy using the Tula® System

    Combination Product: Iontophoresis and tube placement

Interventions

  • Combination productIontophoresis and tube placement

    Iontophoretic delivery of TYMBION™ otic anesthetic using the Tula Iontophoresis System and tube insertion using the Tula Tube Delivery System

06

What researchers measure

Primary outcomes

  1. Procedure Success

    Count (and percentage) of patients with successful placement of Tula Tympanostomy Tubes in all indicated ears in an office procedure

    Time frame: Day of procedure (day 0)

Secondary outcomes

  1. Tolerability (physician reported)

    Count (and percentage) of patients that tolerated the procedure acceptably as determined by physician's observation.

    Time frame: Day of procedure (day 0)

  2. Tolerability (parent reported) - anesthesia

    Count (and percentage) of patients whose parents strongly agree or agree with the statement 'My child tolerated the anesthesia process well'

    Time frame: Day of procedure (day 0)

  3. Tolerability (parent reported) - procedure

    Count (and percentage) of patients whose parents strongly agree or agree with the statement 'The tube placement portion of the procedure was tolerable for my child'.

    Time frame: Day of procedure (day 0)

  4. Recovery (physician reported)

    Count (and percentage) of patients who recovered once back with parent, or prior to leaving the clinic, following procedure completion as determined by physician's observation.

    Time frame: Day of procedure (day 0)

  5. Recovery (parent reported)

    Count (and percentage) of patients who returned to normal activities immediately following the procedure.

    Time frame: Day of procedure (day 0)

  6. Anesthesia effectiveness - patients

    Count (and percentage) of patients who completed iontophoresis with adequate anesthesia for tube placement in all treated ears as determined by the physician's evaluation of tympanic membrane anesthesia

    Time frame: Day of procedure (day 0)

  7. Anesthesia effectiveness - ears

    Count (and percentage) of ears that completed iontophoresis with adequate anesthesia for TT placement as determined by the physician's tympanic membrane anesthesia evaluation.

    Time frame: Day of procedure (day 0)

  8. Tula Tympanostomy Tube retention

    Count (and percentage) of patients at the first post-operative visit in which a Tula Tympanostomy Tube was successfully placed, with presence of the Tula Tympanostomy Tube across the tympanic membrane

    Time frame: 1 month post procedure

  9. Parent satisfaction (informed)

    Count (and percentage) of patients whose parents strongly agree or agree with the survey question: 'I felt well informed and prepared to help me/my child complete the procedure'

    Time frame: 1 month post-procedure

  10. Parent satisfaction (siblings)

    Count (and percentage) of patients whose parents strongly agree or agree with the survey question: 'If my child had a sibling who needed ear tubes, I would choose this procedure in the office instead of going under general anesthesia in the operating room'

    Time frame: 1 month post-procedure

  11. Overall parent satisfaction

    Count (and percentage) of patients whose parents strongly agree or agree with the survey question: 'Overall, I am very satisfied with the in-office ear tube procedure'

    Time frame: 1 month post-procedure

  12. Parent satisfaction (recommendation)

    Count (and percentage) of patients whose parents strongly agree or agree with the survey question: 'I would recommend this procedure to family/friends who have children who need ear tubes'

    Time frame: 1 month post-procedure

07

Study locations

6 of 6 sites recruiting
  • Advanced ENT and Allergy
    Louisville, Kentucky 40220, United States
    • Jennifer Leonard · Contact · jleonard@advancedentandallergy.com · 502-893-0159
    • Colin A Neumann, MD · Principal investigator
    • Andrew R Gould, MD · Principal investigator
    Recruiting
  • Regional Otolaryngology Head and Neck Associates
    Cherry Hill, New Jersey 08034, United States
    • Megan Morgan · Contact
    • Ryan D Walker, MD · Principal investigator
    Recruiting
  • Rutgers Robert Wood Johnson Medical School
    New Brunswick, New Jersey 08901, United States
    • Kelvin M Kwong · Contact
    • Kelvin M Kwong, MD · Principal investigator
    Recruiting
  • Columbia University Vagelos College of Physicians and Surgeons
    New York, New York 10032, United States
    • Lawrence Lustig, MD · Principal investigator
    Recruiting
  • Ogden Clinic - Professional Center North
    Ogden, Utah 84403, United States
    • Ashley Erickson · Contact
    • Douglas K Anderson, MD · Principal investigator
    Recruiting
  • Peak Pediatric Ear, Nose and Throat
    Provo, Utah 84604, United States
    • Jordan C Schramm · Contact
    • Jordan C Schramm, MD · Principal investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 23, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05915078
Responsible party
Sponsor
First posted
Jun 22, 2023
Start date
Jun 15, 2023
Primary completion
Mar 30, 2025 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Jul 23, 2024

Study contacts

Catherine E Whittall, BsC, Ph.D
Contact
catherine.whittall@smith-nephew.com
+44 7841 868997

Oversight

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

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