Harmonic ACE®+7 Shears in Laparoscopic Hysterectomy

NCT ID: NCT02278640

Last Updated: 2016-08-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE4
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-10-31
• Study Completion Date: 2015-06-30

Brief Summary

This is a prospective, non-randomized, single arm, multicenter, study to assess the initial clinical experience with the Harmonic ACE®+7 Shears by evaluating vessel sealing during total laparoscopic hysterectomy. The study will not modify or influence current surgeon technique. Investigators will perform each procedure using the device in compliance with their standard surgical approach and product labeling.

The Harmonic ACE®+7 Shears is cleared for commercial distribution and will be used in accordance with approved product labeling. The Harmonic ACE®+7 Shears will be assembled, calibrated, and/or used in accordance with manufacturer design specifications, product instructions and guidelines

Detailed Description

Study Population: Subjects enrolled into this study will undergo elective total laparoscopic hysterectomy for benign indications wherein dissection and transection of the uterine vasculature is indicated.

Primary Variables: Percentage of subjects achieving hemostasis at the named vessel/pedicle (UA or UP) on the left side. Percentage of subjects achieving hemostasis at the named vessel/pedicle (UA or UP) on the right side.

Definition: Hemostasis of the named vessel or pedicle is a dichotomous variable (i.e. yes or no). "Yes" is defined as the hemostatic transection of the uterine vasculature (left / right) with at least one use of the device in Advanced Hemostasis mode (a completed cycle with the second activation tone heard) without the use of additional hemostatic measures (i.e. tissue sealers, cautery devices, hemoclips, staples, sutures, fibrin sealants, etc.) other than the Harmonic ACE®+7 device.

Note: Multiple applications of the Advanced Hemostasis mode and/or additional applications of the device in a maximum (MAX) or minimum (MIN) mode are allowed.

Secondary Endpoints:

Percentage of subjects achieving hemostasis at the OP on the left and/or right side.

If the study procedure also includes the transection and sealing of one or both OPs, hemostasis of the left and/or right OP will also be recorded. Hemostasis of the OP is a dichotomous variable (i.e. yes or no). "Yes" is defined as the hemostatic transection of the ovarian vasculature (left and/or right) with at least one use of the device in Advanced Hemostasis mode (a completed cycle with the second activation tone heard) without the use of additional hemostatic measures (i.e. tissue sealers, cautery devices, hemoclips, staples, sutures, fibrin sealants, etc.).

Note: Multiple applications of the Advanced Hemostasis mode or the device in a MAX or MIN mode are allowed.

Exploratory endpoints include:

Requirement for additional measures to obtain hemostasis on the named vessel/pedicle (UA or UP and/or OP) on the left and right side Use of other energy devices (tissue sealers, cautery devices) - Graded as yes or no; if "yes", the name and type, time of application (24 hour clock).

Use of additional hemostatic products (e.g. hemoclips, staples, sutures, fibrin sealants) - Graded as yes or no; if "yes", the name and type, number/volume, and time of application (24 hour clock).

Complications associated with vaginal cuff healing including dehiscence or separation, infection, cellulitis, abscess, inflammation, and granulation associated with each suture used as part of the study.

Adverse events attributed to the study device or procedure will be collected from time of surgery to Visit 4 (Approximately 4 to 6 weeks after study surgery or as per standard of care (SOC)).

No formal sample size determination is required for this study. Approximately 40 subjects from the United States and the European Union are planned to be enrolled into this study.

Global indication for use of the The Harmonic ACE®+7, 5mm Diameter Shears with Advanced Hemostasis:

Indicated for soft tissue incisions when bleeding control and minimal thermal injury are desired. The instruments can be used as an adjunct to or substitute for electrosurgery, lasers and steel scalpels in general, plastic, pediatric, gynecologic, urologic, thoracic, exposure to orthopedic structures (such as spine and joint space), sealing and transection of lymphatic vessels, and other open and endoscopic procedures. The instruments allow for the coagulation of vessels up to and including 7mm in diameter, using the Advanced Hemostasis function.

Conditions

Benign Disease Where Total Hysterectomy is Indicated

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Harmonic ACE®+7 Shears

Single Arm study using Harmonic ACE for dissection and transection in Hysterectomy

Group Type: OTHER

Harmonic ACE®+7 Shears

Intervention Type: DEVICE

Vessel/pedicle sealing performance assessed for transection and sealing of the of the uterine vasculature.

Interventions

Harmonic ACE®+7 Shears

Vessel/pedicle sealing performance assessed for transection and sealing of the of the uterine vasculature.

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

Subjects satisfying all of the following criteria will be considered the screening population and will be eligible for participation in this study:

1. Indicated for elective total laparoscopic hysterectomy

2. Age >=40 years and no future desire for fertility

Exclusion Criteria

Subjects with any of the following criteria will be excluded from the study:

1. Known or suspected uncontrolled bleeding disorders

2. Subjects unlikely to comply with protocol procedures or adhere to the study visit schedule

3. Any condition rendering a subject unable to understand the nature, scope, and possible consequences of the study or study procedures

4. Any Subject unwilling to sign the study informed consent document

5. Any suspected malignancy

6. Any Subject of childbearing potential with a positive or serum pregnancy test within 24 hours prior to surgery

7. Any intra-operative findings identified by the surgeon that may preclude conduct of the study procedure

• Minimum Eligible Age: 40 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Ethicon Endo-Surgery

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Florida Hospital Celebration Health

Celebration, Florida, United States

The Advanced Gynecological Surgery Institute

Schaumburg, Illinois, United States

Gynaecoloog (aandachtsgebied: endoscopische chirurgie)

Nijmegen, , Netherlands

The Royal Surrey County Hospital NHS Trust

Surrey, , United Kingdom

Countries

United States; Netherlands; United Kingdom

References

Nieboer TE, Steller CJ, Hinoul P, Maxson AJ, Schwiers ML, Miller CE, Coppus SF, Kent AS. Clinical utility of a novel ultrasonic vessel sealing device in transecting and sealing large vessels during laparoscopic hysterectomy using advanced hemostasis mode. Eur J Obstet Gynecol Reprod Biol. 2016 Jun;201:135-9. doi: 10.1016/j.ejogrb.2016.03.035. Epub 2016 Apr 14.

Reference Type: BACKGROUND

PMID: 27124666 (View on PubMed)

Other Identifiers

ENG-14-002

Identifier Type: -

Identifier Source: org_study_id