Medigus Ultrasonic Surgical Endostapler (MUSE) Registry

NCT ID: NCT02366169

Last Updated: 2016-04-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-03-31

Study Completion Date

2019-12-31

Brief Summary

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This registry is intended as an observational, post-marketing surveillance tool. The registry allows collection of baseline demographics and user experience of the commercially available MUSE system. Data collection aims to aggregate a minimum of 3 years follow-up on a large number of subjects during use outside the constraints of a prescribed clinical study.

Detailed Description

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The registry evaluates the MUSE System which creates a transoral anterior fundoplication for the treatment of GERD. The system enables the operator to staple the fundus of the stomach to the esophagus approximately 3cm superior to the Z-line in 2 or more locations. The procedure is performed transorally under general anesthesia. The procedural result is anatomically and functionally similar to standard anterior fundoplication (Dor-Thal operation). The staples are standard, 4.8mm titanium surgical staples. Each application of the device fires a quintuplet of staples (5) in three staggered rows. Anti-retching medications at the time of the procedure are essential.

The study population will be primarily adults aged 18-70 years selected by the investigators based on SAGES guidelines for fundoplication and consideration of the indications and contraindications listed in the device Instructions for Use (IFU).

Follow-up data will be collected at 6 months, 1, 2 and 3 years post procedure.

Conditions

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Gastroesophageal Reflux Disease (GERD)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Medigus Ultrasonic Surgical Endostapler (MUSE) Procedure

The procedure is performed transorally under general anesthesia. The physicians staples the fundus of the stomach to the esophagus approximately 3cm superior to the Z-line in 2 or more locations. The procedural result is anatomically and functionally similar to standard anterior fundoplication (Dor-Thal operation). The staples are standard, 4.8mm titanium surgical staples. Each application of the device fires a quintuplet of staples (5) in three staggered rows. Anti-retching medications at the time of the procedure are essential.

Intervention Type DEVICE

Other Intervention Names

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Stapled anterior fundoplication

Eligibility Criteria

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Inclusion Criteria

Generally follow the guidelines for Laparoscopic Fundoplication published by SAGES (Society of American Gastrointestinal and Endoscopic Surgeons) Objective evidence of GERD

* Positive acid exposure test or endoscopic evidence of esophagitis AND
* Inadequate symptom control or
* Patient preference from surgery over medications or
* Extra-esophageal manifestations (asthma, hoarseness, cough, chest pain, aspiration)

Exclusion Criteria

* Significant co-morbidity (for example, American Society of Anesthesiologists Grade 3 or higher)
* BMI \>35 or \<20
* No response to proton pump inhibitors
* Grade IV esophagitis
* Hiatal hernia \>3 cm
* Irreducible hernia of any size
* Gastric outlet obstruction
* Short esophagus
* Esophageal diverticula, strictures or varices
* Esophageal motility disorders
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medigus Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ralf Kiesslich, MD

Role: PRINCIPAL_INVESTIGATOR

Director Klinik für Innere Medizin II; Dr. Horst Schmidt Klinik

Locations

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UC Irvine Health

Orange, California, United States

Site Status RECRUITING

University of California at San Diego

San Diego, California, United States

Site Status RECRUITING

University of Florida Medical Center

Gainesville, Florida, United States

Site Status RECRUITING

The Borland Groover Clinic

Jacksonville, Florida, United States

Site Status RECRUITING

Indiana University

Indianapolis, Indiana, United States

Site Status RECRUITING

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status RECRUITING

Mayo Clinic

Rochester, Minnesota, United States

Site Status RECRUITING

Winthrop University Hospital

Mineola, New York, United States

Site Status RECRUITING

Lenox Hill Hospital

New York, New York, United States

Site Status RECRUITING

Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status RECRUITING

University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status RECRUITING

Evangelisches Krankenhaus Düsseldorf, Medizinische Klinik

Düsseldorf, , Germany

Site Status RECRUITING

Klinikum Ludwigsburg

Ludwigsburg, , Germany

Site Status RECRUITING

HSK, Dr. Horst Schmidt Kliniken GmbH

Wiesbaden, , Germany

Site Status RECRUITING

Ospedale San Raffaele

Milan, , Italy

Site Status RECRUITING

Università Cattolica del Sacro Cuore Policlinico A. Gemelli

Rome, , Italy

Site Status RECRUITING

Countries

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United States Germany Italy

Central Contacts

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Melina Salerno

Role: CONTACT

Facility Contacts

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Yuna Muyshondt, MPH

Role: primary

714-456-2215

Sarah Lazar, MPH

Role: primary

619-471-0447

Peter Draganov, MD

Role: primary

352-273-9472

Role: primary

904-680-0871

Gail McNulty, RN

Role: primary

317-948-3684

Ram Chuttani, MD

Role: primary

617-667-0162

Janna Mason

Role: primary

507-266-0516

Maria Kollarus, BSN, RN

Role: primary

516-663-4652

Poi Yu (Sofia) Yuen, MD

Role: primary

408-384-2038

Rebecca Dettorre

Role: primary

Angielyn Rivera

Role: primary

713-486-1350

Markus Schneider, MD

Role: primary

0049-211-919-1605

Karel Caca, MD

Role: primary

0049 7141 9967201

Sabrina Testoni

Role: primary

02.2643.2756

Carolina Gualtieri

Role: primary

+39 (06) 35511515

References

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Zacherl J, Roy-Shapira A, Bonavina L, Bapaye A, Kiesslich R, Schoppmann SF, Kessler WR, Selzer DJ, Broderick RC, Lehman GA, Horgan S. Endoscopic anterior fundoplication with the Medigus Ultrasonic Surgical Endostapler (MUSE) for gastroesophageal reflux disease: 6-month results from a multi-center prospective trial. Surg Endosc. 2015 Jan;29(1):220-9. doi: 10.1007/s00464-014-3731-3. Epub 2014 Aug 19.

Reference Type BACKGROUND
PMID: 25135443 (View on PubMed)

Roy-Shapira A, Bapaye A, Date S, Pujari R, Dorwat S. Trans-oral anterior fundoplication: 5-year follow-up of pilot study. Surg Endosc. 2015 Dec;29(12):3717-21. doi: 10.1007/s00464-015-4142-9. Epub 2015 Mar 18.

Reference Type BACKGROUND
PMID: 25783833 (View on PubMed)

Kim HJ, Kwon CI, Kessler WR, Selzer DJ, McNulty G, Bapaye A, Bonavina L, Lehman GA. Long-term follow-up results of endoscopic treatment of gastroesophageal reflux disease with the MUSE endoscopic stapling device. Surg Endosc. 2016 Aug;30(8):3402-8. doi: 10.1007/s00464-015-4622-y. Epub 2015 Nov 4.

Reference Type BACKGROUND
PMID: 26537905 (View on PubMed)

Related Links

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http://www.medigus.com

Study sponsor website

Other Identifiers

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14-001

Identifier Type: -

Identifier Source: org_study_id

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