Trial Outcomes & Findings for Ultravision™ System to Facilitate Low Impact Laparoscopic Surgery for Endometriosis (NCT NCT03956082)

NCT ID: NCT03956082

Last Updated: 2022-11-17

Results Overview

The ability to complete the procedure without increasing pneumoperitoneum due to visualization. Any increase beyond 10mm Hg and the reason for change will be recorded.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

15 participants

Primary outcome timeframe

Intraoperative

Results posted on

2022-11-17

Participant Flow

Participant milestones

Participant milestones
Measure
This is a Prospective Single Arm Study
The Ultravision™ System is an FDA-cleared medical device that removes surgical smoke by means of electrostatic precipitation from the visual field during laparoscopic surgical procedures. "Surgical smoke" refers to the suspended particulate matter that is generated as a by-product of the combustion and other processes that are associated with the use of energy-based surgical instruments. Ultravision System: Laparoscopic surgery will be performed with the Ultravision Visual Field Clearing System. This system is indicated for the clearance of smoke and other particulate matter that is created during laparoscopic surgery. Ultravision Visual Clearing System removes surgical smoke by means of electrostatic precipitation
Overall Study
STARTED
15
Overall Study
COMPLETED
9
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
This is a Prospective Single Arm Study
n=9 Participants
The Ultravision™ System is an FDA-cleared medical device that removes surgical smoke by means of electrostatic precipitation from the visual field during laparoscopic surgical procedures. "Surgical smoke" refers to the suspended particulate matter that is generated as a by-product of the combustion and other processes that are associated with the use of energy-based surgical instruments. Ultravision System: Laparoscopic surgery will be performed with the Ultravision Visual Field Clearing System. This system is indicated for the clearance of smoke and other particulate matter that is created during laparoscopic surgery. Ultravision Visual Clearing System removes surgical smoke by means of electrostatic precipitation
Age, Customized
Age of participants
28 years
n=9 Participants
Sex/Gender, Customized
Women
9 Participants
n=9 Participants
Region of Enrollment
United States
9 participants
n=9 Participants
Body Mass Index (BMI)
24.5 kg/m^2
STANDARD_DEVIATION 4.7 • n=9 Participants
Endometriosis diagnoses
Pelvic pain
4 Participants
n=9 Participants
Endometriosis diagnoses
Ovarian cyst
2 Participants
n=9 Participants
Endometriosis diagnoses
Other (diagnoses included menorrhagia, hematochezia and dysmenorrhea and dyspareunia)
3 Participants
n=9 Participants
Indicated pain location on representative human figure
Not applicable
5 Participants
n=9 Participants
Indicated pain location on representative human figure
Lower abdomen
2 Participants
n=9 Participants
Indicated pain location on representative human figure
Left lower quadrant (LLQ)
1 Participants
n=9 Participants
Indicated pain location on representative human figure
Right lower quadrant (RLQ)
1 Participants
n=9 Participants
Pain score on a scale from 0 (no pain) to 10 (worst pain imaginable).
Pain score of 0
5 Participants
n=9 Participants
Pain score on a scale from 0 (no pain) to 10 (worst pain imaginable).
Pain score of 1
2 Participants
n=9 Participants
Pain score on a scale from 0 (no pain) to 10 (worst pain imaginable).
Pain score of 2
1 Participants
n=9 Participants
Pain score on a scale from 0 (no pain) to 10 (worst pain imaginable).
Pain score of 3
1 Participants
n=9 Participants
Recorded name, dose and frequency of any pain medication taken within 24 hours of surgical procedure
Taking "1/2 pill" Percocet (class 4 drug) (not prescribed) prn for pain within 24 of surgery.
1 Participants
n=9 Participants
Recorded name, dose and frequency of any pain medication taken within 24 hours of surgical procedure
Taking 600mg ibuprofen (class 2 drug) prn for pain within 24 of surgery.
1 Participants
n=9 Participants
Recorded name, dose and frequency of any pain medication taken within 24 hours of surgical procedure
Not taking pain medication within 24 hours of surgery.
5 Participants
n=9 Participants
Recorded name, dose and frequency of any pain medication taken within 24 hours of surgical procedure
Unspecified pain medication for unrelated condition(s)
2 Participants
n=9 Participants

PRIMARY outcome

Timeframe: Intraoperative

The ability to complete the procedure without increasing pneumoperitoneum due to visualization. Any increase beyond 10mm Hg and the reason for change will be recorded.

Outcome measures

Outcome measures
Measure
This is a Prospective Single Arm Study
n=9 Participants
The Ultravision™ System is an FDA-cleared medical device that removes surgical smoke by means of electrostatic precipitation from the visual field during laparoscopic surgical procedures. "Surgical smoke" refers to the suspended particulate matter that is generated as a by-product of the combustion and other processes that are associated with the use of energy-based surgical instruments. Ultravision System: Laparoscopic surgery will be performed with the Ultravision Visual Field Clearing System. This system is indicated for the clearance of smoke and other particulate matter that is created during laparoscopic surgery. Ultravision Visual Clearing System removes surgical smoke by means of electrostatic precipitation
Procedure Completed Without Change in Intra-abdominal Pressure
9 Participants

PRIMARY outcome

Timeframe: Intra-operative

The quality of visualization in the laparoscopic field of view will be assessed by the investigator using a Visual Analog Scale (VAS). The scale will rate the overall quality of visualization during the procedure on a scale numbered 0 to 100, in increments of 10, where 0 equals poor and 100 equals excellent.

Outcome measures

Outcome measures
Measure
This is a Prospective Single Arm Study
n=9 Participants
The Ultravision™ System is an FDA-cleared medical device that removes surgical smoke by means of electrostatic precipitation from the visual field during laparoscopic surgical procedures. "Surgical smoke" refers to the suspended particulate matter that is generated as a by-product of the combustion and other processes that are associated with the use of energy-based surgical instruments. Ultravision System: Laparoscopic surgery will be performed with the Ultravision Visual Field Clearing System. This system is indicated for the clearance of smoke and other particulate matter that is created during laparoscopic surgery. Ultravision Visual Clearing System removes surgical smoke by means of electrostatic precipitation
Quality of Visualization Laparoscopic Field
100 score on a scale
Standard Deviation 0

SECONDARY outcome

Timeframe: A mean of 31 days (SD=2.8) after surgical procedure

Patient satisfaction in post-surgical cosmesis outcome, administered via telephone, assessed by means of a survey scaled from 1 - 7, where 1 = "very unsatisfied" and 7 = "very satisfied".

Outcome measures

Outcome measures
Measure
This is a Prospective Single Arm Study
n=9 Participants
The Ultravision™ System is an FDA-cleared medical device that removes surgical smoke by means of electrostatic precipitation from the visual field during laparoscopic surgical procedures. "Surgical smoke" refers to the suspended particulate matter that is generated as a by-product of the combustion and other processes that are associated with the use of energy-based surgical instruments. Ultravision System: Laparoscopic surgery will be performed with the Ultravision Visual Field Clearing System. This system is indicated for the clearance of smoke and other particulate matter that is created during laparoscopic surgery. Ultravision Visual Clearing System removes surgical smoke by means of electrostatic precipitation
Cosmesis Outcome
5
1 Participants
Cosmesis Outcome
6
2 Participants
Cosmesis Outcome
7
6 Participants

SECONDARY outcome

Timeframe: Day 1-7 postoperative

Population: The pain diary for post-operative days 1-7 was completed by eight of the nine subjects.

Patient shoulder postoperative pain assessments. Recorded by the patient each day from day 1 to day 7 postoperative using a 10 Numerical Rating Scale (NRS) where 0 is "no pain at all" to 10 "worst pain imaginable".

Outcome measures

Outcome measures
Measure
This is a Prospective Single Arm Study
n=8 Participants
The Ultravision™ System is an FDA-cleared medical device that removes surgical smoke by means of electrostatic precipitation from the visual field during laparoscopic surgical procedures. "Surgical smoke" refers to the suspended particulate matter that is generated as a by-product of the combustion and other processes that are associated with the use of energy-based surgical instruments. Ultravision System: Laparoscopic surgery will be performed with the Ultravision Visual Field Clearing System. This system is indicated for the clearance of smoke and other particulate matter that is created during laparoscopic surgery. Ultravision Visual Clearing System removes surgical smoke by means of electrostatic precipitation
Postoperative Shoulder Pain Assessment (Day 1-7)
Post-operative day 1
3.125 score on a scale
Interval 0.0 to 7.0
Postoperative Shoulder Pain Assessment (Day 1-7)
Post-operative day 2
1.25 score on a scale
Interval 0.0 to 5.0
Postoperative Shoulder Pain Assessment (Day 1-7)
Post-operative day 3
0.5 score on a scale
Interval 0.0 to 2.0
Postoperative Shoulder Pain Assessment (Day 1-7)
Post-operative day 4
0.625 score on a scale
Interval 0.0 to 3.0
Postoperative Shoulder Pain Assessment (Day 1-7)
Post-operative day 5
0.25 score on a scale
Interval 0.0 to 2.0
Postoperative Shoulder Pain Assessment (Day 1-7)
Post-operative day 6.
0.125 score on a scale
Interval 0.0 to 1.0
Postoperative Shoulder Pain Assessment (Day 1-7)
Post-operative day 7
0 score on a scale
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: Day 1-7 postoperative

Population: The pain diary for post-operative days 1-7 was completed by eight of the nine subjects.

Some subjects recorded taking opioid and non-opioid medications for pain. Non-opioid medications included non-steroidal anti-inflammatory drugs and acetaminophen.

Outcome measures

Outcome measures
Measure
This is a Prospective Single Arm Study
n=8 Participants
The Ultravision™ System is an FDA-cleared medical device that removes surgical smoke by means of electrostatic precipitation from the visual field during laparoscopic surgical procedures. "Surgical smoke" refers to the suspended particulate matter that is generated as a by-product of the combustion and other processes that are associated with the use of energy-based surgical instruments. Ultravision System: Laparoscopic surgery will be performed with the Ultravision Visual Field Clearing System. This system is indicated for the clearance of smoke and other particulate matter that is created during laparoscopic surgery. Ultravision Visual Clearing System removes surgical smoke by means of electrostatic precipitation
Opioid/Opioid-containing Medication Taken Postoperatively for Pain
Post-operative day 1
5 Participants
Opioid/Opioid-containing Medication Taken Postoperatively for Pain
Post-operative day 2
3 Participants
Opioid/Opioid-containing Medication Taken Postoperatively for Pain
Post-operative day 3
0 Participants
Opioid/Opioid-containing Medication Taken Postoperatively for Pain
Post-operative day 4
0 Participants
Opioid/Opioid-containing Medication Taken Postoperatively for Pain
Post-operative day 5
0 Participants
Opioid/Opioid-containing Medication Taken Postoperatively for Pain
Post-operative day 6
0 Participants
Opioid/Opioid-containing Medication Taken Postoperatively for Pain
Post-operative day 7
1 Participants

SECONDARY outcome

Timeframe: Day 1-7 postoperative

Population: The pain diary for post-operative days 1-7 was completed by eight of the nine subjects.

Patient postoperative abdominal pain assessments. Recorded by the patient each day from day 1 to day 7 postoperative using a 10 Numerical Rating Scale (NRS) where 0 is "no pain at all" to 10 "worst pain imaginable".

Outcome measures

Outcome measures
Measure
This is a Prospective Single Arm Study
n=8 Participants
The Ultravision™ System is an FDA-cleared medical device that removes surgical smoke by means of electrostatic precipitation from the visual field during laparoscopic surgical procedures. "Surgical smoke" refers to the suspended particulate matter that is generated as a by-product of the combustion and other processes that are associated with the use of energy-based surgical instruments. Ultravision System: Laparoscopic surgery will be performed with the Ultravision Visual Field Clearing System. This system is indicated for the clearance of smoke and other particulate matter that is created during laparoscopic surgery. Ultravision Visual Clearing System removes surgical smoke by means of electrostatic precipitation
Postoperative Abdominal Pain Assessment (Day 1-7)
Post-operative day 1
3.125 score on a scale
Interval 0.0 to 6.0
Postoperative Abdominal Pain Assessment (Day 1-7)
Post-operative day 2
3.75 score on a scale
Interval 1.0 to 6.0
Postoperative Abdominal Pain Assessment (Day 1-7)
Post-operative day 3
3 score on a scale
Interval 1.0 to 5.0
Postoperative Abdominal Pain Assessment (Day 1-7)
Post-operative day 4
2.75 score on a scale
Interval 1.0 to 6.0
Postoperative Abdominal Pain Assessment (Day 1-7)
Post-operative day 5
2.25 score on a scale
Interval 1.0 to 4.0
Postoperative Abdominal Pain Assessment (Day 1-7)
Post-operative day 6
1.6875 score on a scale
Interval 0.0 to 7.5
Postoperative Abdominal Pain Assessment (Day 1-7)
Post-operative day 7
1.375 score on a scale
Interval 0.0 to 3.0

SECONDARY outcome

Timeframe: Day 1-7 postoperative

Population: The pain diary for post-operative days 1-7 was completed by eight of the nine subjects.

Some subjects recorded taking opioid and non-opioid medications for pain. Non-opioid medications included non-steroidal anti-inflammatory drugs and acetaminophen.

Outcome measures

Outcome measures
Measure
This is a Prospective Single Arm Study
n=8 Participants
The Ultravision™ System is an FDA-cleared medical device that removes surgical smoke by means of electrostatic precipitation from the visual field during laparoscopic surgical procedures. "Surgical smoke" refers to the suspended particulate matter that is generated as a by-product of the combustion and other processes that are associated with the use of energy-based surgical instruments. Ultravision System: Laparoscopic surgery will be performed with the Ultravision Visual Field Clearing System. This system is indicated for the clearance of smoke and other particulate matter that is created during laparoscopic surgery. Ultravision Visual Clearing System removes surgical smoke by means of electrostatic precipitation
Non-opioid Medication Taken Postoperatively for Pain
Post-operative day 1
6 Participants
Non-opioid Medication Taken Postoperatively for Pain
Post-operative day 2
7 Participants
Non-opioid Medication Taken Postoperatively for Pain
Post-operative day 3
5 Participants
Non-opioid Medication Taken Postoperatively for Pain
Post-operative day 4
6 Participants
Non-opioid Medication Taken Postoperatively for Pain
Post-operative day 5
4 Participants
Non-opioid Medication Taken Postoperatively for Pain
Post-operative day 6
3 Participants
Non-opioid Medication Taken Postoperatively for Pain
Post-operative day 7
3 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Intraoperative

End tidal CO2 volume (etCO2) taken at the start of the procedure and at the end of the procedure (trocar removal).

Outcome measures

Outcome measures
Measure
This is a Prospective Single Arm Study
n=9 Participants
The Ultravision™ System is an FDA-cleared medical device that removes surgical smoke by means of electrostatic precipitation from the visual field during laparoscopic surgical procedures. "Surgical smoke" refers to the suspended particulate matter that is generated as a by-product of the combustion and other processes that are associated with the use of energy-based surgical instruments. Ultravision System: Laparoscopic surgery will be performed with the Ultravision Visual Field Clearing System. This system is indicated for the clearance of smoke and other particulate matter that is created during laparoscopic surgery. Ultravision Visual Clearing System removes surgical smoke by means of electrostatic precipitation
End Tidal CO2 Volume
At the beginning of the procedure.
32.1 mm Hg
Standard Deviation 3.1
End Tidal CO2 Volume
At the end of the procedure.
35.2 mm Hg
Standard Deviation 2.4

OTHER_PRE_SPECIFIED outcome

Timeframe: End of procedure

Estimate of case complexity/difficulty will be recorded using a Visual Analog Scale (VAS) indicating how often smoke management was a factor during the procedure on a scale ranging from 1 - 100, where 1 was "Often" and 100 was "Never".

Outcome measures

Outcome measures
Measure
This is a Prospective Single Arm Study
n=9 Participants
The Ultravision™ System is an FDA-cleared medical device that removes surgical smoke by means of electrostatic precipitation from the visual field during laparoscopic surgical procedures. "Surgical smoke" refers to the suspended particulate matter that is generated as a by-product of the combustion and other processes that are associated with the use of energy-based surgical instruments. Ultravision System: Laparoscopic surgery will be performed with the Ultravision Visual Field Clearing System. This system is indicated for the clearance of smoke and other particulate matter that is created during laparoscopic surgery. Ultravision Visual Clearing System removes surgical smoke by means of electrostatic precipitation
Case Complexity
100 score on a scale
Standard Deviation 0

Adverse Events

This is a Prospective Single Arm Study

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
This is a Prospective Single Arm Study
n=9 participants at risk
The Ultravision™ System is an FDA-cleared medical device that removes surgical smoke by means of electrostatic precipitation from the visual field during laparoscopic surgical procedures. "Surgical smoke" refers to the suspended particulate matter that is generated as a by-product of the combustion and other processes that are associated with the use of energy-based surgical instruments. Ultravision System: Laparoscopic surgery will be performed with the Ultravision Visual Field Clearing System. This system is indicated for the clearance of smoke and other particulate matter that is created during laparoscopic surgery. Ultravision Visual Clearing System removes surgical smoke by means of electrostatic precipitation
Injury, poisoning and procedural complications
Shoulder pain
55.6%
5/9 • Number of events 14 • 2 weeks
Injury, poisoning and procedural complications
Abdominal pain
100.0%
9/9 • Number of events 60 • 2 weeks
Injury, poisoning and procedural complications
Pain at unspecified location
22.2%
2/9 • Number of events 2 • 2 weeks

Additional Information

David Levine, MD

Mercy Hospital St. Louis

Phone: 314-251-7650

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place