Safety and Feasibility of Pulmonary Surgery Marker System in the Intraoperative Localization of Small Pulmonary Nodules

NCT ID: NCT04211051

Last Updated: 2021-08-31

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

COMPLETED

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-15

Study Completion Date

2020-10-21

Brief Summary

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As the detection of small pulmonary nodules continuously grows, the intraoperative localization of small pulmonary nodules is in great demand. The intraoperative localization nowadays is usually done under local anesthesia before surgery. There is a certain rate of failure and complication. The result of our early animal experiments show that the pulmonary surgery marker system can deliver the intraoperative localization safely and precisely under anesthesia, and the average distance between the localization and the simulated lesion is less than 5mm during surgery. Therefore, the safety and feasibility of the system require further evaluation in patients

Detailed Description

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This is a prospective, single-center clinical trial initiated by the investigator. LungBrella marker can be accurately implanted into a predetermined position in the lung assisted by JediVision software and successfully marked the pulmonary nodules which needs to undergo Video-assisted thoracoscopic surgery. The study is expected to enroll 10 patients. Finally, the effectiveness and safety of the method will be evaluated. This method not only can complete pulmonary nodule localization in the operating room without occupying the resources of radiology department, but also can let patients receive pulmonary nodule location after anesthesia. Thereby the risks during transportation are avoided and the suffering of patients is reduced.

Conditions

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Lung Neoplasms

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A

LungBrella marker implanted into a predetermined position in the lung assisted by JediVision software and successfully marked the pulmonary nodules which needs to undergo Video-assisted thoracoscopic surgery

Group Type EXPERIMENTAL

LungBrella marker implantation and VATS partial lobe resection

Intervention Type DEVICE

The enrolled patients will receive a plain chest CT scan,then the data be loaded into JediVision software. The JediVision software can navigate the location of nodule and facilitate the implantation of LungBrella marker in the operating room after general anesthesia,then the patients will receive VATS partial lobe resection .

Interventions

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LungBrella marker implantation and VATS partial lobe resection

The enrolled patients will receive a plain chest CT scan,then the data be loaded into JediVision software. The JediVision software can navigate the location of nodule and facilitate the implantation of LungBrella marker in the operating room after general anesthesia,then the patients will receive VATS partial lobe resection .

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Subjects should meet all of the following criteria

* diagnosis of pulmonary nodule, single nodule operation to be performed and nodule to be located by the decision of chief surgeon.
* commit to follow the research procedures and cooperate with the implementation of the whole process research
* 1 / 3 of pulmonary nodules are located in the periphery of the lung
* signed informed consent with date

Exclusion Criteria

* the target lesion is close to the hilar or large blood vessels
* subjects with FEV1 less than 1.2 in lung function
* subjects with cardiac function III and cardiac function IV (NYHA, New York)
* subjects with uncontrollable acute pleura infection
* patients with previous history of thoracic surgery (thoracotomy), plural infection, and plural thickening and adhesion on the affected side
* Other factors that investigators disagree enrollment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Futuo Zhida Medical Technology Co., Ltd

UNKNOWN

Sponsor Role collaborator

Ruijin Hospital

OTHER

Sponsor Role lead

Responsible Party

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Hecheng Li M.D., Ph.D

Chair of thoracic department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hecheng Li, MD&PHD

Role: PRINCIPAL_INVESTIGATOR

Ruijin hospitalRuijin Hospital, Shanghai Jiao Tong University School of Medicine

Hecheng Li, MD&PHD

Role: STUDY_CHAIR

Ruijin Hospital

Locations

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RuijinhospitalRuijin Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

References

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Li C, Ji A, Jian Z, Zheng Y, Feng X, Guo W, Lerut T, Lin J, Li H. Augmented reality navigation-guided intraoperative pulmonary nodule localization: a pilot study. Transl Lung Cancer Res. 2023 Aug 30;12(8):1728-1737. doi: 10.21037/tlcr-23-201. Epub 2023 Aug 4.

Reference Type DERIVED
PMID: 37691871 (View on PubMed)

Li C, Zheng Y, Yuan Y, Li H. Augmented reality navigation-guided pulmonary nodule localization in a canine model. Transl Lung Cancer Res. 2021 Nov;10(11):4152-4160. doi: 10.21037/tlcr-21-618.

Reference Type DERIVED
PMID: 35004246 (View on PubMed)

Other Identifiers

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RTS-009

Identifier Type: -

Identifier Source: org_study_id

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