Bipolar Sealer for Reduction of Blood Loss in Anterior Total Hip Arthroplasties

NCT ID: NCT05356637

Last Updated: 2023-10-31

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-29

Study Completion Date

2024-02-01

Brief Summary

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The overall objectives and purpose of this study is to show that the Smith and Nephew Werewolf Fastseal 6.0 Bipolar Sealer is an effective tool to aide the surgical team in providing significant hemostasis during anterior total hip arthroplasty which would subsequently improve patient outcomes.

Detailed Description

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Conditions

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Osteoarthritis, Hip Blood Loss

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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Intervention Group Receiving Fastseal

Group Type OTHER

Werewolf Fastseal 6.0

Intervention Type DEVICE

bi-polar hemostatic wand

Interventions

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Werewolf Fastseal 6.0

bi-polar hemostatic wand

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* The patient is to undergo a standard of care primary total hip replacement for degenerative joint disease. All devices are to be used according to the approved indications, this includes the FDA approved Werewolf Fastseal Bipolar Device.
* The patient is expected to have an outpatient status and will be discharged \<23 hours.
* Individuals who are able to speak, read, and comprehend the Institutional Review Board approved Informed Consent Document and willing and able to provide informed patient consent for participation in the study.
* Individuals who are willing and able to complete follow-up visits and questionnaires as specified by the study protocol.
* Individuals who are not bedridden per the discretion of the investigator (The intent of "not bedridden" means a permanent situation, not a temporary situation as in a hip fracture or trauma case).
* Individuals who are a minimum age of 21 years and less than 80 years at the time of consent.

Exclusion Criteria

* Active local or systemic infection.
* Hematologic disease either inherited or acquired, that would predispose the patient to anemia or increased intra-operative blood loss
* Currently taking anti-coagulation medications more than 81 mg aspirin every day.
* Platelet disorder either inherited or acquired with a serum platelet level \<150,000 platelets per microliter.
* Coagulopathy as seen with routine lab work
* Unstable/uncontrolled cardiovascular disease such as congestive heart failure, hypertension, or renal disease such as GFR \<70, in the opinion of the investigative team and PI.
* Excessive alcohol intake or tobacco use, in the opinion of the investigator.
* Uncontrolled diabetes mellitus with hemoglobin a1c \>7.5%.
* Established history of previous venous thrombotic events (VTE).
* Loss of musculature, neuromuscular compromise or vascular deficiency in the affected limb rendering the procedure unjustified.
* The subject is a woman who is pregnant or lactating.
* Subject had a contralateral amputation.
* Previous partial hip replacement in affected hip.
* Subject has participated in a clinical investigation with an investigational product (drug or device) in the last three months.
* Contralateral hip was replaced less than 3 months prior to surgery date, contralateral hip is already enrolled in the study, or simultaneous or staged hip replacement is planned
* Subject is currently involved in any personal injury litigation, medical-legal or worker's compensation claims.
* Subject was diagnosed and is taking prescription medications to treat a muscular disorder that limits mobility due to severe stiffness and pain such as fibromyalgia or polymyalgia.
* Subject, in the opinion of the Investigator, is a drug or alcohol abuser or has a physical or psychological disorder that could affect their ability to complete patient reported questionnaires or be compliant with follow-up requirements.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Smith & Nephew, Inc.

INDUSTRY

Sponsor Role collaborator

North Texas Medical Research Institute, PLLC

OTHER

Sponsor Role lead

Responsible Party

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Mohammad Umar Burney, MD

Principal Investigator, Clinical Medical Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mohammad U Burney, MD

Role: PRINCIPAL_INVESTIGATOR

NTMRI, OSD

Locations

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Texas Health Sugery Center - Rockwall

Rockwall, Texas, United States

Site Status

Baylor Scott & White - Lake Pointe Medical Center

Rowlett, Texas, United States

Site Status

Countries

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United States

References

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Gao FQ, Li ZJ, Zhang K, Sun W, Zhang H. Four Methods for Calculating Blood-loss after Total Knee Arthroplasty. Chin Med J (Engl). 2015 Nov 5;128(21):2856-60. doi: 10.4103/0366-6999.168041.

Reference Type BACKGROUND
PMID: 26521781 (View on PubMed)

Nichols CI, Vose JG. Clinical Outcomes and Costs Within 90 Days of Primary or Revision Total Joint Arthroplasty. J Arthroplasty. 2016 Jul;31(7):1400-1406.e3. doi: 10.1016/j.arth.2016.01.022. Epub 2016 Jan 21.

Reference Type BACKGROUND
PMID: 26880328 (View on PubMed)

Marulanda GA, Ulrich SD, Seyler TM, Delanois RE, Mont MA. Reductions in blood loss with a bipolar sealer in total hip arthroplasty. Expert Rev Med Devices. 2008 Mar;5(2):125-31. doi: 10.1586/17434440.5.2.125.

Reference Type BACKGROUND
PMID: 18331175 (View on PubMed)

Procyk S. The Transcollation: Short Hospitals Stay and Accelerated Recovery in Total Hip and Knee Arthroplasties Using a Radiofrequency Bipolar Sealer - an Innovative Approach in the Conceptualization of the Surgical Gesture. Natl Acad of Surg 2015:15(2):87-97.

Reference Type BACKGROUND

Rosenberg AG. Reducing blood loss in total joint surgery with a saline-coupled bipolar sealing technology. J Arthroplasty. 2007 Jun;22(4 Suppl 1):82-5. doi: 10.1016/j.arth.2007.02.018.

Reference Type BACKGROUND
PMID: 17570284 (View on PubMed)

Ackerman SJ, Tapia CI, Baik R, Pivec R, Mont MA. Use of a bipolar sealer in total hip arthroplasty: medical resource use and costs using a hospital administrative database. Orthopedics. 2014 May;37(5):e472-81. doi: 10.3928/01477447-20140430-59.

Reference Type RESULT
PMID: 24810825 (View on PubMed)

Bierbaum BE, Callaghan JJ, Galante JO, Rubash HE, Tooms RE, Welch RB. An analysis of blood management in patients having a total hip or knee arthroplasty. J Bone Joint Surg Am. 1999 Jan;81(1):2-10. doi: 10.2106/00004623-199901000-00002.

Reference Type RESULT
PMID: 9973048 (View on PubMed)

Other Identifiers

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SN-012022-01

Identifier Type: -

Identifier Source: org_study_id

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