TELAXMAN - Laser Lithotripsy With Automatic Real-time Stone Recognition

NCT ID: NCT05500534

Last Updated: 2024-08-21

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-05

Study Completion Date

2024-08-13

Brief Summary

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Urolithiasis is an extremely common disease affecting about 12% of the world population with increasing tendency. Urinary stones are sediments that form in the kidney from crystals, such as calcium oxalate.

Currently, urological endoscopy with laser lithotripsy represents the leading and most frequently used method for the treatment of urinary stones of different localization, size and composition.

Surgical urology, including interventional stone treatment, is highly influenced by technology. With regard to fragmentation properties and effectiveness for all stone types Holmium:yttrium-aluminium-garnet (Ho:YAG) laser lithotripsy has become the standard technology to disintegrate urinary calculi.

In addition, other kinds of lasers are emerging, such as the thulium fiber laser (TFL); a new solid-state, diode-pumped laser that may provide urologists with increased options for stone treatment.

While urolithiasis treatment in general and laser lithotripsy in specific rarely goes along with major complications, recent studies have shown that there are possible indirect risks to the treatment with lasers, such as thermal damages to the urinary tract even at low-power settings if inadequate irrigation is applied. Sufficient irrigation is mandatory to perform safe Ho:YAG laser lithotripsy.

The RevoLix HTL+ automatic real-time stone detection module was developed to overcome these limitations and improve the safety of the patient with regard to potential thermal damages.

The objective of this clinical investigation is to assess the feasibility of stone recognition and disintegration with the RevoLix HTL+ in clinical conditions and to identify hypotheses to be used in future clinical investigations.

Detailed Description

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Conditions

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Lithotripsy, Laser

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Study participants will be scheduled for laser lithotripsy using the investigational device. A comparator arm will also be included, being composed of retrospective, anonymised and non-study related data of patients who underwent laser lithotripsy with a device used in routine lithotripsy interventions at the investigational site.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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RevoLix HTL+

Laser lithotripsy using the RevoLix HTL+ with active stone recognition

Group Type EXPERIMENTAL

Laser lithotripsy with stone recognition

Intervention Type DEVICE

Application of Revolix HTL+ which features automatic real-time stone recognition

Historic control group

Laser lithotripsy without active stone recognition

Group Type OTHER

Laser lithortripsy

Intervention Type OTHER

Standard laser lithotripsy

Interventions

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Laser lithotripsy with stone recognition

Application of Revolix HTL+ which features automatic real-time stone recognition

Intervention Type DEVICE

Laser lithortripsy

Standard laser lithotripsy

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Subject scheduled for laser lithotripsy
* Subject aged 18 or older
* Subject able to give consent
* Informed consent documented by signature

Exclusion Criteria

* Subject pregnant or nursing
* Subject requiring emergency lithotripsy
* Contraindication for the surgical procedure:

* Positive urine culture,
* Unfit for general anesthesia,
* Therapeutic anticoagulation, or systemic infection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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LISA Laser Products GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Martin Schönthaler, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Universitätsklinikum Freiburg

Locations

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Universitätsklinikum Freiburg

Freiburg im Breisgau, , Germany

Site Status

Countries

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Germany

Other Identifiers

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TELAXMAN

Identifier Type: -

Identifier Source: org_study_id

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