A Pilot Study Swiftsure

NCT ID: NCT05578599

Last Updated: 2023-03-23

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

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-12

Study Completion Date

2023-03-10

Brief Summary

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The purpose of this study is to investigate the feasibility of using the Swiftsure Complete Care System (CCS) device as an adjunct to standard oral care procedures among intubated adult patients undergoing mechanical ventilation in the intensive care unit (ICU).

This is a small study intended to gather initial feasibility before conducting a larger study. The feasibility of using the Swiftsure CSS device will be studied among 20 patients at a single study site.

Detailed Description

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This is a prospective, single-center, single-arm, non-blinded trial to assess the feasibility of using the Swiftsure CSS device as an adjunct to the standard oral care among intubated adult patients undergoing mechanical ventilation in the ICU.

The CSS intervention will be performed 1 times per subject. The nurse performing the intervention will be asked to complete the study questionnaires after each device use.

Conditions

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Ventilated Patients

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Single arm study - treatment with the Swiftsure CSS device in addition to standard oral care procedures. Using a measuring scale of 1 to 5, for each patient, whereas 1 is low outcome of standard oral care and using the Swiftcare device, and 5 is best results for using standard oral care and the Swiftcare device.
Primary Study Purpose

DEVICE_FEASIBILITY

Blinding Strategy

NONE

Study Groups

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Experimental Treatment

Treatment with the Swiftsure CSS device in addition to standard oral care procedures

Group Type OTHER

Swiftsure CCS device

Intervention Type DEVICE

The Swiftsure CSS device will be used twice per patient in addition to standard oral health care procedures among intubated adult patients undergoing mechanical ventilation in the ICU.

Interventions

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Swiftsure CCS device

The Swiftsure CSS device will be used twice per patient in addition to standard oral health care procedures among intubated adult patients undergoing mechanical ventilation in the ICU.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Cardio-Vascular Intensive Care Unit (CVICU) patients recovering from surgery and expected to undergo mechanical ventilation for at least 6 hours
* 18 years or older

Exclusion Criteria

* Unable to consent
* Maxillofacial trauma
* Agitation
* Tested positive for COVID-19 at screening
* Any condition precluding positioning required for device use (e.g. increased intracranial pressure, spine instability, presence of spine drain etc)
* Oropharyngeal injury or infection
* Respiratory infection
* Difficult Airway Grade III or higher
* Intubated with a double lumen tube
* Tracheostomy
* Endotracheal tube cuff air leak, defined as inspiratory-to-expiratory tidal volume difference higher than 10% or audible gurgling at cuff pressure higher than 30 cmH2O
* Poor dental status
* Hemodynamic instability, defined as need for 2 or more vasopressor agents, or use of mechanical hemodynamic support (e.g. intra-aortic balloon pump, Impella heart pump, Left Ventricular Assist Device, venous- arterial extracorporeal membrane oxygenation)
* Respiratory instability, defined as PaO2/FIO2 \< 300 mmHg on PEEP \> 10 cmH2O, or respiratory acidosis with pHa \< 7.30 and respiratory rate \> 20, or use of inhaled pulmonary vasodilators
* Pregnancy or not using anti-conceptional agents in child bearing age
* Patients with difficult intubation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Cleveland Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marcelo Gama de Abreu, MD

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Locations

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The Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Countries

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United States

References

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Almeida VFA, Reuter Pimenta A, Lara-Erazo V, Karki D, Rodriguez-Patarroyo F, Semeia J, Duncan H, Filipovic N, Meyer D, Gama de Abreu M. Swiftsure complete care system in intubated adults: a feasibility study. Expert Rev Med Devices. 2025 Oct 22. doi: 10.1080/17434440.2025.2576586. Online ahead of print.

Reference Type DERIVED
PMID: 41123953 (View on PubMed)

Other Identifiers

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22-554

Identifier Type: -

Identifier Source: org_study_id

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