The Safety and Effectiveness of Using Ultrasound Scalpel to Coagulate 5-7mm Blood Vessels : a Prospective, Multicenter Clinical Trial

NCT ID: NCT06002737

Last Updated: 2024-05-22

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

144 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-01

Study Completion Date

2024-04-18

Brief Summary

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Evaluation of the safety and effectiveness of disposable ultrasound soft tissue cutting and hemostasis equipment for coagulating 5-7mm blood vessels with ultrasound scalpel tips

Detailed Description

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Screening lung and esophageal surgery patients who must meet the inclusion/exclusion criteria, and evaluating the effectiveness and safety of ultrasound scalpel in the process of 5-7mm blood vessel disconnection and occlusion

Conditions

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The Safety of Ultrasound Knife Coagulation for Blood Vessels With a Diameter Greater Than 5mm and Less Than or Equal to 7mm

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm 1

Using Experimental harmonic scalpel to dissect the vessel

Group Type EXPERIMENTAL

Occlusion of blood vessels with a diameter greater than 5mm and less than or equal to 7mm using harmonic scalpel

Intervention Type DEVICE

Screening of lung or esophageal surgery patients who meet the inclusion criteria but do not meet the exclusion criteria, and evaluating the effectiveness and safety of ultrasound scalpel in the process of coagulation of blood vessels with a diameter greater than 5mm but not equal to 7mm.

Arm 2

Using Harmonic Ace+7(Ethicon Endo-Surgery, LL), 5mm Diameter Shears with Advanced Hemostasis to dissect the vessel

Group Type ACTIVE_COMPARATOR

Occlusion of blood vessels with a diameter greater than 5mm and less than or equal to 7mm using harmonic scalpel

Intervention Type DEVICE

Screening of lung or esophageal surgery patients who meet the inclusion criteria but do not meet the exclusion criteria, and evaluating the effectiveness and safety of ultrasound scalpel in the process of coagulation of blood vessels with a diameter greater than 5mm but not equal to 7mm.

Interventions

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Occlusion of blood vessels with a diameter greater than 5mm and less than or equal to 7mm using harmonic scalpel

Screening of lung or esophageal surgery patients who meet the inclusion criteria but do not meet the exclusion criteria, and evaluating the effectiveness and safety of ultrasound scalpel in the process of coagulation of blood vessels with a diameter greater than 5mm but not equal to 7mm.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* 1\) 18 years old ≤ age ≤ 75 years old, regardless of gender;

2\) Based on the preoperative CT examination results, it is determined that the patient has at least one blood vessel that needs to be coagulated during the surgery, with a diameter greater than 5mm but less than or equal to 7mm;

3\) Before the start of the study, the patient is willing and able to sign an informed consent form approved by the ethics committee;

4\) The patient understands the clinical study, cooperates with the research procedure, and is willing to conduct postoperative follow-up according to the protocol.

Exclusion Criteria

* 1\) Patient body mass index (BMI) ≥ 35.0 kg/m2;

2\) Prothrombin time greater than 5 seconds;

3\) Researchers have determined that the tumor may invade the target blood vessel, which may affect the operation or effectiveness of vascular occlusion and disconnection;

4\) Researchers have determined that there may be variations, deformities, or calcifications in the target vessel that may affect the evaluation of the primary endpoint, which may affect the operation or effectiveness of vascular occlusion and disconnection;

5\) Patients receive preoperative chemotherapy and radiation therapy;

6\) Patient's fasting blood glucose ≥ 11.1mmol/l;

7\) Hypertensive patients' blood pressure has not been effectively controlled, and their blood pressure is ≥ 140/90 millimeter of mercury (mmHg) in a stable state after medication;

8\) Pregnant or lactating women, or women with pregnancy plans during the trial period;

9\) Participated in other clinical studies within 3 months;

10\) Individuals with mental disorders and lack of autonomous behavioral ability;

11\) Other researchers believe that it is not suitable to participate in the experiment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ruijin Hospital

OTHER

Sponsor Role collaborator

Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University

OTHER

Sponsor Role collaborator

Zhejiang University

OTHER

Sponsor Role collaborator

Second Affiliated Hospital, School of Medicine, Zhejiang University

OTHER

Sponsor Role collaborator

Hecheng Li M.D., Ph.D

OTHER

Sponsor Role lead

Responsible Party

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Hecheng Li M.D., Ph.D

Prof

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Shanghai Jiao Tong University School of Medicine Ruijin Hospital

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

References

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Li C, Niu Z, Xu J, Yao J, Yan Y, Chang Z, Wang X, Jing H, Han D, Zhang Y, Che J, Lin J, Wang M, Fan J, Hu J, Li H. Evaluation of ultrasonic energy for sealing 5-7 mm blood vessels in thoracoscopic surgery: a noninferiority randomized controlled trial. Transl Lung Cancer Res. 2025 Sep 30;14(9):3636-3644. doi: 10.21037/tlcr-2025-433. Epub 2025 Sep 25.

Reference Type DERIVED
PMID: 41133002 (View on PubMed)

Wang X, Li C, Fan J, Hu J, Wang M, Li H. Safety and effectiveness of using Disposable Ultrasonic shears to coagulate 5-7 mm blood vessels: protocol for a prospective, multicenter, randomized, parallel controlled, non-inferiority clinical trial. BMC Surg. 2024 Jul 19;24(1):212. doi: 10.1186/s12893-024-02497-x.

Reference Type DERIVED
PMID: 39030560 (View on PubMed)

Other Identifiers

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RTS-018

Identifier Type: -

Identifier Source: org_study_id

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