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Study of Combined Intercostal and Diaphragm Pacing for Artificial Respiration in Quadriplegic Patients

Primary Purpose

Quadriplegia

Status
Terminated
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Medlink spinal cord electrode
Sponsored by
Case Western Reserve University
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Quadriplegia focused on measuring environmental/toxic disorders, neurologic and psychiatric disorders, rare disease, spinal cord injury

Eligibility Criteria

18 Years - 49 Years (Adult)All SexesDoes not accept healthy volunteers

PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- Ventilator dependent quadriplegics who are not candidates for phrenic nerve pacing alone Must have bilateral partial or unilateral phrenic nerve function Must have been on ventilator support for at least 6 months and unweanable --Patient Characteristics-- Cardiovascular: No active cardiovascular disease Pulmonary: No active lung disease Other: No active brain disease Stable condition

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Secondary Outcome Measures

    Full Information

    First Posted
    October 18, 1999
    Last Updated
    April 6, 2015
    Sponsor
    Case Western Reserve University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00004415
    Brief Title
    Study of Combined Intercostal and Diaphragm Pacing for Artificial Respiration in Quadriplegic Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2002
    Overall Recruitment Status
    Terminated
    Study Start Date
    May 1991 (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    September 2000 (undefined)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Case Western Reserve University

    4. Oversight

    5. Study Description

    Brief Summary
    OBJECTIVES: I. Determine whether combined intercostal muscle and diaphragm pacing can maintain full-time ventilatory support in patients with ventilatory dependent quadriplegia who are not candidates for phrenic nerve pacing alone. II. Evaluate the efficacy of the Medlink device to produce synchronous intercostal and diagram activation in these patients.
    Detailed Description
    PROTOCOL OUTLINE: Patients have a Medlink spinal cord electrode surgically implanted and attached to a radiofrequency receiver implanted subcutaneously over the anterior chest wall. If substantial inspired volumes can be generated by intercostal pacing, a phrenic nerve cuff electrode and radiofrequency receiver are implanted, and patients undergo combined intercostal muscle and diaphragm pacing. Completion date provided represents the completion date of the grant per OOPD records

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Quadriplegia
    Keywords
    environmental/toxic disorders, neurologic and psychiatric disorders, rare disease, spinal cord injury

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Enrollment
    5 (false)

    8. Arms, Groups, and Interventions

    Intervention Type
    Device
    Intervention Name(s)
    Medlink spinal cord electrode

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    49 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- Ventilator dependent quadriplegics who are not candidates for phrenic nerve pacing alone Must have bilateral partial or unilateral phrenic nerve function Must have been on ventilator support for at least 6 months and unweanable --Patient Characteristics-- Cardiovascular: No active cardiovascular disease Pulmonary: No active lung disease Other: No active brain disease Stable condition
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Anthony F. DiMarco
    Organizational Affiliation
    Case Western Reserve University
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Learn more about this trial

    Study of Combined Intercostal and Diaphragm Pacing for Artificial Respiration in Quadriplegic Patients

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