U.S. Study of Fibrocaps in Surgical Hemostasis
Postoperative Hemorrhage
About this trial
This is an interventional treatment trial for Postoperative Hemorrhage focused on measuring fibrin sealants, hemostatics, time to hemostasis
Eligibility Criteria
Inclusion Criteria:
- male or female 18 years of age or older
- Subjects who are able and willing to provide written and signed informed consent
- All subjects willing to use a medically accepted form of contraception from the time of consent to completion of all follow-up study visits
- A life expectancy of at least one year
Intra-Operative inclusion criteria
- Presence of mild or moderate bleeding/oozing when control by conventional surgical techniques, including but not limited to suture, ligature and cautery is ineffective or impractical
- Absence of intraoperative complications other than bleeding which, in the opinion of the investigator, may interfere with the assessment of efficacy or safety
- No intraoperative use of a topical hemostat containing thrombin
- Approximate Target Bleeding Site surface area of no more than 100 square centimeters
Exclusion Criteria:
- Pregnant or lactating women
- Has a known intolerance to blood products or to Fibrocaps components
- Unwilling to receive human blood products
- Subject has a known allergy to porcine gelatin
- Has a mental or physical condition that would, in the opinion of the investigator, place the subject at an unacceptable risk or render the subject unable to meet the requirements of the protocol
- Currently participating or has participated in another clinical study involving another investigational agent within 4 weeks of the start of this trial, or is planning participation in another clinical trial during the 4 weeks after surgery
- Has any clinically-significant coagulation disorder that may interfere with the assessment of efficacy or pose a safety risk to the subject according to the investigator
- Aspartate Aminotransferase (AST) or Alanine aminotransferase (ALT) 3 times (or more) the upper limit normal range during screening, except for subjects undergoing liver resection surgery where there is no upper limit for these analytes due to the nature of their disease.
- Platelets < 10 x 10^9 /L during screening
- Activated partial thromboplastin time (aPTT) > 100 seconds during screening
- International normalized ratio (INR)greater than 2.5 during screening
Sites / Locations
- Various sites
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Fibrocaps + Gelfoam
Gelfoam
After identification of a Target Bleeding Site (TBS), topical Fibrocaps should be applied using the Fibrospray device for general surgeries; and either the Fibrospray device or direct application for spinal and vascular surgeries, followed by application of Gelfoam and manual pressure with sterile gauze.
Treatment is Gelfoam followed by manual pressure with sterile gauze. If hemostasis is not achieved within 10 minutes of the Start Time,the subject should be considered a treatment failure and the surgeon should implement additional hemostatic measures.