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Performance of the CARDIOGARD Cannula (GECG)

Primary Purpose

Heart Valve Diseases, Coronary Artery Disease

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
CardioGard Cannula
22Fr curved Cannula
Sponsored by
Rambam Health Care Campus
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Heart Valve Diseases focused on measuring Cardiopulmonary Bypass

Eligibility Criteria

50 Years - 85 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Patient indicated for first-time non-emergent procedure under cardiopulmonary bypass which is expected to last up to 6 hours.
  2. Patient undergoing an elective isolated coronary artery bypass surgery (CABG), or an elective isolated aortic/mitral valve replacement (AVR/MVR) or an elective combined aortic/mitral valve replacement (AVR/MVR) with coronary artery bypass surgery (CABG).
  3. The patient is >50 and <85 years of age.
  4. The patient's body weight is compatible with blood net flow of 4 - 5 [l/min].
  5. Patient with left ventricular ejection fraction >30% as assessed by either echocardiography, angiography or by radio nuclear assessment (MUGA)
  6. The patient is willing to participate as evidenced by signing the written informed consent.
  7. Male or non-pregnant female patient (Note: Females of child bearing potential must have a negative pregnancy test)

Exclusion Criteria:

  1. Patient with abnormal clotting mechanism: PT 60%, PTT>2 the normal.
  2. Patient with an aortic trauma.
  3. Patient contraindicated for open heart surgery under bypass machine.
  4. Patient undergoing a re-do procedure.
  5. Patient intended for an operation performed using minimally invasive surgical techniques (e.g., mini-sternotomy)
  6. Patient with pathologies which affect his/her neurological condition.
  7. Patient in whom emergency operation is required.
  8. Patient with a known allergy to Heparin
  9. Patient with major co-morbid condition(s) that could limit the patient's ability to participate in the study, or impact the scientific integrity of the study, including but not limited to:

    • previous stroke
    • critical preoperative state
    • poor ventricular function
    • severe pulmonary hypertension [19]
    • Atheroembolism
    • history of cardiac failure [20]
  10. Current use of drugs that might result in high surgical risk or significant postoperative complication.
  11. Psychological instability, inappropriate attitude or motivation.
  12. Patients with life threatening debilitating disease other than cardiac.
  13. Subjects currently enrolled in another investigational device or drug trial that has not completed the primary end point or that clinically interferes with the current study endpoints.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    CardioGard group

    Control group

    Arm Description

    Patients in whom the CardioGard Cannula will be used, while In these patients there would be a measurement of the gaseous emboli in two points: 1. The aortic vent. 2. The suction cannula of the 'Cardiogard cannula'.

    Patients in whom a 22Fr curved Cannula will be used, while In these patients there would be a measurement of the gaseous emboli in the aortic vent alone.

    Outcomes

    Primary Outcome Measures

    The 'CardioGard Cannula' Gaseous emboli capturing ability
    The gaseous emboli capturing ability of the cardiogard cannula will be evaluated using a bubbles counter. .

    Secondary Outcome Measures

    The amount of emboli particles which evacuated from the cardiopulmonarybypass machine by the CardioGard Cannula
    Using the suction feature, External filters will be analyzed in order to recover particulate matter.
    The Neurological effect of reducing gaseous emboli from the heart during cardiac surgery.
    The ability of the Cardiogard cannula will be evaluated using Neurological questionnaires.

    Full Information

    First Posted
    March 22, 2016
    Last Updated
    May 5, 2016
    Sponsor
    Rambam Health Care Campus
    Collaborators
    CardioGard Medical Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02764645
    Brief Title
    Performance of the CARDIOGARD Cannula
    Acronym
    GECG
    Official Title
    A Study to Collect Additional Information Related to the Performance of the CARDIOGARD Cannula
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2016
    Overall Recruitment Status
    Unknown status
    Study Start Date
    May 2016 (undefined)
    Primary Completion Date
    May 2017 (Anticipated)
    Study Completion Date
    May 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Rambam Health Care Campus
    Collaborators
    CardioGard Medical Ltd.

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This is a single center, prospective study: The 'CardioGard Cannula' Gaseous emboli capture results - shows an improvement from the control group.
    Detailed Description
    Patients referred for CPB procedure will be offered to participate in the study. Patients will be asked to sign an informed consent form (ICF), prior to performing any study related procedures. The point of enrollment is the time at which a patient signs and dates the ICF. Following enrollment, the patient will undergo screening evaluation (including Neurological assessment) to determine eligibility. Screening failures will be identified on a screening log. Patients who are found to meet all inclusion criteria and none of the exclusion criteria will compose the evaluable cohort of the study. Screening failure subjects will not be counted as part of the target patient sample size nor will they be included in the analysis. Patients in the randomized phase will have surgery with the CardioGard Cannula or comparator cannulae and will remain blinded to their group assignment through the 30 days follow-up evaluation.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Heart Valve Diseases, Coronary Artery Disease
    Keywords
    Cardiopulmonary Bypass

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Participant
    Allocation
    Randomized
    Enrollment
    400 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    CardioGard group
    Arm Type
    Experimental
    Arm Description
    Patients in whom the CardioGard Cannula will be used, while In these patients there would be a measurement of the gaseous emboli in two points: 1. The aortic vent. 2. The suction cannula of the 'Cardiogard cannula'.
    Arm Title
    Control group
    Arm Type
    Active Comparator
    Arm Description
    Patients in whom a 22Fr curved Cannula will be used, while In these patients there would be a measurement of the gaseous emboli in the aortic vent alone.
    Intervention Type
    Device
    Intervention Name(s)
    CardioGard Cannula
    Intervention Description
    CardioGard Cannula is a specially designed arterial (aortic) cannula for use in cardiac surgery for the purpose of removal of gaseous and solid embolic material emanating during the CPB procedure. The CardioGard cannula is a double lumen cannula where the primary lumen provides blood from the heart-lung machine similar to ordinary cannulas and the secondary lumen performs suction of blood and embolic matter away from the aortic arch and back to the cardiopulmonary bypass machine for filtration.
    Intervention Type
    Device
    Intervention Name(s)
    22Fr curved Cannula
    Intervention Description
    arterial cannula for use in cardiac surgery
    Primary Outcome Measure Information:
    Title
    The 'CardioGard Cannula' Gaseous emboli capturing ability
    Description
    The gaseous emboli capturing ability of the cardiogard cannula will be evaluated using a bubbles counter. .
    Time Frame
    36 months
    Secondary Outcome Measure Information:
    Title
    The amount of emboli particles which evacuated from the cardiopulmonarybypass machine by the CardioGard Cannula
    Description
    Using the suction feature, External filters will be analyzed in order to recover particulate matter.
    Time Frame
    36 months
    Title
    The Neurological effect of reducing gaseous emboli from the heart during cardiac surgery.
    Description
    The ability of the Cardiogard cannula will be evaluated using Neurological questionnaires.
    Time Frame
    36 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    50 Years
    Maximum Age & Unit of Time
    85 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Patient indicated for first-time non-emergent procedure under cardiopulmonary bypass which is expected to last up to 6 hours. Patient undergoing an elective isolated coronary artery bypass surgery (CABG), or an elective isolated aortic/mitral valve replacement (AVR/MVR) or an elective combined aortic/mitral valve replacement (AVR/MVR) with coronary artery bypass surgery (CABG). The patient is >50 and <85 years of age. The patient's body weight is compatible with blood net flow of 4 - 5 [l/min]. Patient with left ventricular ejection fraction >30% as assessed by either echocardiography, angiography or by radio nuclear assessment (MUGA) The patient is willing to participate as evidenced by signing the written informed consent. Male or non-pregnant female patient (Note: Females of child bearing potential must have a negative pregnancy test) Exclusion Criteria: Patient with abnormal clotting mechanism: PT 60%, PTT>2 the normal. Patient with an aortic trauma. Patient contraindicated for open heart surgery under bypass machine. Patient undergoing a re-do procedure. Patient intended for an operation performed using minimally invasive surgical techniques (e.g., mini-sternotomy) Patient with pathologies which affect his/her neurological condition. Patient in whom emergency operation is required. Patient with a known allergy to Heparin Patient with major co-morbid condition(s) that could limit the patient's ability to participate in the study, or impact the scientific integrity of the study, including but not limited to: previous stroke critical preoperative state poor ventricular function severe pulmonary hypertension [19] Atheroembolism history of cardiac failure [20] Current use of drugs that might result in high surgical risk or significant postoperative complication. Psychological instability, inappropriate attitude or motivation. Patients with life threatening debilitating disease other than cardiac. Subjects currently enrolled in another investigational device or drug trial that has not completed the primary end point or that clinically interferes with the current study endpoints.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Roi - Glam, MD
    Phone
    +972-4-7772631
    Email
    r_glam@rambam.health.gov.il
    First Name & Middle Initial & Last Name or Official Title & Degree
    Daniel - Haber, MA
    Phone
    +972-4-7772048
    Email
    d_haber@rambam.health.gov.il
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Gil - Bolotin, Prof.
    Organizational Affiliation
    Head of the Cardiac Surgery Department, Rambam Health Care Campus
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    The data of this research would be published as an article and will include all the relevant clinical outcomes related to the effect of gaseous emboli.

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    Performance of the CARDIOGARD Cannula

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