search
Back to results

Easytech Reversed Shoulder System Clinical Study

Primary Purpose

Osteo Arthritis Shoulders, Avascular Necrosis of the Head of Humerus, Rotator Cuff Tear

Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Easytech group
Sponsored by
FX Shoulder Solutions
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteo Arthritis Shoulders focused on measuring shoulder arthroplasty, reverse shoulder replacement

Eligibility Criteria

21 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Patients are 21 years or older.
  2. Patients are skeletally mature as evident by scapula and proximal humerus closure.
  3. Patients exhibit clinical indications for primary reverse total shoulder arthroplasty based on physical exam and medical history including the following: osteoarthritis, post-traumatic arthritis, or avascular necrosis.
  4. Patients have a massive and non-repairable rotator cuff tear.
  5. Patients have a functional deltoid muscle.
  6. Patients are anatomically and structurally suited to receive the implants;

    a. Subject show sufficient bone quality in the humerus bone intraoperatively via the thumb test, guide pin test, humeral punch test, and humeral anchor test as outlined in the surgical technique.

  7. Patients with an adjusted Constant Score < 60 and ≥ 15.
  8. Patients are willing and able to comply with the follow-up schedule and evaluation outlined in the protocol.
  9. Patient are willing and able to sign the informed consent.

Exclusion Criteria:

  1. Patients with Body Mass Index (BMI) greater than 40 kg/m2.
  2. Patients have one of the following compromising the affected limb: a significant injury to the upper brachial plexus, paralysis of the axillary nerve or a neuromuscular disease compromising the affected limb which would render the procedure unjustifiable.
  3. Patients have marked bone loss that would not allow sufficient support of the implant.
  4. Patients have a known sensitivity or allergic reaction to one or more of the implanted materials.
  5. Patients who are participating concurrently in another clinical study, or have participated in a clinical study within the last 90 days, or intend to during the course of the study.
  6. Patients who have an active systemic infection, or an active local infection in or near the target shoulder, or have a previous history of joint infection.
  7. Patients with known immunodeficiency.
  8. Patients currently taking > 5mg/day corticosteroids (e.g. prednisone) excluding inhalers, within 3 months prior to surgery.
  9. Patients with significant comorbidities as evident by an American Society of Anesthesiologists (ASA) score greater than 3.
  10. Patients with active neoplastic disease.
  11. Patients with current drug or alcohol abuse, or a history of the same within the last 6 months.
  12. Patients with local circulatory problems, (e.g. thrombophlebitis and lymphedema).
  13. Patients are pregnant or expect to become pregnant during the duration of the study.
  14. Patients with any mental or psychological disorder that would impair their ability to complete the study questionnaires.
  15. Patients with any medical condition or other circumstances that might interfere with their ability to return for follow-up visits in the judgment of the Investigator, including any systemic illness, neuromuscular, neurosensory, or musculoskeletal deficiency that would render the patient unable to perform appropriate postoperative rehabilitation.
  16. Any condition which, in the judgment of the Investigator, would preclude adequate evaluation of device's safety and performance.
  17. Patients with humeral or glenoid fractures.
  18. Patients unable to stand from sitting position without the use of their hands/arms.
  19. Patients with a history of fragility fractures as defined as any fall from a standing height or less, that results in a fracture.
  20. Patients with osteoporosis, osteopenia, Paget's disease, osteomalacia or any other metabolic bone disease; a. Osteoporosis is defined as Simple Calculated Osteoporosis Risk Estimation (SCORE) above 6 and DXA (Dual-energy X-ray absorptiometry) T-score < -2.5 or QCT (Quantitative computed tomography) T-score < 80mg/cubic cm. History of a fragility fracture requires that a DXA scan or QCT scan is completed.

Sites / Locations

  • The CORE Institute
  • Dearborn & Associates Institute for Joint Reconstruction
  • University of Pennsylvania
  • Orthopedics Rhode Island
  • Texas Orthopedic Specialists
  • Carrell Clinic

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Easytech group

Arm Description

patients who require a reverse total shoulder, meet the eligibility criteria and receive the Easytech Reversed Shoulder System

Outcomes

Primary Outcome Measures

Adjusted Constant-Murley Score
adjusted Constant Score of 70 or greater, no humeral radiolucency >2mm or humeral migration/subsidence >5mm, no revision surgery, no serious device related adverse event
no humeral radiolucency >2mm around the humeral component
on review of x-rays, there are no radiolucencies >2mm around the humeral component
no subsidence or migration of the humeral component >5mm
on review of x-rays, there is no subsidence or migration of the humeral component greater than or equal to 5mm
no revision
there is no revision of the humeral components
no serious device related adverse event
there is no serious device related adverse event reported

Secondary Outcome Measures

QuickDASH
measures the ability to complete tasks, absorb forces and severity of symptoms
Visual Analog Scale for Pain (VAS)
on 100 point scale where 0 is no pain and 100 is severe pain
American Shoulder and Elbow Surgeon (ASES)
patient-reported outcomes with questions on function and pain
Range of Motion of the shoulder joint
forward and lateral elevation, internal & external rotation arm at side

Full Information

First Posted
December 31, 2018
Last Updated
September 25, 2023
Sponsor
FX Shoulder Solutions
search

1. Study Identification

Unique Protocol Identification Number
NCT03806842
Brief Title
Easytech Reversed Shoulder System Clinical Study
Official Title
Pivotal, Non-Randomized, Historically Controlled, Prospective, Multi-Center Clinical Study of the Easytech Reversed Shoulder System
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 28, 2018 (Actual)
Primary Completion Date
December 28, 2024 (Anticipated)
Study Completion Date
December 28, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
FX Shoulder Solutions

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of the study is to collect data to demonstrate the safety and effectiveness of the Easytech Reversed Shoulder System for the treatment of patients who require a reverse total shoulder arthroplasty.
Detailed Description
The clinical study will enroll patient who require a reverse total shoulder arthroplasty as a result of osteoarthritis, post-traumatic arthritis, avascular necrosis and have a massive and non-repairable rotator cuff tear and a functional deltoid muscle. If patients meet the eligibility criteria, evaluations and x-rays will be completed pre-operatively and post-operatively out to 24 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteo Arthritis Shoulders, Avascular Necrosis of the Head of Humerus, Rotator Cuff Tear
Keywords
shoulder arthroplasty, reverse shoulder replacement

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
single arm, historically controlled, multi-center
Masking
None (Open Label)
Masking Description
no masking due to being a single arm study
Allocation
N/A
Enrollment
90 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Easytech group
Arm Type
Other
Arm Description
patients who require a reverse total shoulder, meet the eligibility criteria and receive the Easytech Reversed Shoulder System
Intervention Type
Device
Intervention Name(s)
Easytech group
Intervention Description
total shoulder replacement
Primary Outcome Measure Information:
Title
Adjusted Constant-Murley Score
Description
adjusted Constant Score of 70 or greater, no humeral radiolucency >2mm or humeral migration/subsidence >5mm, no revision surgery, no serious device related adverse event
Time Frame
24 months post-operative
Title
no humeral radiolucency >2mm around the humeral component
Description
on review of x-rays, there are no radiolucencies >2mm around the humeral component
Time Frame
24 months post-operative
Title
no subsidence or migration of the humeral component >5mm
Description
on review of x-rays, there is no subsidence or migration of the humeral component greater than or equal to 5mm
Time Frame
24 months post-operative
Title
no revision
Description
there is no revision of the humeral components
Time Frame
24 months post-operative
Title
no serious device related adverse event
Description
there is no serious device related adverse event reported
Time Frame
24 months post-operative
Secondary Outcome Measure Information:
Title
QuickDASH
Description
measures the ability to complete tasks, absorb forces and severity of symptoms
Time Frame
24 months post-operative
Title
Visual Analog Scale for Pain (VAS)
Description
on 100 point scale where 0 is no pain and 100 is severe pain
Time Frame
24 months post-operative
Title
American Shoulder and Elbow Surgeon (ASES)
Description
patient-reported outcomes with questions on function and pain
Time Frame
24 months post-operative
Title
Range of Motion of the shoulder joint
Description
forward and lateral elevation, internal & external rotation arm at side
Time Frame
24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Patients are 21 years or older. Patients are skeletally mature as evident by scapula and proximal humerus closure. Patients exhibit clinical indications for primary reverse total shoulder arthroplasty based on physical exam and medical history including the following: osteoarthritis, post-traumatic arthritis, or avascular necrosis. Patients have a massive and non-repairable rotator cuff tear. Patients have a functional deltoid muscle. Patients are anatomically and structurally suited to receive the implants; a. Subject show sufficient bone quality in the humerus bone intraoperatively via the thumb test, guide pin test, humeral punch test, and humeral anchor test as outlined in the surgical technique. Patients with an adjusted Constant Score < 60 and ≥ 15. Patients are willing and able to comply with the follow-up schedule and evaluation outlined in the protocol. Patient are willing and able to sign the informed consent. Exclusion Criteria: Patients with Body Mass Index (BMI) greater than 40 kg/m2. Patients have one of the following compromising the affected limb: a significant injury to the upper brachial plexus, paralysis of the axillary nerve or a neuromuscular disease compromising the affected limb which would render the procedure unjustifiable. Patients have marked bone loss that would not allow sufficient support of the implant. Patients have a known sensitivity or allergic reaction to one or more of the implanted materials. Patients who are participating concurrently in another clinical study, or have participated in a clinical study within the last 90 days, or intend to during the course of the study. Patients who have an active systemic infection, or an active local infection in or near the target shoulder, or have a previous history of joint infection. Patients with known immunodeficiency. Patients currently taking > 5mg/day corticosteroids (e.g. prednisone) excluding inhalers, within 3 months prior to surgery. Patients with significant comorbidities as evident by an American Society of Anesthesiologists (ASA) score greater than 3. Patients with active neoplastic disease. Patients with current drug or alcohol abuse, or a history of the same within the last 6 months. Patients with local circulatory problems, (e.g. thrombophlebitis and lymphedema). Patients are pregnant or expect to become pregnant during the duration of the study. Patients with any mental or psychological disorder that would impair their ability to complete the study questionnaires. Patients with any medical condition or other circumstances that might interfere with their ability to return for follow-up visits in the judgment of the Investigator, including any systemic illness, neuromuscular, neurosensory, or musculoskeletal deficiency that would render the patient unable to perform appropriate postoperative rehabilitation. Any condition which, in the judgment of the Investigator, would preclude adequate evaluation of device's safety and performance. Patients with humeral or glenoid fractures. Patients unable to stand from sitting position without the use of their hands/arms. Patients with a history of fragility fractures as defined as any fall from a standing height or less, that results in a fracture. Patients with osteoporosis, osteopenia, Paget's disease, osteomalacia or any other metabolic bone disease; a. Osteoporosis is defined as Simple Calculated Osteoporosis Risk Estimation (SCORE) above 6 and DXA (Dual-energy X-ray absorptiometry) T-score < -2.5 or QCT (Quantitative computed tomography) T-score < 80mg/cubic cm. History of a fragility fracture requires that a DXA scan or QCT scan is completed.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kathy Trier, PhD
Organizational Affiliation
FX Shoulder Solutions
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Brian Rogers, BS
Organizational Affiliation
FX Shoulder Solutions
Official's Role
Study Director
Facility Information:
Facility Name
The CORE Institute
City
Sun City West
State/Province
Arizona
ZIP/Postal Code
85375
Country
United States
Facility Name
Dearborn & Associates Institute for Joint Reconstruction
City
Menlo Park
State/Province
California
ZIP/Postal Code
94027
Country
United States
Facility Name
University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Orthopedics Rhode Island
City
Wakefield
State/Province
Rhode Island
ZIP/Postal Code
02879
Country
United States
Facility Name
Texas Orthopedic Specialists
City
Bedford
State/Province
Texas
ZIP/Postal Code
76021
Country
United States
Facility Name
Carrell Clinic
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States

12. IPD Sharing Statement

Links:
URL
http://fxshouldersolutions.com
Description
Company website

Learn more about this trial

Easytech Reversed Shoulder System Clinical Study

We'll reach out to this number within 24 hrs