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Efficacy and Safety Evaluation of Vi-sealer

Primary Purpose

Benign Gynecologic Neoplasm

Status
Recruiting
Phase
Not Applicable
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Vi-Sealer
Ligasure
Other AHD
Sponsored by
Hyun Park
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Benign Gynecologic Neoplasm focused on measuring Advanced hemostatic devices, Advanced energy devices, Ligasure, Laparoscopic total hysterectomy, Vi-sealer

Eligibility Criteria

20 Years - 65 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: Aged 20 to 65 years Clinically diagnosed with benign gynecologic neoplasms (eg. adenomyosis, uterine fibroids, etc.) Eligible for hysterectomy Signing an written consent form indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study prior to any other study-related assessments or procedure Exclusion Criteria: Large uterus size over 16 weeks of gestational age Cervical or intraligamentary fibroids Severe endometriosis (stage 3 or 4) Suspected malignancy of the uterus or adnexa Contraindicated for the use of energy devices (such as implantable cardioverter defibrillators, pacemakers) Previous pelvic surgery ≥ 3 times Not suitable for laparoscopic surgery

Sites / Locations

  • CHA Bundang Medical CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Active Comparator

Experimental

Active Comparator

Arm Label

Study 1 Vi-Sealer

Study 1 Ligasure

Study 2 Vi-sealer

Study 2 Other AHD

Arm Description

This group of women undergoing hysterectomy is randomized to the energy device, Vi-sealer.

This group of women undergoing hysterectomy is randomized to the energy device, Ligasure.

This group of women undergoing hysterectomy is randomized to the energy device, Vi-sealer.

This group of women undergoing hysterectomy is randomized to energy devices other than Ligasure.

Outcomes

Primary Outcome Measures

Operative procedure time
Measure the time consumed from the initial skin incision to the closure of abdominal trocar sites
Estimated blood loss

Secondary Outcome Measures

Estimated medical cost of device
Medical costs according to hemostatic instrument use
Device evaluation score
Ergonomics and subjective hemostatic performances assessed by surgeons using the survey
Adverse events
Collect only for adverse events that have a relationship with medical devices for clinical trials

Full Information

First Posted
October 31, 2022
Last Updated
August 29, 2023
Sponsor
Hyun Park
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1. Study Identification

Unique Protocol Identification Number
NCT05629611
Brief Title
Efficacy and Safety Evaluation of Vi-sealer
Official Title
Efficacy and Safety Evaluation of Advanced Vessel Sealing Device (Vi-sealer)
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 20, 2023 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
October 31, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Hyun Park

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This study's primary goal is to compare the efficacy and safety of the novel advanced hemostatic device(AHD), Vi-Sealer, with conventional AHDs in laparoscopic total hysterectomy for patients with benign gynecologic neoplasm.
Detailed Description
Vi-Sealer is a reusable advanced bipolar electrode with an interchangeable blade. This study evaluates the efficacy and safety of the Vi-Sealer by comparing it with other advanced hemostatic devices, such as Ligasure, Enseal, Thunderbeat, Harmonic scalpel, etc. The economic evaluation of the device compared with other disposable devices would also be conducted.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Benign Gynecologic Neoplasm
Keywords
Advanced hemostatic devices, Advanced energy devices, Ligasure, Laparoscopic total hysterectomy, Vi-sealer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Study 1 Vi-Sealer
Arm Type
Experimental
Arm Description
This group of women undergoing hysterectomy is randomized to the energy device, Vi-sealer.
Arm Title
Study 1 Ligasure
Arm Type
Active Comparator
Arm Description
This group of women undergoing hysterectomy is randomized to the energy device, Ligasure.
Arm Title
Study 2 Vi-sealer
Arm Type
Experimental
Arm Description
This group of women undergoing hysterectomy is randomized to the energy device, Vi-sealer.
Arm Title
Study 2 Other AHD
Arm Type
Active Comparator
Arm Description
This group of women undergoing hysterectomy is randomized to energy devices other than Ligasure.
Intervention Type
Device
Intervention Name(s)
Vi-Sealer
Intervention Description
using Reusable device, Vi-Sealer
Intervention Type
Device
Intervention Name(s)
Ligasure
Intervention Description
using Ligasure
Intervention Type
Device
Intervention Name(s)
Other AHD
Intervention Description
Using other AHDs such as Thunderbeat, Harmonic scalpel, Caiman®, Enseal, etc. except Ligasure
Primary Outcome Measure Information:
Title
Operative procedure time
Description
Measure the time consumed from the initial skin incision to the closure of abdominal trocar sites
Time Frame
through study completion, an average of 1 year
Title
Estimated blood loss
Time Frame
through study completion, an average of 1 year
Secondary Outcome Measure Information:
Title
Estimated medical cost of device
Description
Medical costs according to hemostatic instrument use
Time Frame
within 6 weeks after intervention
Title
Device evaluation score
Description
Ergonomics and subjective hemostatic performances assessed by surgeons using the survey
Time Frame
through study completion, an average of 1 year
Title
Adverse events
Description
Collect only for adverse events that have a relationship with medical devices for clinical trials
Time Frame
within 6 weeks after intervention

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Aged 20 to 65 years Clinically diagnosed with benign gynecologic neoplasms (eg. adenomyosis, uterine fibroids, etc.) Eligible for hysterectomy Signing an written consent form indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study prior to any other study-related assessments or procedure Exclusion Criteria: Large uterus size over 16 weeks of gestational age Cervical or intraligamentary fibroids Severe endometriosis (stage 3 or 4) Suspected malignancy of the uterus or adnexa Contraindicated for the use of energy devices (such as implantable cardioverter defibrillators, pacemakers) Previous pelvic surgery ≥ 3 times Not suitable for laparoscopic surgery
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hyun Park
Phone
+82-031-780-5640
Email
p06162006@cha.ac.kr
Facility Information:
Facility Name
CHA Bundang Medical Center
City
Seongnam-si
State/Province
Gyeonggi-do
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Min Jung Kim
Phone
+82-031-780-5640
Email
tooncrunch@naver.com
First Name & Middle Initial & Last Name & Degree
Hyun Park

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
32729141
Citation
Wong C, Goh A, Merkur H. Comparison of surgical outcomes using Gyrus PKS vs LigaSure in total laparoscopic hysterectomy: A randomised controlled trial. Aust N Z J Obstet Gynaecol. 2020 Oct;60(5):790-796. doi: 10.1111/ajo.13217. Epub 2020 Jul 29.
Results Reference
background
PubMed Identifier
26318400
Citation
Holloran-Schwartz MB, Gavard JA, Martin JC, Blaskiewicz RJ, Yeung PP Jr. Single-Use Energy Sources and Operating Room Time for Laparoscopic Hysterectomy: A Randomized Controlled Trial. J Minim Invasive Gynecol. 2016 Jan;23(1):72-7. doi: 10.1016/j.jmig.2015.08.881. Epub 2015 Aug 28.
Results Reference
background
PubMed Identifier
21895949
Citation
Janssen PF, Brolmann HA, van Kesteren PJ, Bongers MY, Thurkow AL, Heymans MW, Huirne JA. Perioperative outcomes using LigaSure compared with conventional bipolar instruments in laparoscopic hysterectomy: a randomised controlled trial. BJOG. 2011 Dec;118(13):1568-75. doi: 10.1111/j.1471-0528.2011.03089.x. Epub 2011 Sep 6.
Results Reference
background
PubMed Identifier
29222641
Citation
Hasanov M, Denschlag D, Seemann E, Gitsch G, Woll J, Klar M. Bipolar vessel-sealing devices in laparoscopic hysterectomies: a multicenter randomized controlled clinical trial. Arch Gynecol Obstet. 2018 Feb;297(2):409-414. doi: 10.1007/s00404-017-4599-y. Epub 2017 Dec 8.
Results Reference
background
PubMed Identifier
10527328
Citation
Winter ML, Mendelsohn SA. Total laparoscopic hysterectomy using the harmonic scalpel. JSLS. 1999 Jul-Sep;3(3):185-6.
Results Reference
background
PubMed Identifier
29032252
Citation
Shiber LJ, Ginn DN, Jan A, Gaskins JT, Biscette SM, Pasic R. Comparison of Industry-Leading Energy Devices for Use in Gynecologic Laparoscopy: Articulating ENSEAL versus LigaSure Energy Devices. J Minim Invasive Gynecol. 2018 Mar-Apr;25(3):467-473.e1. doi: 10.1016/j.jmig.2017.10.006. Epub 2017 Oct 12.
Results Reference
background
PubMed Identifier
23791399
Citation
Rothmund R, Kraemer B, Brucker S, Taran FA, Wallwiener M, Zubke A, Wallwiener D, Zubke W. Laparoscopic supracervical hysterectomy using EnSeal vs standard bipolar coagulation technique: randomized controlled trial. J Minim Invasive Gynecol. 2013 Sep-Oct;20(5):661-6. doi: 10.1016/j.jmig.2013.04.014. Epub 2013 Jun 20.
Results Reference
background
PubMed Identifier
30638466
Citation
Lee CL, Wu KY, Huang CY, Yen CF. Comparison of LigaSure tissue fusion system and a conventional bipolar device in hysterectomy via natural orifice transluminal endoscopic surgery (NOTES): A randomized controlled trial. Taiwan J Obstet Gynecol. 2019 Jan;58(1):128-132. doi: 10.1016/j.tjog.2018.11.024.
Results Reference
background
PubMed Identifier
18429683
Citation
Honeck P, Wendt-Nordahl G, Bolenz C, Peters T, Weiss C, Alken P, Michel MS, Hacker A. Hemostatic properties of four devices for partial nephrectomy: a comparative ex vivo study. J Endourol. 2008 May;22(5):1071-6. doi: 10.1089/end.2007.0236.
Results Reference
background
PubMed Identifier
12544345
Citation
Landman J, Kerbl K, Rehman J, Andreoni C, Humphrey PA, Collyer W, Olweny E, Sundaram C, Clayman RV. Evaluation of a vessel sealing system, bipolar electrosurgery, harmonic scalpel, titanium clips, endoscopic gastrointestinal anastomosis vascular staples and sutures for arterial and venous ligation in a porcine model. J Urol. 2003 Feb;169(2):697-700. doi: 10.1097/01.ju.0000045160.87700.32.
Results Reference
background
PubMed Identifier
25114600
Citation
Timm RW, Asher RM, Tellio KR, Welling AL, Clymer JW, Amaral JF. Sealing vessels up to 7 mm in diameter solely with ultrasonic technology. Med Devices (Auckl). 2014 Jul 30;7:263-71. doi: 10.2147/MDER.S66848. eCollection 2014.
Results Reference
background
PubMed Identifier
27124666
Citation
Nieboer TE, Steller CJ, Hinoul P, Maxson AJ, Schwiers ML, Miller CE, Coppus SF, Kent AS. Clinical utility of a novel ultrasonic vessel sealing device in transecting and sealing large vessels during laparoscopic hysterectomy using advanced hemostasis mode. Eur J Obstet Gynecol Reprod Biol. 2016 Jun;201:135-9. doi: 10.1016/j.ejogrb.2016.03.035. Epub 2016 Apr 14.
Results Reference
background
PubMed Identifier
28357561
Citation
Sandberg EM, la Chapelle CF, van den Tweel MM, Schoones JW, Jansen FW. Laparoendoscopic single-site surgery versus conventional laparoscopy for hysterectomy: a systematic review and meta-analysis. Arch Gynecol Obstet. 2017 May;295(5):1089-1103. doi: 10.1007/s00404-017-4323-y. Epub 2017 Mar 29.
Results Reference
background
PubMed Identifier
25106721
Citation
Park JY, Nho J, Cho IJ, Park Y, Kim DY, Suh DS, Kim JH, Nam JH. Laparoendoscopic single-site versus conventional laparoscopic-assisted vaginal hysterectomy for benign or pre-invasive uterine disease. Surg Endosc. 2015 Apr;29(4):890-7. doi: 10.1007/s00464-014-3747-8. Epub 2014 Aug 9.
Results Reference
background

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Efficacy and Safety Evaluation of Vi-sealer

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