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A Prospective Multi-Center Study of Anterior Lens Capsulotomy Using the Mynosys Zepto System

Primary Purpose

Cataract

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Zepto System
Sponsored by
Mynosys Cellular Devices, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cataract

Eligibility Criteria

22 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subjects must be age 22 or older,
  2. Subjects consenting to undergoing phacoemulsification and IOL implant surgery for the treatment of symptomatic age related lens cataract, and then electing to undergo ZeptoTM capsulotomy,
  3. Subjects must be willing and able to return for scheduled treatment and follow-up examinations for 3 months.

Exclusion Criteria:

  1. Disease or pathology in the treatment eye that will compromise visual performance or refractive outcome (e.g. previous refractive surgery),
  2. Zonular abnormality,
  3. Posterior polar cataract,
  4. Fellow eye with acuity less than 20/200,
  5. Any prior ocular surgery of the study eye,
  6. Pupillary dilation during the pre-operative exam of less than 7 mm in diameter,
  7. Proliferative diabetic retinopathy,
  8. Disorders of the ocular muscles, such as nystagmus or strabismus,
  9. Chronic uveitis,
  10. Abnormal corneal endothelium,
  11. Subjects on medications with, in the opinion of the surgeon, significant ocular side effects,
  12. Pregnant or nursing (lactating) women,
  13. Implanted ocular device or drug in the study eye,
  14. Any other condition, which in the judgment of the investigator would prevent the subject from completing the study (e.g. documented diagnosis or treatment for symptoms associated with dementia, mental illness),
  15. Current participation in another drug or device clinical study, or participation in such a clinical study within the six months.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Zepto Capsulotomy

    Arm Description

    This study will evaluate outcome in subjects who have elected to have Zepto capsulotomies during cataract surgery. Effectiveness Rate - An effectiveness rate of 95% complete capsulotomies provides reasonable assurance that the Zepto system is effective. Primary Safety Endpoint - Posterior Capsular Rupture & Vitreous Loss (4% or less)

    Outcomes

    Primary Outcome Measures

    Complete Capsulotomy
    A successful complete Zepto capsulotomy is defined in this protocol to be one that results in a complete 360 degree capsulotomy without any residual tissue bridges visible to the surgeon. If there are such tissue bridges, the surgeon completes the capsulotomy manually. The primary effectiveness endpoint was defined as :Complete capsulotomy (target ≥ 95% of cases).

    Secondary Outcome Measures

    Full Information

    First Posted
    August 31, 2016
    Last Updated
    April 24, 2018
    Sponsor
    Mynosys Cellular Devices, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02890303
    Brief Title
    A Prospective Multi-Center Study of Anterior Lens Capsulotomy Using the Mynosys Zepto System
    Official Title
    A Prospective Multi-Center Study of Anterior Lens Capsulotomy Using the Mynosys Zepto System
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    September 12, 2016 (Actual)
    Primary Completion Date
    December 15, 2016 (Actual)
    Study Completion Date
    March 14, 2017 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Mynosys Cellular Devices, Inc.

    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
    No

    5. Study Description

    Brief Summary
    This study will evaluate outcome in subjects who have elected to have Zepto capsulotomies during cataract surgery with phacoemulsification.
    Detailed Description
    This study will evaluate outcome in subjects who have elected to have Zepto capsulotomies during cataract surgery with phacoemulsification to evaluate safety and effectiveness. The primary effectiveness endpoint is a complete capsulotomy in at least 95 percent of the cases. The primary safety endpoint is posterior capsular rupture and virtuous loss in 4 percent or less of the subjects. Other parameters to be captured during the study include anterior capsule tears, corneal touch, capsulotomy diameter, contraption of the Zepto capsulotomy, size of the corneal incision pre and post Zepto, interocular lens contraption and evaluation of zonular stability and the incidence and severity of adverse events. The criteria for patient success will be accessed based on the successful completion of a 360 degree capsulotomy without tissue bridges and no posterior capsule rupture and vitreous loss. The criteria for study success will be accessed based on a greater than or equal to 95 percent of the cases having a complete 360 degree capsulotomy without tissue bridges and less than 4 percent of subjects with posterior capsule rupture and vitreous loss.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Cataract

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    100 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Zepto Capsulotomy
    Arm Type
    Experimental
    Arm Description
    This study will evaluate outcome in subjects who have elected to have Zepto capsulotomies during cataract surgery. Effectiveness Rate - An effectiveness rate of 95% complete capsulotomies provides reasonable assurance that the Zepto system is effective. Primary Safety Endpoint - Posterior Capsular Rupture & Vitreous Loss (4% or less)
    Intervention Type
    Device
    Intervention Name(s)
    Zepto System
    Other Intervention Name(s)
    Zepto
    Intervention Description
    Anterior Capsulotomy using the Zepto System.
    Primary Outcome Measure Information:
    Title
    Complete Capsulotomy
    Description
    A successful complete Zepto capsulotomy is defined in this protocol to be one that results in a complete 360 degree capsulotomy without any residual tissue bridges visible to the surgeon. If there are such tissue bridges, the surgeon completes the capsulotomy manually. The primary effectiveness endpoint was defined as :Complete capsulotomy (target ≥ 95% of cases).
    Time Frame
    During surgery

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    22 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subjects must be age 22 or older, Subjects consenting to undergoing phacoemulsification and IOL implant surgery for the treatment of symptomatic age related lens cataract, and then electing to undergo ZeptoTM capsulotomy, Subjects must be willing and able to return for scheduled treatment and follow-up examinations for 3 months. Exclusion Criteria: Disease or pathology in the treatment eye that will compromise visual performance or refractive outcome (e.g. previous refractive surgery), Zonular abnormality, Posterior polar cataract, Fellow eye with acuity less than 20/200, Any prior ocular surgery of the study eye, Pupillary dilation during the pre-operative exam of less than 7 mm in diameter, Proliferative diabetic retinopathy, Disorders of the ocular muscles, such as nystagmus or strabismus, Chronic uveitis, Abnormal corneal endothelium, Subjects on medications with, in the opinion of the surgeon, significant ocular side effects, Pregnant or nursing (lactating) women, Implanted ocular device or drug in the study eye, Any other condition, which in the judgment of the investigator would prevent the subject from completing the study (e.g. documented diagnosis or treatment for symptoms associated with dementia, mental illness), Current participation in another drug or device clinical study, or participation in such a clinical study within the six months.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    William Christie, M.D.
    Organizational Affiliation
    Scott & Christie and Associates P C
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Daniel H Chang, M.D.
    Organizational Affiliation
    Empire Eye and Laser Center
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    David F Chang, M.D.
    Organizational Affiliation
    Peninsula Eye Surgery Center
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Eric D Donnenfeld, M.D.
    Organizational Affiliation
    Lasik Garden City
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Philip C Hoopes, M.D.
    Organizational Affiliation
    Hoopes Vision
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    John Vukich, M.D.
    Organizational Affiliation
    Davis Duehr Dean Clinic
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Farrell C Tyson II, M.D.
    Organizational Affiliation
    Cape Coral Eye Ctr Pa
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Vance Thompson, M.D
    Organizational Affiliation
    Vance Thompson Vision
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
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    A Prospective Multi-Center Study of Anterior Lens Capsulotomy Using the Mynosys Zepto System

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