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Clinical Study of Endovascular Interventional Surgical Instrument Control System and Related Consumables in Percutaneous Coronary Intervention

Primary Purpose

Percutaneous Coronary Intervention, Coronary Heart Disease, Robotic Surgical Procedures

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
ALLVAS® robotic-assisted PCI
Sponsored by
Shanghai Operation Robot Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Percutaneous Coronary Intervention focused on measuring Robotic Surgical Procedures, PCI, CHD

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Patients who voluntarily participate in and sign the informed consent form, and can cooperate to complete the whole trial process; aged over 18 and under 75; After coronary CT angiography (CTA) or coronary angiography (DSA), the investigator judged that the patients who needed interventional blood supply reconstruction (target vessel diameter ≥ 2.5mm and lesion stenosis ≥ 70%). Exclusion Criteria: Acute myocardial infarction occurred within 7 days; The target vessel has received coronary intervention within 30 days; Restenosis in stent of target vessel; Patients with bifurcation lesions whose target vessel branches need to be protected but cannot protect the collateral branches; Hemodynamic instability (including low blood pressure or use of vasopressors to maintain blood pressure;) Three vessel lesions; The target vessel was diagnosed as coronary chronic occlusive disease (CTO) or left main artery stenosis or severe calcification requiring pretreatment; Perforation, dissection or aneurysm of the proximal vessel of the target vessel; Echocardiography showed that left ventricular ejection fraction (LVEF) was less than 50%; Stroke or transient ischemic attack (TIA) occurred within 30 days; Peptic ulcer or gastrointestinal bleeding within 90 days; Estimated glomerular filtration rate eGFR (ckd epi)<30 ml/min/1.73 m2; Platelet count<50 × 109/L or > 700 × 109/L; White blood cell count < 3 × 109/L; Women who are in pregnancy or lactation or have a pregnancy preparation plan during the trial period; People with allergy history or contraindication to antiplatelet drugs, anticoagulants, anesthetics, contrast agents, stent materials and their coating drugs; Severe infections difficult to control; Those who have mental diseases or mental disorders and cannot be described normally; Emergency operation is required for any reason; Those who have participated in clinical trials of other drugs or medical devices within 3 months before screening; The investigator believes that there are other circumstances that are not suitable for this clinical trial.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Robot assisted surgery group

    Arm Description

    robotic-assisted PCI

    Outcomes

    Primary Outcome Measures

    Percentage of Patients With Device Technical Success
    Defined as after the operator completed intracoronary therapy of coronary artery with robot assistance, the ratio of successful subjects with instrument technology among all enrolled subjects was reached.
    Percentage of Participants With Clinical Procedural Success
    Defined as after the operator completed intracoronary coronary artery therapy with robot assistance, the ratio of clinically successful subjects among all enrolled subjects was reached.

    Secondary Outcome Measures

    The Ratio Between the Radiation Exposure of the Primary Operator and the Radiation Exposure at the Table
    Defined as the difference between the radiation exposure measured at the procedure table (the conventional site of the primary operator) and the radiation exposure measured at the primary operator's position during the procedure.
    Evaluation of operational performance of experimental medical devices
    Multiple evaluation forms, including those for stability, operation convenience,interface friendliness, image clarity, need to be completed postoperatively by operator. These include one or more levels such as excellent, good, general, poor, etc. Stability refers to whether the operator has any abnormal situation during the use of the device; Operation convenience refers to whether the operator is smooth in the process of using the instrument. Interface friendliness and image clarity refer to whether the operator has any doubt or confusion about the interface image feedback during the use of the instrument and the clarity of the interface image during operation.

    Full Information

    First Posted
    November 30, 2022
    Last Updated
    December 7, 2022
    Sponsor
    Shanghai Operation Robot Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05642286
    Brief Title
    Clinical Study of Endovascular Interventional Surgical Instrument Control System and Related Consumables in Percutaneous Coronary Intervention
    Official Title
    Prospective, Multi Center, Single Group Target Value Study to Evaluate the Safety and Effectiveness of Endovascular Interventional Device Control System and Supporting Consumables for Coronary Intervention
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    December 1, 2022 (Anticipated)
    Primary Completion Date
    November 30, 2024 (Anticipated)
    Study Completion Date
    December 31, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Shanghai Operation Robot Co., Ltd.

    4. Oversight

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

    5. Study Description

    Brief Summary
    The goal of this study is to evaluate the safety and effectiveness of endovascular interventional surgery instrument control system (ALLVAS®robot)and supporting consumables for coronary artery interventional surgery. Participants will will complete coronary intervention surgery with the assistance of robot system(ALLVAS®robot), and evaluate the effect of the use effect of robots and clinical treatment after surgery
    Detailed Description
    Interventional therapy plays an important role in the treatment of coronary heart disease. At present, the main treatment methods still rely on human hands, and there are some defects, including but not limited to hand shaking and visual error. The use of robots may partly circumvent the above shortcomings. This study is to evaluate the safety and effectiveness of ALLVAS®robot for coronary artery interventional surgery.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Percutaneous Coronary Intervention, Coronary Heart Disease, Robotic Surgical Procedures
    Keywords
    Robotic Surgical Procedures, PCI, CHD

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Model Description
    prospective, multi center, single group target value design is adopted; 218 subjects who met the inclusion criteria and did not meet the exclusion criteria were planned to be included in the study, and the trial medical devices were used to assist surgery and complete follow-up, so as to evaluate the safety and effectiveness of the trial medical devices.
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    218 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Robot assisted surgery group
    Arm Type
    Experimental
    Arm Description
    robotic-assisted PCI
    Intervention Type
    Device
    Intervention Name(s)
    ALLVAS® robotic-assisted PCI
    Intervention Description
    ALLVAS® robotic-assisted PCI
    Primary Outcome Measure Information:
    Title
    Percentage of Patients With Device Technical Success
    Description
    Defined as after the operator completed intracoronary therapy of coronary artery with robot assistance, the ratio of successful subjects with instrument technology among all enrolled subjects was reached.
    Time Frame
    1 day
    Title
    Percentage of Participants With Clinical Procedural Success
    Description
    Defined as after the operator completed intracoronary coronary artery therapy with robot assistance, the ratio of clinically successful subjects among all enrolled subjects was reached.
    Time Frame
    3 days or hospital discharge, whichever occurs first
    Secondary Outcome Measure Information:
    Title
    The Ratio Between the Radiation Exposure of the Primary Operator and the Radiation Exposure at the Table
    Description
    Defined as the difference between the radiation exposure measured at the procedure table (the conventional site of the primary operator) and the radiation exposure measured at the primary operator's position during the procedure.
    Time Frame
    1 day
    Title
    Evaluation of operational performance of experimental medical devices
    Description
    Multiple evaluation forms, including those for stability, operation convenience,interface friendliness, image clarity, need to be completed postoperatively by operator. These include one or more levels such as excellent, good, general, poor, etc. Stability refers to whether the operator has any abnormal situation during the use of the device; Operation convenience refers to whether the operator is smooth in the process of using the instrument. Interface friendliness and image clarity refer to whether the operator has any doubt or confusion about the interface image feedback during the use of the instrument and the clarity of the interface image during operation.
    Time Frame
    1 day

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients who voluntarily participate in and sign the informed consent form, and can cooperate to complete the whole trial process; aged over 18 and under 75; After coronary CT angiography (CTA) or coronary angiography (DSA), the investigator judged that the patients who needed interventional blood supply reconstruction (target vessel diameter ≥ 2.5mm and lesion stenosis ≥ 70%). Exclusion Criteria: Acute myocardial infarction occurred within 7 days; The target vessel has received coronary intervention within 30 days; Restenosis in stent of target vessel; Patients with bifurcation lesions whose target vessel branches need to be protected but cannot protect the collateral branches; Hemodynamic instability (including low blood pressure or use of vasopressors to maintain blood pressure;) Three vessel lesions; The target vessel was diagnosed as coronary chronic occlusive disease (CTO) or left main artery stenosis or severe calcification requiring pretreatment; Perforation, dissection or aneurysm of the proximal vessel of the target vessel; Echocardiography showed that left ventricular ejection fraction (LVEF) was less than 50%; Stroke or transient ischemic attack (TIA) occurred within 30 days; Peptic ulcer or gastrointestinal bleeding within 90 days; Estimated glomerular filtration rate eGFR (ckd epi)<30 ml/min/1.73 m2; Platelet count<50 × 109/L or > 700 × 109/L; White blood cell count < 3 × 109/L; Women who are in pregnancy or lactation or have a pregnancy preparation plan during the trial period; People with allergy history or contraindication to antiplatelet drugs, anticoagulants, anesthetics, contrast agents, stent materials and their coating drugs; Severe infections difficult to control; Those who have mental diseases or mental disorders and cannot be described normally; Emergency operation is required for any reason; Those who have participated in clinical trials of other drugs or medical devices within 3 months before screening; The investigator believes that there are other circumstances that are not suitable for this clinical trial.

    12. IPD Sharing Statement

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    Clinical Study of Endovascular Interventional Surgical Instrument Control System and Related Consumables in Percutaneous Coronary Intervention

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