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NCT03515811

A Post Market Study to Confirm the Safety and Performance of the Signia™ Stapling System.

Completed Results posted Last updated 10 May 2024
What this trial tests

trial testing Signia™ Stapling System in Abdominal Injury in 136 participants. Completed in 13 July 2020.

Timeline
22 January 2019
Primary endpoint
13 July 2020
13 July 2020

Quick facts

Lead sponsorMedtronic - MITG
StatusCompleted
Study typeOBSERVATIONAL
Enrollment136
Start date22 January 2019
Primary completion13 July 2020
Estimated completion13 July 2020
Sites11 locations across Italy, United Kingdom, Canada, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Medtronic - MITG — full company profile →

Who can join

18 and older, any sex, with Abdominal Injury or Thoracic Diseases. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

The Primary Endpoint is the Number of Subjects Reporting Serious Adverse Device Effects (SADEs), Including Intra- and Post-operative Leaks. Primary · Up to and including 30 days intra- and post-operative.

The primary endpoint is the number of subjects reporting serious adverse device effects (SADEs) up to and including 30 days, including intra- and post-operative leaks. A Serious Adverse Device Effect (SADE) is an adverse event related to the use of an investigational medical device, that is deemed serious in nature. To be deemed serious, and adverse event must meet one or more of the following criteria: Led to a death, b. Led to a serious deterioration in the health of the subject, that either resulted in: 1. Resulted in a life-threatening illness or injury, or 2. Resulted in a permanent imp

GroupValue95% CI
Abdominal0
Thoracic9
The Primary Endpoint is the Number of Subjects Reporting Serious Adverse Device Effects (SADEs), Including Intra- and Post-operative Leaks. Primary · Up to and including 30 (+14) days post-procedure.

The primary endpoint is the number of subjects reporting serious adverse device effects (SADEs), including intra- and post-operative leaks up to and including 30 (+14) days post-procedure. A Serious Adverse Device Effect (SADE) is an adverse event related to the use of an investigational medical device, that is deemed serious in nature. To be deemed serious, and adverse event must meet one or more of the following criteria: Led to a death, b. Led to a serious deterioration in the health of the subject, that either resulted in: 1. Resulted in a life-threatening illness or injury, or 2. Result

GroupValue95% CI
Overall9
The Secondary Endpoint is Device Deficiencies/Malfunctions Affecting the Intended Performance of the Device. Secondary · Up to and including 30 (+14) days post-operative.

The secondary endpoint is device deficiencies/malfunctions affecting the intended performance of the device. All recorded device deficiencies/malfunctions were captured and assessed by the Investigator. A Device Deficiency is defined as inadequacy of a medical device with respect to its identity, quality, durability, reliability, safety or performance. Note: Device deficiencies include malfunctions, use errors, and inadequate labeling.

GroupValue95% CI
Abdominal2
Thoracic2
The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Staple Line Integrity (B Formation). Secondary · Up to and including 30 (+14) days post-operative.

The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. B formation is defined as consistent formation of the staple-line fired by the Signia Stapling System handle.

GroupValue95% CI
Abdominal44
Thoracic55
The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Number of Staple-line Bleeding (Measured as > 50 cc) Occurrences. Secondary · Up to and including 30 (+14) days post-operative.

The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Number of staple-line bleeding (measured as \> 50 cc) refers to occurrences of bleeding at the staple-line only, and not in the study procedure as a whole.

GroupValue95% CI
Abdominal0
Thoracic0
The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Additional Interventions to Treat Staple-line Failure. Secondary · Up to and including 30 (+14) days post-operative.

The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Examples of additional interventions to treat staple-line failure include: glue, manual over sew, Medtronic buttress as additional reinforcement, or intraoperative revision/recreation of the anastomosis.

GroupValue95% CI
Abdominal3
Thoracic42
The Secondary Endpoint is the Intra-operative Staple Line Assessment Assessing: Number of Intra-operative Leakage. Secondary · Up to and including 30 (+14) days post-operative.

The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Number of intra-operative leakage as measured by air leak test performed by the surgeon, or standard of care, as applicable.

GroupValue95% CI
Abdominal0
Thoracic5
The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Number of Post-operative Leakage. Secondary · Up to and including 30 (+14) days post-operative.

The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Number of post-operative leakage as evidenced confirmed by imaging, subject presentation or decline in status, or need for re-operation/re-intervention.

GroupValue95% CI
Abdominal0
Thoracic7
The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Duration of Air Leakage >7 Days. Secondary · Up to and including 30 (+14) days post-operative.

The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Prolonged air leaks are considered \>7 days in duration.

GroupValue95% CI
Abdominal0
Thoracic3
The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Number of Post-operative Infection. Secondary · Up to and including 30 (+14) days post-operative.

The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Number of post-operative infection was assessed by the Investigator according to the standard of care and site policy, ex. Positive wound culture.

GroupValue95% CI
Abdominal1
Thoracic8
The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Additional Interventions to Treat Staple-line Failure. Secondary · Up to and including 30 (+14) days post-operative.

The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. Examples of additional interventions to treat staple-line failure include: glue, manual over sew, Medtronic buttress as additional reinforcement, or intraoperative revision/recreation of the anastomosis.

GroupValue95% CI
Abdominal0
Thoracic2
The Secondary Endpoint is the Post-operative Surgical Site Assessment Assessing: Number of Repeat Hospital Admissions for Primary Procedure-related Complications. Secondary · Up to and including 30 (+14) days post-operative.

The secondary endpoint is device deficiency/malfunctions affecting the intended performance of the device including: intra- and post-operative staple line assessments. The number of repeat hospital admissions for primary procedure-related complications was assessed.

GroupValue95% CI
Abdominal1
Thoracic4

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected up to and including 30 (+14) days post-procedure.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Abdominal
Serious: 6/51 (12%)
Deaths: 1/51
Thoracic
Serious: 21/85 (25%)
Deaths: 1/85

Serious adverse events (24 terms)

ReactionSystemAbdominalThoracic
PneumothoraxRespiratory, thoracic and mediastinal disorders
PneumoniaInfections and infestations
Pleural effusionRespiratory, thoracic and mediastinal disorders
Subcutaneous emphysemaSkin and subcutaneous tissue disorders
Atrial fibrillationCardiac disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
DehydrationMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
SyncopeNervous system disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Arterial haemorrhageVascular disorders
Cardiac arrestCardiac disorders
ColitisGastrointestinal disorders
DiarrheaGastrointestinal disorders
CholangitisHepatobiliary disorders
Arterial injuryInjury, poisoning and procedural complications
Bronchial injuryInjury, poisoning and procedural complications
Wound dehiscenceInjury, poisoning and procedural complications
Brain injuryNervous system disorders
Device leakageProduct Issues
Bronchopleural fistulaRespiratory, thoracic and mediastinal disorders
HaemothoraxRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Other adverse events (3 terms — click to expand)

ReactionSystemAbdominalThoracic
PneumothoraxRespiratory, thoracic and mediastinal disorders
Subcutaneous emphysemaSkin and subcutaneous tissue disorders
Post-operative leakSurgical and medical procedures

Most-reported serious reactions: Pneumothorax, Pneumonia, Pleural effusion, Subcutaneous emphysema, Atrial fibrillation, Abdominal pain, Abdominal pain upper, Dehydration.

Data from ClinicalTrials.gov NCT03515811 adverse events section.

Sponsor's own description

The objectives of this prospective, two-arm, multicenter post-market study is to confirm safety and performance through the incidence of subjects reporting serious adverse device effects (ADEs) up to and including 30 days following use of Signia™ Stapling System with Endo GIA™ with Tri-Staple™ Technology and Tri-Staple™ 2.0 Intelligent Reloads in subjects undergoing indicated abdominal or thoracic procedures for resection, transection and creation of anastomosis per the IFU.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other recruiting trials for Abdominal Injury

Currently open trials in the same condition.

Other Medtronic - MITG trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03515811.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing