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NCT04763421

A Prospective, Single-Arm Multi-Center Study of the ENSEAL X1 Curved Jaw Tissue Sealer in Select Procedures

Completed NA Results posted Last updated 24 September 2024
What this trial tests

NA trial testing ENSEAL X1 Curved Jaw in Upper GI; Lower GI; Gynecological in 145 participants. Completed in 29 September 2023.

Timeline
22 April 2021
Primary endpoint
30 August 2023
29 September 2023

Quick facts

Lead sponsorEthicon Endo-Surgery
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment145
Start date22 April 2021
Primary completion30 August 2023
Estimated completion29 September 2023
Sites6 locations across Italy, United Kingdom, United States

Drugs / interventions tested

Conditions studied

Sponsor

Ethicon Endo-Surgery — full company profile →

Who can join

18 and older, any sex, with Upper GI; Lower GI; Gynecological. 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.

Number of Vessels With Less Than or Equal to (<=) Grade 3 Hemostasis Based on Hemostasis Grading Scale Primary · On the day of transection (Day 0)

Number of vessels with \<= Grade 3 hemostasis based on hemostasis grading scale were reported. A 4-point grading scale was used to assess hemostasis in blood vessels. Grade 1: no bleeding at transection site; Grade 2: minor bleeding at transection site, no intervention needed; Grade 3: minor bleeding at transection site, mild intervention needed, use of compression, monopolar device and/or touch-ups with ENSEAL X1; or Grade 4: significant bleeding (example, pulsatile blood flow, venous pooling) requiring intervention such as extensive coagulation or use of additional hemostatic measures (examp

GroupValue95% CI
ENSEAL X1 Curved Jaw279
Number of Participants With Device-related Adverse Events (AEs) Primary · From Day 0 up to post-procedure follow up visit (up to 28 days)

Number of participants with device-related AEs were reported. Device-related AEs were those AEs identified as having a relationship of possibly, probably, or causally with the study devices.

GroupValue95% CI
ENSEAL X1 Curved Jaw2
Number of Participants With Adhesion Removal or Division Using ENSEAL X1 Device as Assessed by Surgeon Satisfaction Scale Score Secondary · On the day of transection (Day 0)

Number of participants with adhesion removal or division using ENSEAL X1 device as assessed by Surgeon Satisfaction scale score were reported. Surgeon satisfaction scale score is a 5-point scale (very dissatisfied, dissatisfied, neither satisfied or dissatisfied, satisfied, or very satisfied) where surgeon rated the use of the device for adhesion removal or division by ENSEAL X1.

Very Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw0
Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw0
Neither Satisfied or Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw1
Satisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw27
Very Satisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw21
Number of Participants With Lymphatics Bundles Division Using ENSEAL X1 Device as Assessed by Surgeon Satisfaction Scale Score Secondary · On the day of transection (Day 0)

Number of participants with lymphatics bundles division using ENSEAL X1 device as assessed by Surgeon Satisfaction scale score were reported. Surgeon satisfaction scale score is a 5-point scale (very dissatisfied, dissatisfied, neither satisfied or dissatisfied, satisfied, or very satisfied) where surgeon rated the use of the device for lymphatic bundles by ENSEAL X1.

Very Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw0
Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw0
Neither Satisfied or Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw1
Satisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw18
Very Satisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw8
Number of Participants With Tissues Bundles Division Using ENSEAL X1 Device as Assessed by Surgeon Satisfaction Scale Score Secondary · On the day of transection (Day 0)

Number of participants with tissues bundles division using ENSEAL X1 device as assessed by Surgeon Satisfaction scale score were reported. Surgeon satisfaction scale score is a 5-point scale (very dissatisfied, dissatisfied, neither satisfied or dissatisfied, satisfied, or very satisfied) where surgeon rated the use of the device for tissues bundles by ENSEAL X1.

Very Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw0
Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw0
Neither Satisfied or Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw1
Satisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw26
Very Satisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw28
Number of Participants With Tissues Grasping Using ENSEAL X1 Device as Assessed by Surgeon Satisfaction Scale Score Secondary · On the day of transection (Day 0)

Number of participants with tissues grasping using ENSEAL X1 device as assessed by Surgeon Satisfaction scale score were reported. Surgeon satisfaction scale score is a 5-point scale (very dissatisfied, dissatisfied, neither satisfied or dissatisfied, satisfied, or very satisfied) where surgeon rated the use of the device for tissues grasping by ENSEAL X1.

Very Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw0
Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw4
Neither Satisfied or Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw9
Satisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw31
Very Satisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw23
Number of Participants With Tissues Cutting Using ENSEAL X1 Device as Assessed by Surgeon Satisfaction Scale Score Secondary · On the day of transection (Day 0)

Number of participants with tissues cutting using ENSEAL X1 device as assessed by Surgeon Satisfaction scale score were reported. Surgeon satisfaction scale score is a 5-point scale (very dissatisfied, dissatisfied, neither satisfied or dissatisfied, satisfied, or very satisfied) where surgeon rated the use of the device for tissues cutting by ENSEAL X1.

Very Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw1
Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw1
Neither Satisfied or Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw3
Satisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw38
Very Satisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw44
Number of Participants With Tissues Dissection Using ENSEAL X1 Device as Assessed by Surgeon Satisfaction Scale Score Secondary · On the day of transection (Day 0)

Number of participants with tissues dissection using ENSEAL X1 device as assessed by Surgeon Satisfaction scale score were reported. Surgeon satisfaction scale score is a 5-point scale (very dissatisfied, dissatisfied, neither satisfied or dissatisfied, satisfied, or very satisfied) where surgeon rated the use of the device for tissues dissection by ENSEAL X1.

Very Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw0
Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw0
Neither Satisfied or Dissatisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw3
Satisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw59
Very Satisfied
GroupValue95% CI
ENSEAL X1 Curved Jaw45
Number of Vessels With Hemostasis (Grade 1 to 4) Based on Hemostasis Grading Scale Secondary · On the day of transection (Day 0)

Number of vessels with hemostasis (Grade 1 to 4) based on hemostasis grading scale were reported. A 4-point grading scale was used to assess hemostasis in blood vessels. Grade 1: no bleeding at transection site; Grade 2: minor bleeding at transection site, no intervention needed; Grade 3: minor bleeding at transection site, mild intervention needed, use of compression, monopolar device and/or touch-ups with ENSEAL X1; or Grade 4: significant bleeding (example, pulsatile blood flow, venous pooling) requiring intervention such as extensive coagulation or use of additional hemostatic measures (ex

Grade 1
GroupValue95% CI
ENSEAL X1 Curved Jaw258
Grade 2
GroupValue95% CI
ENSEAL X1 Curved Jaw12
Grade 3
GroupValue95% CI
ENSEAL X1 Curved Jaw9
Grade 4
GroupValue95% CI
ENSEAL X1 Curved Jaw0

Adverse events — posted to ClinicalTrials.gov

Time frame: From Day 0 up to post-procedure follow up visit (Up to 28 days). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

ENSEAL X1 Curved Jaw
Serious: 10/145 (7%)
Deaths: 0/145

Serious adverse events (10 terms)

ReactionSystemENSEAL X1 Curved Jaw
Abdominal painGastrointestinal disorders
IleusGastrointestinal disorders
Intra-abdominal haematomaGastrointestinal disorders
CellulitisInfections and infestations
Septic shockInfections and infestations
Procedural painInjury, poisoning and procedural complications
Vaginal haemorrhageReproductive system and breast disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
Lymphatic fistulaVascular disorders
Pelvic venous thrombosisVascular disorders
Other adverse events (48 terms — click to expand)

ReactionSystemENSEAL X1 Curved Jaw
NauseaGastrointestinal disorders
PainGeneral disorders
VomitingGastrointestinal disorders
Procedural painInjury, poisoning and procedural complications
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
IleusGastrointestinal disorders
PyrexiaGeneral disorders
Abdominal pain upperGastrointestinal disorders
Incision site painInjury, poisoning and procedural complications
DehydrationMetabolism and nutrition disorders
DizzinessNervous system disorders
HallucinationPsychiatric disorders
TachycardiaCardiac disorders
DiarrhoeaGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Lower respiratory tract infectionInfections and infestations
Wound complicationInjury, poisoning and procedural complications
Oxygen saturation decreasedInvestigations
Back painMusculoskeletal and connective tissue disorders
Confusional statePsychiatric disorders
HypotensionVascular disorders
Atrial fibrillationCardiac disorders
Abdominal distensionGastrointestinal disorders
Abdominal pain lowerGastrointestinal disorders
DysphagiaGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Intra-abdominal haemorrhageGastrointestinal disorders
Chest discomfortGeneral disorders
Chest painGeneral disorders
ChillsGeneral disorders
Injection site pruritusGeneral disorders
CystitisInfections and infestations
Oral candidiasisInfections and infestations
Urinary tract infectionInfections and infestations
Wound infectionInfections and infestations
Genital contusionInjury, poisoning and procedural complications
Procedural nauseaInjury, poisoning and procedural complications
Haemoglobin decreasedInvestigations
Decreased appetiteMetabolism and nutrition disorders

Most-reported serious reactions: Abdominal pain, Ileus, Intra-abdominal haematoma, Cellulitis, Septic shock, Procedural pain, Vaginal haemorrhage, Pneumothorax.

Data from ClinicalTrials.gov NCT04763421 adverse events section.

Sponsor's own description

This prospective, single-arm, multi-center study will collect clinical data in a post-market setting by procedure group (upper gastrointestinal \[GI\], lower GI, and gynecological). Investigators will perform each procedure using the device in compliance with their standard surgical approach and the ENSEAL X1 Curved Jaw and Generator G11 instructions for use.

Publications & conference data

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

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