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Minimally Invasive Surgical ProceduresNCT05095935

Medtronic Signia SDR Product Surveillance Registry

An observational study of Minimally Invasive Surgical Procedures and Surgical Procedures, Operative, run by Medtronic at 14 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

The purpose of the registry is to confirm the safety and performance of the Signia™ Small Diameter Reload (SDR) when used in surgical procedures in a real-world setting in patients receiving surgery for indicated thoracic, abdominal, and pediatric applications, intraoperatively. Read more about this study

Who is it for?
Any age
What is being tested?
N/A observational registry
How many people
430 participants
Where
14 sitesUnited States
Study dates
10 Aug 2021to 1 Oct 2024
How long will I take part?
30 Days
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Patients undergoing surgical procedures during which the Signia Small Diameter Reload is being used for transection of the arteries and veins meeting the cohort criteria.

Who may be able to join

  • Patient or legally authorized representative (LAR) provides authorization and/or consent per institution and geographical requirements
  • Patient has, or is intended to receive or be treated with, an eligible Medtronic product
  • Patient is consented within the enrollment window of the therapy received, as applicable

Who cannot join

  • Patient who is, or is expected to be, inaccessible for follow-up
  • Patient is excluded by local law
  • Patient is currently enrolled in, or plans to enroll in, any concurrent drug/device study that may confound the PSR results

Trial locations and contacts

14 sites in 1 country.

14 sites in 1 country

United States14 sites
  • Cooper Health System

    Camden, New Jersey, 08103

  • UNC Chapel Hill

    Chapel Hill, North Carolina, 27599

  • Rush

    Chicago, Illinois, 60612

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • Children's Hospital Colorado

    Denver, Colorado, 80045

  • Duke University Health Systems

    Durham, North Carolina, 27705

  • Virginia Cancer Specialists

    Fairfax, Virginia, 22031

  • Mary Washington Hopital

    Fredericksburg, Virginia, 22401

  • Cedars Sinai Medical Center

    Los Angeles, California, 90048

  • NYU Langone Medical Center

    New York, New York, 10016

  • New York Presbyterian Hospital - Colombia University Medical Center

    New York, New York, 10032

  • UPMC Falk Clinic

    Pittsburgh, Pennsylvania, 15213

  • University of Texas - San Antonio

    San Antonio, Texas, 78249

  • The George Washington University Hospital

    Washington D.C., District of Columbia, 20037

Other trials in United States

About this study

Official title: Medtronic Signia Small Diameter Reload Product Surveillance Registry

The purpose of the registry is to confirm the safety and performance of the Signia™ Small Diameter Reload (SDR) when used in surgical procedures in a real-world setting in patients receiving surgery for indicated thoracic, abdominal, and pediatric applications, intraoperatively.

Being tested
N/A observational registry

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • N/A observational registryOther

    N/A observational registry

Study groups in NCT05095935
Study groupRoleWhat they receive
Thoracic AdultUse of Signia SDR for the transection of pulmonary arteries and veins in adult patients.
Receives: Other: N/A observational registry
Abdominal AdultUse of Signia SDR for the transection of renal arteries and veins in adult patients.
Receives: Other: N/A observational registry
Abdominal PediatricUse of Signia SDR for the transection of the appendiceal stump and mesoappendix (simple acute appendicitis) in pediatric patients.
Receives: Other: N/A observational registry

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of Intraoperative Hemostatic Intervention

    • Adult Thoracic: incidence of intraoperative hemostatic intervention related to the transection of pulmonary arteries and veins.
    • Adult Abdominal: incidence of intraoperative hemostatic intervention related to the transection of renal arteries and veins.
    • Pediatric Abdominal: incidence of intraoperative hemostatic and leak intervention related to the transection of the appendiceal stump and mesoappendix (simple acute appendicitis).

    Measured: During Procedure

Secondary outcomes (6)
  1. Incidence of Repeat Hospital Admission for Primary Procedure-related Complications

    Measured: 30 days

  2. Intraoperative Assessments: Assessment of Staple Line Integrity Using a Five-point Likert Scale

    The Likert Scale assessment is a bleeding assessment that was conducted during the procedure, ranging from 1 (no bleeding) to 5 (significant bleeding requiring intervention). Staple line integrity was considered achieved for firings with a Likert Scale Score of 1, 2, 3 and 777 (not recorded at time of procedure, but deemed acceptable by the procedure surgeon).

    Measured: During Procedure

  3. Intraoperative Assessments: Incidence of Staple Line Bleeding

    Number of firings that had an incidence of staple line bleeding of >50cc

    Measured: During Procedure

  4. Intraoperative Assessments: Additional Intervention(s) to Treat Staple Line Failure

    Additional interoperative interventions to treat staple line failure (applying additional stapler reloads, applying compression greater than what is considered typical, over-sewing with suture, placing clips, use of energy, use of seatbelt, other)

    Measured: During Procedure

  5. Post-operative Assessments: Additional Intervention(s) to Treat Staple-line Failure

    Additional postoperative interventions to treat staple line failure (Applying additional stapler reloads, Applying compression greater than what is considered typical, Over-sewing with suture, Placing clips, Use of energy, Use of seatbelt, Other)

    Measured: 30 days

  6. Device Deficiencies

    incidence of subjects reporting device deficiencies affecting the intended performance of the device up to and including 30 days following the use of device (i.e. Signia™ Small Diameter Reloads) in surgery

    Measured: 30-days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Oct 2021
  2. Study start10 Aug 2021
  3. Primary completion1 Oct 2024
  4. Study completion1 Oct 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
430 participants (actual)
Target duration
30 Days
IDs, dates and publications
ClinicalTrials.gov ID
NCT05095935
Sponsor's protocol ID
Surgical PSR
Status last verified
Oct 2024
First submitted
24 Aug 2021
Last updated
7 Jan 2026
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

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