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Clinical Validation of the VIPUN GMS as a Gastric Motility Monitoring System

Not Applicable
Completed
Conditions
Gastric Motor Function
Interventions
Device: VIPUN Gastric Monitoring System prototype
Registration Number
NCT05264363
Lead Sponsor
VIPUN Medical
Brief Summary

In order to validate that the VIPUN, Gastric Monitoring System (GMS) is a gastric motility monitoring system, we intend to show that the VIPUN GMS can assess motility through pressure measurement similar to high-resolution manometry (HRM).

In addition, the study aims to contribute to the design and development of a position confirmation functionality integrated in the VIPUN Gastric Monitoring System by establishing volume-pressure relations in the stomach and esophagus.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
15
Inclusion Criteria
  • Signed Informed Consent Form
  • Aged between and including 18 and 65 years
  • In good health on the basis of medical history and anamnesis by the Principal Investigator (or delegate)
  • Agrees to refrain from drug, non-allowed medication, herbal supplement and dietary supplement intake on the day of the study visit
  • Agrees to an overnight fast in advance of the study visit
Exclusion Criteria
  • Current or chronic gastrointestinal symptoms
  • Use of any medication that might affect gastric function or visceral sensitivity in the opinion of the PI
  • (Suspected) current use of illicit drugs
  • Psychiatric or neurological illness
  • Any history of gastrointestinal surgery that could influence normal gastric function in the opinion of the PI, including, but not limited to gastrectomy, esophagectomy, duodenotomy, pancreatectomy, bariatric surgery (bypass surgery, gastric banding...), placement of neuromodulator
  • Simultaneous participation in other clinical studies
  • Suspected or confirmed basal skull fracture, mid face trauma or maxillofacial trauma
  • Nasopharyngeal surgery in the last 30 days
  • History of severe coagulation abnormalities
  • Therapeutic or prophylactic anticoagulation
  • Gastrointestinal bleeding
  • Ischemic bowel
  • Peritonitis
  • Deviated nasal septum impeding catheter placement
  • Inability to pass a feeding tube through the nares (e.g. in case of anatomical features, nasal congestion or blockage)
  • Recent (< 30 days) caustic ingestion (due to risk of esophageal rupture)
  • Recent (< 30 days) esophageal varices (active, untreated or recently banded/cauterized)
  • History of esophageal strictures
  • History of gastric varices
  • History of gastric obstruction
  • History of gastrectomy, esophagectomy, duodeno-pancreatectomy, bypass surgery, gastric banding, bariatric balloon, or short bowel syndrome
  • History of gastrostomy
  • Allergy to components of the VIPUN Catheter
  • Pregnancy or breastfeeding
  • Allergy to components of the enteral nutrition
  • Allergy to the available lubricants
  • Allergy to the available local anesthetic
  • Recent infection with SARS-CoV-2 (in the last 2 weeks prior to study visit).

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
InterventionVIPUN Gastric Monitoring System prototypeThe main intervention is the application of the Investigational Medical Device (VIPUN Gastric Monitoring System prototype) together with the reference device (solid state high-resolution manometry) to record intraluminal pressure. The planned procedures are identical for all subjects in this single-arm investigation.
Primary Outcome Measures
NameTimeMethod
Duration of gastric contractility on manometryprotocol time T=0-120 minutes

Time the smoothed and baseline-corrected gastric manometry pressure exceeds the contraction-threshold

Duration of gastric contractility on VIPUN GMSprotocol time T=0-120 minutes

Time the smoothed and baseline-corrected VIPUN GMS pressure exceeds the contraction-threshold.

Secondary Outcome Measures
NameTimeMethod
Manometry contraction frequencyprotocol time T=0-120 minutes

Gastric contractions identified visually by a expert gastroenterologists on the manometry recording.

Nutrient-induced changes in tonic contractilityprotocol time T=0-150 minutes

Defined as the difference between baseline GMS pressure before and during nutrient administration.

VIPUN GMS contraction frequencyprotocol time T=0-120 minutes

Gastric contractions identified visually by a expert gastroenterologists on the VIPUN GMS recording.

Volume-pressure relation during stepwise inflationPrior to protocol time T=0 minutes (=start motility recording).

The pressure at each volume increment (range 0-135 ml) is recorded during stepwise inflation of the VIPUN GMS Catheter in the esophagus and in the stomach.

Motility Tiled Runner contraction frequencyprotocol time T=0-120 minutes

Motility Tile Runner contractions are gastric contractions identified by the VIPUN Motility Tiled Runner software application.

Hallmarks of normal motilityprotocol time T=0-150 minutes

The presence/absence of hallmarks of normal gastric motility are scored by expert gastroenterologists on the VIPUN GMS pressure recording and on the manometry recording independently.

Duration of MMC phasesprotocol time T=0-150 minutes

The duration of MMC phase III is delineated by expert gastroenterologists on the VIPUN GMS pressure recording and on the manometry recording independently.

Nutrient-induced changes in phasic contractilityprotocol time T=0-150 minutes

Defined as the difference between the frequency of Motility Tiled Runner contractions before and during nutrient administration.

Trial Locations

Locations (1)

Translational Research Center for Gastrointestinal Disorders - KU Leuven

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Leuven, Vlaams-Brabant, Belgium

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