Evaluation of the Safety and Effectiveness of the VRS100 Robotic Console System in Percutaneous Coronary Interventions: A Multicenter, Randomised, Non-inferiority Trial (ESSENCE)
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Coronary Artery Disease
- Sponsor
- Shenzhen Raysight Intelligent Medical Technology Co., Ltd.
- Enrollment
- 204
- Locations
- 3
- Primary Endpoint
- Technical Success
- Status
- Not Yet Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The objective of this study is to evaluate the safety and effectiveness of the clinical and technical performance of the VRS100 system with disposable surgical kit in the delivery and manipulation of coronary guidewires and stent/balloon systems for use in percutaneous coronary interventions (PCI).
Investigators
Eligibility Criteria
Inclusion Criteria
- •General Inclusion Criteria:
- •Age ≥18 years.
- •Patients with coronary artery disease undergoing Percutaneous Coronary Intervention (PCI).
- •The subject has been informed of the nature of the study, agrees to its provisions and has provided written informed consent.
- •Angiographic Inclusion Criteria:
- •In situ primary coronary vascular disease.
- •Reference vessel diameter is 2.5-4.0mm by visual estimate.
- •Target lesion length is ≤30.0mm.
- •Target lesion is a single de novo native coronary artery lesion. This lesion may consist of multiple lesions (with ≤10mm between diseased segments) and must be completely covered by a single stent with ≥5.0mm of normal segments on proximal and distal edges of the lesion.
- •Target lesion diameter showing stenosis ≥70% by visual estimate, or ≥50% with myocardial ischemia.
Exclusion Criteria
- •Patients meeting any of the following criteria will be excluded:
- •General Exclusion Criteria:
- •Subjects with indications for urgent PCI surgery.
- •Evidence of an acute myocardial infarction within one week prior to the intended VRS100 procedure.
- •Subject has undergone PCI within 72 hours prior to the VRS100 procedure.
- •Subject has undergone PCI within 30 days prior to the VRS100 procedure and experienced a MACE or a serious adverse event (SAE).
- •Severe heart failure (NYHA IV).
- •Subject has suffered a stroke, or has an active peptic ulcer or upper gastrointestinal bleeding within 6 months prior to planned VRS100 procedure.
- •Subject has known hypersensitivity or contraindication to aspirin, heparin, ticagrelor, clopidogrel, bivalirudin, PTX(paclitaxel), stainless steel, etc.
- •Subject has acute or chronic kidney disease (serum creatinine level of \>2.5 mg/dL or \>221 umol/L) or need dialysis.
Outcomes
Primary Outcomes
Technical Success
Time Frame: 1 day
Defined as the successful advancement and retraction of PCI devices using the VRS100 System and without conversion to manual operation.
Clinical Success
Time Frame: 48-hrs or hospital discharge, whichever occurs first
Defined as angiographic success (residual stenosis after stenting of \<30% with final TIMI \[Thrombolysis In Myocardial Infarction\] flow grade 3) without an in-hospital major adverse cardiovascular event (MACE) (cardiovascular death, MI, clinically driven target vessel revascularization).
Secondary Outcomes
- PCI Procedure Time(During procedure)
- Overall Procedure Time(During procedure)
- Fluoroscopy and/or X-Ray Time(During procedure)
- Patient Radiation Exposure - Cumulative Dose(During procedure)
- Contrast Fluid Volume(During procedure)
- Performance of the Experimental Device(During procedure)