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临床试验/NCT03985839
NCT03985839已完成不适用

Prospective Multi-Center Post-Market Clinical Follow-up Study to Evaluate Safety and Performance of the MICRORAPTOR REGENESORB, Knotless REGENESORB and Knotless PEEK Suture Anchors (and MINITAPE Sutures) in Shoulder and Hip Arthroscopic Instability Repair

Smith & Nephew, Inc.22 个研究点 分布在 1 个国家目标入组 298 人开始时间: 2019年8月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
298
试验地点
22
主要终点
Repair failure rate

研究概览

简要总结

This is a prospective, multi-center, PMCF study to evaluate the safety and performance of the MICRORAPTOR REGENESORB suture anchors, MICRORAPTOR Knotless REGENESORB suture anchors, and MICRORAPTOR Knotless PEEK suture anchors implanted in 315 subjects needing reattachment of soft tissue to bone.

详细描述

The purpose of this trial is to assess, by product, safety and performance post-market of the Microraptor Regenesorb, Microraptor Knotless Regenesorb, and Microraptor Knotless PEEK Suture Anchors.

Approximately 18 sites (approximately 3 sites for study shoulder group and 3 sites for study hip group, per product) in the United States will participate in the study. This is an open-label study with consecutive enrollment. The study will continue for 24 months from the date that the last subject received the study treatment to the date that the last subject completes the study as planned. The study duration is planned for 36 months.

研究设计

研究类型
Observational
观察模型
Other
时间视角
Prospective

入排标准

年龄范围
12 Years 至 —(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Subject requires reattachment of soft tissue to bone for one of the following indications:
  • Shoulder - Capsular stabilization for Bankart repair, anterior shoulder instability, superior labrum from anterior to posterior (SLAP) lesion repairs, capsular shift or capsulolabral reconstructions; biceps tenodesis (knotless anchors only)
  • Hip - Acetabular labrum repair/reconstruction
  • Subject if ≥ 18 years of age or legally authorized representative if subject is <18 years of age has consented to participate in the study by signing the IRB approved informed consent form. If <18 years of age, subject has assented to participate in the study by signing the IRB approved assent form.
  • Subject is ≥12 years of age at time of surgery.
  • Willing and able to make all required study visits.
  • Able to follow instructions.

排除标准

  • Known hypersensitivity to the implant material. Where material sensitivity is suspected, appropriate tests should be made and sensitivity ruled out prior to implantation.
  • Pathological conditions of bone, such as cystic changes or severe osteopenia, which would compromise secure anchor fixation.
  • Pathological conditions in the soft tissues to be attached that would impair secure fixation by suture.
  • Comminuted bone surface, which would compromise secure anchor fixation.
  • Physical conditions which would eliminate, or tend to eliminate, adequate anchor support or retard healing.
  • The presence of infection.
  • Conditions which would limit the subject's ability or willingness to restrict activities or follow directions during the healing period.
  • Currently using tobacco products (cigarette, smokeless tobacco, e-cigarettes, vaping etc.).
  • Concurrent bilateral surgery.
  • Prior MICRORAPTOR™ REGENESORB™, MICRORAPTOR™ Knotless REGENESORB™ or MICRORAPTOR™ Knotless PEEK implantation.
  • Participation in the treatment period of another clinical trial within thirty (30) days of Visit 1, or during the study.
  • Women who are pregnant or nursing.
  • History of poor compliance with medical treatment.
  • Prior ipsilateral surgeries performed on the joint space.
  • Subjects with a medical or physical condition that, in the opinion of the Investigator, would preclude safe subject participation in the study.

研究组 & 干预措施

MICRORAPTOR™ REGENESORB™ Suture Anchor

MICRORAPTOR™ REGENESORB™ Suture Anchor

干预措施: MICRORAPTOR™ REGENESORB™ Suture Anchor (Device)

MICRORAPTOR™ Knotless REGENESORB™ Suture Anchor

MICRORAPTOR™ Knotless REGENESORB™ Suture Anchor

干预措施: MICRORAPTOR™ Knotless REGENESORB™ Suture Anchor (Device)

MICRORAPTOR™ Knotless PEEK Suture Anchor

MICRORAPTOR™ Knotless PEEK Suture Anchor

干预措施: MICRORAPTOR™ Knotless PEEK Suture Anchor (Device)

结局指标

主要结局

Repair failure rate

时间窗: 6 months

To assess repair failure rate at 6 months

Repair Failure Rate at 6 Months

时间窗: 6 months

Repair failure at 6 months was determined by physician diagnosis of recurrent shoulder dislocation, subluxation, and patient symptoms (e.g., pain). In the event of suspected repair failure, MRI or CT scan must confirm the root cause (i.e., intraarticular labrum failure or fixation repair failure) and assess glenoid bone loss. The repair failure rate was defined as the number of participants with confirmed repair failure divided by the total number of participants in the study device group at the 6-month follow-up.

次要结局

  • Anchor absorption/replacement by bone (Knotless Regenesorb only)(6 and 24 months)
  • ROWE shoulder score(6 and 12 months)
  • HOS-ADL Score(6 and 12 months)
  • Modified Harris Hip Score(6 and 12 months)
  • WOSI shoulder score(6 and 12 months)
  • Constant-Murley Shoulder Scale(6 and 12 months)
  • Repair failure rate(12 months)
  • Adverse Events (AEs)(12 months)
  • Repair Failure Rate at 12 Months(12 months)
  • Visual Analogue Scale (VAS) Pain Change From Baseline(Baseline to 6 months, 12 months, and 24 months)
  • Repair Failure Rate at 24 Months (MICRORAPTOR™ Knotless REGENESORB™ Suture Anchor ONLY)(24 months)
  • Anchor Absorption/Replacement by Bone (MICRORAPTOR™ Knotless REGENESORB™ Suture Anchor ONLY): Acetabular Labral Condition(Baseline, 6 months, and 24 months)
  • Anchor Absorption/Replacement by Bone (MICRORAPTOR™ Knotless REGENESORB™ Suture Anchor ONLY): Joint Effusion(Baseline, 6 months, and 24 months)
  • Anchor Absorption/Replacement by Bone (MICRORAPTOR™ Knotless REGENESORB™ Suture Anchor ONLY): Bone Marrow Edema(Baseline, 6 months, and 24 months)
  • Rowe Shoulder Score Change From Baseline (Shoulder Participants ONLY)(Baseline to 6 months, 12 months, and 24 months)
  • Western Ontario Shoulder Instability Index (WOSI) Score Change From Baseline (Shoulder Participants ONLY)(Baseline to 6 months, 12 months, and 24 months)
  • Constant-Murley Shoulder Scale Change From Baseline (Should Participants ONLY)(Baseline to 6 months, 12 months, and 24 months)
  • Hip Outcome Score Activities of Daily Living (HOS-ADL) Score Change in Baseline (Hip Participants ONLY)(Baseline to 6 months, 12 months, and 24 months)
  • Modified Harris Hip Score (mHHS) Change From Baseline (Hip Participants ONLY)(Baseline to 6 months, 12 months, and 24 months)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (22)

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