Clinical Evaluation of Connected Catheter Wireless Urinary Prosthesis for Management of Neurogenic Lower Urinary Tract Dysfunction
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Urinary Bladder, Neurogenic
- Sponsor
- Spinal Singularity
- Enrollment
- 5
- Locations
- 2
- Primary Endpoint
- Successful Acute Performance- III
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The objective of this study is to evaluate the safety and essential performance of the Connected Catheter System in males with neurogenic lower urinary tract dysfunction (NLUTD), both in an acute clinical setting, and during and extended period (up to 29 days) of home use.
Detailed Description
The Connected Catheter (C2P) is a replaceable urinary prosthesis that is intended for use in male patients 18 years of age or older who have impaired bladder emptying due to neurogenic lower urinary tract dysfunction, and who are capable of operating the device in accordance with the provided instructions for use, or who have trained caregivers capable of doing the same. The device must be replaced every 29 days
Investigators
Eligibility Criteria
Inclusion Criteria
- •Males age ≥ 18 with clinical diagnosis of neurogenic lower urinary tract dysfunction (NLUTD)
- •Must be clinically suitable and capable of safely managing bladder using an intermittent voiding strategy Must have stable urinary management history with clean intermittent catheterization: no significant changes in bladder management regimen within past 12 months
- •Must have urodynamic profile suitable for CIC, as assessed via urodynamics study within past 12 months (including bladder capacity \> 200mL without uninhibited bladder contractions)
- •Subject's lower urinary tract anatomy (lengths of proximal and distal urethral must fall within the ranges serviceable by the Connected Catheter device, as specified in the investigational device instructions for use.
- •For cases of NLUTD due to spinal cord injury, the subject must be in medically stable condition (i.e. post-spinal shock phase)
Exclusion Criteria
- •Active symptomatic urinary tract infection, as defined in this protocol (subjects may receive the CoCath Device after UTI has been treated)
- •Significant risk profile or recent history of urethral stricture (e.g. stricture within past 90 days)
- •Significant risk profile or recent history of clinically significant autonomic dysreflexia (e.g. History of hospitalization due to AD within past 12 months)
- •Significant intermittent urinary incontinence (between catheterizations)
- •Uninhibited bladder contractions and/or vesico-ureteral reflux that is not reliably controlled with medication or alternate therapy (e.g. botox injections)
- •Pre-existing urinary pathologies and/or morphological abnormalities of the lower urinary tract or bladder (assessed during in-depth medical screening, including cystoscopy, urine analysis, and blood labs)
- •Urinary tract inflammation or neoplasm
- •Urinary fistula
- •Bladder diverticulum (outpouching) \> 5cm in size
- •Chronic pyelonephritis (secondary to upper urinary tract infection(s) within past 6 months)
Outcomes
Primary Outcomes
Successful Acute Performance- III
Time Frame: On the day of Connected Catheter Insertion
To evaluate successful removal of Connected Catheter
Successful Acute Performance- I
Time Frame: On the day of Connected Catheter Insertion
To evaluate successful retention of Connected Catheter and Void
Successful Acute Performance -II
Time Frame: On the day of Connected Catheter Insertion
To evaluate successful bladder voiding with Connected Catheter
Successful Acute Performance- IV
Time Frame: On the day of Connected Catheter Insertion
To evaluate successful post-void sealing of Connected Catheter Valve
Successful Home-Use Performance
Time Frame: 29 days
Successful Home-Use using same measures as Acute Performance
Freedom from genito-urinary injury/trauma
Time Frame: 29 Days
Improved bladder management without injury or trauma to genito-urinary tract