The study aims to further demonstrate the safety and effectiveness of the FemoSeal™ VCS in achieving hemostasis following percutaneous endovascular procedures performed via the common femoral artery (CFA) access site. This study is conducted in real-world subjects according to the FemoSeal™ VCS instruction for use (IFU), as part of the study device post-market clinical follow up surveillance plan and prospective clinical evidence collection.
The proposed Post-Market Clinical Follow-up study is a Prospective, Multi-Center, Observational Study, aiming to further demonstrate the safety and effectiveness of the FemoSealTM VCS in achieving hemostasis of common femoral artery (CFA) access site in real-world subjects undergoing percutaneous endovascular procedures. 230 patients will be enrolled at up to 6 European sites. Follow-ups are scheduled at 30 days (±7 days) by hospital visit or telephone call. The sponsor shall provide training and the necessary guidelines to assist each investigation site on the data collection in the eCRF. Each site is responsible to report the available data requested by the CIP. In order to ensure data quality, validation \& consistency, edit checks will be designed during database development. Data Management team and the study monitors will be responsible to review the data and raise queries in the eCRF. Data cleaning will be done in regular intervals specified in Data Monitoring Plan. The final clean standardised datasets will be available prior to database lock for data analysis. An audit trail logging all data entered and edited is available within the EDC system. All source documents are maintained in the hospital files ready for inspection by the Sponsor and regulatory authorities upon request. The Sponsor will inform the investigator of the time period for retaining these records as per applicable regulatory requirements. The study will be monitored at all stages of its development by study monitors appointed by the sponsor. Study monitors are designated as Sponsor representatives and are assigned to oversee the conduct and progress of the study at each site in accordance with the Monitoring Plan established for this clinical investigation.
Study Type
OBSERVATIONAL
Enrollment
230
AZ Sint Blasius
Dendermonde, Belgium
Hôpital Paris St Joseph, Vascular and endovascular surgical center
Paris, France
Universitäts-Herzzentrum Freiburg Bad Krozingen, Department of Cardiology and Angiology Department
Bad Krozingen, Baden-Wurttemberg, Germany
Effectiveness endpoint: Successful puncture site haemostasis
Cessation of arterial bleeding (excluding oozing) achieved in the CathLab in subjects not requiring any adjunctive intervention at the access site, including (but not limited to) sterile wound dressing and/or manual compression.
Time frame: within 6 hours post procedure
Safety endpoint: Freedom from major complications
Freedom from major complications of the access site limb
Time frame: within 6 hours post procedure
Freedom from any minor complications at the target limb access site.
Minor complications are defined as: * Any puncture site-related haematoma (i.e. a palpable groin swelling measured at the longest diameter) * Minor (\<5 cm) or * Major (≥5 cm) * Pseudoaneurysms attributable to the study device * Arteriovenous fistulas * Minor access site infections (i.e. all infections not defined as major)
Time frame: within 6 hours post procedure
Freedom from any major and minor complications at the target limb access site.
Time frame: within 6 hours to 30 days post-procedure
Time to hemostasis (TTH)
Defined as time between the removal of the procedural sheath up to first observed arterial bleeding cessation (excluding oozing at access site) in subjects not requiring adjunctive intervention in the cathlab.
Time frame: up to 1 day
Time to ambulation (TTA)
Defined as the time between the procedural sheath removal and the moment when the patient is able to ambulate, i.e. autonomously stand up from the bed and walk without recurrent bleeding.
Time frame: up to 30 days
Length of stay in hospital
i. e. the time between the procedural sheath removal and the moment when the patient is discharged from the hospital
Time frame: up to 30 days
Quality of Life assessment
Quality of Life assessed as per EuroQl five-dimensional (EQ-5D) questionnaire: The first part of the questionnaire contain descriptive questions on 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression, each with 5 levels of responses. The second part of the questionnaire contains a standard vertical 20-cm visual analog scale that is calibrated from 'the worst health you can imagine' (scored 0) at its base to 'the best health you can imagine' (scored 100) at its apex.
Time frame: at baseline, discharge , and 30 days
FemoSeal™ VCS usability
Accessed by questionnaire, including, but not limited to the following items (usefulness; ease of use; ease of learning; satisfaction and intention to use) completed by operators.
Time frame: up to 1 day
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.