Purpose: To validate the safety and effectiveness of xBar monitoring tool for detection of post-operative anastomotic leaks in subjects undergoing rectal/sigmoid resections with anastomosis. The clinical team is blinded to the leak detection of the xBar system.
Study design: Pivotal, Prospective, Blinded, multi-center study. Study Population: This study will enroll approximately 190 eligible subjects undergoing scheduled colorectal surgery with anastomosis, without concomitant diversion. xBar is an investigational device intended for post-op monitoring of patients undergoing GI surgery. The device is comprised of a surgical drain with embedded electrodes, connected to a small electronic device that records and relays data from the electrodes. The collected data is processed for early detection of complications. Study description: The study is intended to validate the performance of the xBar system's anastomotic leak detection monitoring tool following colorectal resection with drain placement. During the index surgery the xBar device will be placed according to institution standard procedures and data recording will commence for a period of at least 3 days. Safety and complication detection performance will be evaluated retrospectively by comparing the diagnosis on a subject level done by the clinical team, who is blinded to xBar results, and the system.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
222
xBar system is surgical drain with embedded sensors. Collected data will be evaluated for an ability to identify anastomotic leaks. The xBar system does not have therapeutic indication.
AdventHealth Orlando
Orlando, Florida, United States
AdventHealth Tampa
Tampa, Florida, United States
University of Louisville
Louisville, Kentucky, United States
Safety
Incidence of Unanticipated Serious Adverse Events Related to the xBar System or xBar Procedure
Time frame: through study completion, an average of 1 year
Safety - Severe leak rate - comparable to SOC.
Incidence of Severe Anastomotic Leak. Statistical evaluation of prevalence of anastomotic leaks in the study group compared to the prevalence present in the literature.
Time frame: through study completion, an average of 1 year
Performance - xBar Technical Success Rate
xBar Technical Success Rate
Time frame: through study completion, an average of 1 year
Sensitivity
Sensitivity of xBar for Detection of Severe Anastomotic Leak assuming is non-inferior compared to Standard of care at POD 3
Time frame: From the xBar placement up to POD3
Specificity
Specificity of xBar for Detection of Severe Anastomotic Leak assuming is non -inferior to standard of care detection
Time frame: from the xBar placement up to post operative day 3
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Henry Ford Health
Detroit, Michigan, United States
Bryan Medical Center
Lincoln, Nebraska, United States
Weill Cornell MC, NY
New York, New York, United States
Mount Sinai Health System
New York, New York, United States
Northwell Health, NY
New York, New York, United States
Stony Brook University Hospital and Cancer Center
New York, New York, United States
HCA
Houston, Texas, United States
...and 3 more locations