A multi-center, early feasibility study of using the Mechanical Tissue Resuscitation™ (MTR®) therapy system for removal of excess fluid in subjects who have had a portion of their skull removed to expose the dura/brain and require drainage for fluid removal.
Mechanical Tissue Resuscitation™ (MTR®) is intended for short-term (up to 7 days) use to externally drain excess fluid volume from the site of surgery in patients who have undergone a surgical procedure (craniotomy/craniectomy) for which a portion of the skull has been removed resulting in exposure of the dura/brain and require drainage of fluid. This is a single arm early feasibility study. The study will comprise of patients who will receive MTR® therapy to remove fluid from the surgical site in patients that have undergone a craniotomy/craniectomy. The patient population will include male and female patients ages 22-65 who have undergone a surgical procedure to remove a portion of the skull to expose the dura/brain (craniotomy or craniectomy), or a procedure in which a portion of the skull has been repaired or replaced (cranioplasty), and who, as an integral part of their care would require placement of a Jackson Pratt drain (or equivalent). The study will be conducted in subsequent phases, to enroll patients in the following populations: * Phase 1: patients undergoing elective procedures; * Phase 2: patients with mild-to-moderate TBI, as defined by a GCS of 9 or above with two reactive pupils; and * Phase 3: patients with severe TBI, as defined by a GCS of 7 or 8 with two reactive pupils. Patients will be treated with MTR® for up to seven (7) days, with a follow up evaluation approximately one month post treatment.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DEVICE_FEASIBILITY
Masking
NONE
Enrollment
11
Mechanical Tissue Resuscitation™ (MTR®) to drain excess fluid volume from the site of surgery in patients who have undergone a surgical procedure (craniotomy/craniectomy), or a procedure in which a portion of the skull has been repaired or replaced (cranioplasty), and who, as an integral part of their care would require placement of a Jackson Pratt drain (or equivalent).
University at Buffalo Neurosurgery
Buffalo, New York, United States
RECRUITINGAtrium Health Wake Forest Baptist
Winston-Salem, North Carolina, United States
RECRUITINGWest Virginia University
Morgantown, West Virginia, United States
RECRUITINGSafety and effectiveness of MTR®
The primary endpoint is to evaluate that MTR® is safe for the removal of fluids in those patients who have undergone a craniotomy/craniectomy/cranioplasty. This endpoint will be assessed by the frequency of device and procedure related adverse events.
Time frame: 30 days
MTR® Success
MTR® Success will be defined as: 1. Placement: ability to establish and maintain pressure with adequate manifold sizing. 2. Maintenance: lack of air leaks and evidence of fluid removal. 3. Removal: ability to remove without tissue damage or excessive bleeding.
Time frame: 30 days
AEs/SAEs Frequency
Frequency of all adverse events experienced from the time of enrollment through study exit. Events will be categorized as adverse events (AEs) or serious adverse events (SAEs) and measured by site data entry review.
Time frame: 30 days
Ability to remove fluid
Ability to remove fluid, measured volume of fluid and rate of removal.
Time frame: 7 days
Operator ease survey
Operator survey measured by completion of the following 3 questions on the case report form for: 1. ease of manifold placement, 2. ease of exit tubing placement, 3. ease of establishment of a vacuum seal. Answered with a five category Likert scale ranging from Extremely Easy to Extremely Difficult.
Time frame: 1 day (during day of surgery)
Health care professional (HCP) ease survey
HCP survey regarding ease of system use/maintenance during treatment period. Answered with a four category Likert scale ranging from Poor to Excellent for each specific category below: 1. MTR Manifold (silicone foam) Sheet Placement 2. Dome and Tubing Assembly Placement 3. Use of Sub-Atmospheric Pressure Pump (SaPP®) 4. Vacuum - Site closure 5. Fluid Removal
Time frame: 1 day (during day of surgery)
Data Integrity
Data integrity measured by the frequency of each type of missing data query seen during the course of the subject's treatment, and frequency of any other protocol deviation recorded during the study.
Time frame: 30 days
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