NCT00943605

Brief Summary

The objective of this clinical study is to evaluate the incidence of partial skin necrosis following modified-radical mastectomy with or without same-day (two-stage) reconstruction with the PEAK PlasmaBlade 4.0; to monitor and record operative performance, post-operative pain, drain output, and skin scarring following surgery; and to compare these endpoints to the current standard of care (SOC).

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jun 2009

Typical duration for not_applicable

Geographic Reach
1 country

4 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2009

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

July 21, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 22, 2009

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2011

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2012

Completed
10 months until next milestone

Results Posted

Study results publicly available

January 3, 2013

Completed
Last Updated

January 8, 2013

Status Verified

January 1, 2013

Enrollment Period

2.5 years

First QC Date

July 21, 2009

Results QC Date

November 29, 2012

Last Update Submit

January 3, 2013

Conditions

Keywords

MastectomyPlasmaBladeElectrosurgeryPEAK SurgicalMedtronic Advanced EnergyMedtronic

Outcome Measures

Primary Outcomes (2)

  • Total Serous Drainage (mL) From Time of Drain Placement to Removal.

    0 to 10 days postoperatively

  • Area of Skin Necrosis Measured With a Standard Ruler

    1 and 6 weeks postoperative

Secondary Outcomes (1)

  • Pain Score by Visual Analog Scale, Narcotic Consumption, Operative Time, Time to Surgical Drain Removal

    0 to 10 days postoperatively

Study Arms (2)

Standard of Care

ACTIVE COMPARATOR

Scalpel will be used for the skin incision and traditional electrosurgery for the subcutaneous dissection.

Device: Scalpel and Traditional Electrosurgery

PEAK PlasmaBlade

EXPERIMENTAL

The entirety of the mastectomy will be performed with the PEAK PlasmaBlade, including the skin incision.

Device: PEAK PlasmaBlade

Interventions

The PEAK PlasmaBlade will be used for the entirety of the breast reduction, including the skin incision.

Standard of Care

The entirety of the mastectomy will be performed with the PEAK PlasmaBlade, including the skin incision.

PEAK PlasmaBlade

Eligibility Criteria

Age20 Years - 70 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age between 20 and 70 years old
  • Physically healthy, stable weight
  • Requiring single or bilateral simple mastectomy, with or without sentinel lymph node biopsy
  • Subject must understand the nature of the procedure and provide written informed consent prior to the procedure
  • Subject must be willing and able to comply with all follow-up evaluations

You may not qualify if:

  • Age younger than 20 or greater than 70 years old
  • Anticoagulation therapy which cannot be discontinued
  • Prior external beam or implanted radiotherapy
  • Tobacco use (any kind)
  • Infection (local or systemic)
  • Cognitive impairment or mental illness
  • Severe cardiopulmonary deficiencies
  • Known coagulopathy
  • Immunocompromised
  • Kidney disease (any type)
  • Desiring or requiring same-day breast reconstruction
  • Prior breast reduction or augmentation surgery
  • Unable to follow instructions or complete follow-up
  • Currently taking any medication known to affect healing
  • Subjects who are status-post gastric banding or gastric bypass
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Providence St. Joseph's Medical Center

Burbank, California, 94505, United States

Location

El Camino Hospital

Mountain View, California, 94040, United States

Location

Advanced Breast Care

Marietta, Georgia, 30060, United States

Location

St. Joseph Medical Center

Towson, Maryland, 21204, United States

Location

MeSH Terms

Conditions

Hyperthermia

Condition Hierarchy (Ancestors)

Body Temperature ChangesSigns and SymptomsPathological Conditions, Signs and SymptomsHeat Stress DisordersWounds and Injuries

Limitations and Caveats

Upon Medtronic's acquisition of PEAK surgical, a study integrity audit was undertaken. Results of the audit showed that patient's rights and safety were maintained, but the source data, including baseline demographics, were unverifiable.

Results Point of Contact

Title
Robert Swain, PhD
Organization
Medtronic Surgical Technologies

Study Officials

  • Teresa Ponn, MD

    Elliot Breast Health Center

    PRINCIPAL INVESTIGATOR
  • Edward Dalton, MD

    Elliot Breast Health Center

    PRINCIPAL INVESTIGATOR
  • Richard Fine, MD

    Advanced Breast Care

    PRINCIPAL INVESTIGATOR
  • Peter Naruns, MD

    Midpeninsula Surgical Associates

    PRINCIPAL INVESTIGATOR
  • Saul Eisenstat, MD

    Midpeninsula Surgical Associates

    PRINCIPAL INVESTIGATOR
  • Michael Schultz, MD

    St. Joseph Medical Center

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
LTE60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 21, 2009

First Posted

July 22, 2009

Study Start

June 1, 2009

Primary Completion

December 1, 2011

Study Completion

March 1, 2012

Last Updated

January 8, 2013

Results First Posted

January 3, 2013

Record last verified: 2013-01

Locations