NCT02603874

Brief Summary

The current method of incision localization in many surgical procedures requires a doctor to reference a medical image, such as an X-ray, to judge where on the body an incision should be made. However, the precise information of the scan is not shown on the patient's skin. Surgeons commonly use palpation to locate the point of incision. They may feel for the area directly or find landmarks under the skin and estimate the location from there. This can be challenging due to the difficulty of feeling and distinguishing each vertebra, especially for new surgeons, since palpation is a skill derived through experience. If palpation proves ineffective, they may be forced to use fluoroscopy. By referencing the fluoroscopy image the surgeon moves a radiopaque marker, such as their surgical tool, closer to the area of interest. Fluoroscopy is time-consuming, and exposes medical personnel and the patient to radiation. Many fluoroscopic images may be required in a single procedure. The purpose of this study is to test the efficacy and benefits of a new medical device that will aid in radiological localization. The hypothesized outcome would be smaller incisions, faster localization and a reduction in fluoroscopy use. By identifying the efficacy of this new medical device, "Target Tape", there is the potential outcome of making smaller incisions, faster localization, a reduction in fluoroscopy use and a reduced chance in surgical error and the associated costs. Target Tape is a non invasive device that is in a grid format that is placed against the subject's skin. The grid pattern will then appear on the medical imaging scan. The medical practitioner can correlate device grid on the body to the medical scan image to make their incisions in more accurate locations.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jan 2016

Status
unknown

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

First Submitted

Initial submission to the registry

November 5, 2015

Completed
8 days until next milestone

First Posted

Study publicly available on registry

November 13, 2015

Completed
2 months until next milestone

Study Start

First participant enrolled

January 1, 2016

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2016

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2016

Completed
Last Updated

November 13, 2015

Status Verified

November 1, 2015

Enrollment Period

5 months

First QC Date

November 5, 2015

Last Update Submit

November 10, 2015

Conditions

Keywords

FluoroscopySpinal FusionWrong Level Surgery

Outcome Measures

Primary Outcomes (1)

  • Reduction in Fluoroscopy Exposure

    Measuring the decreased amount of fluoroscopy radiation exposed to the medical staff and the patient

    6 months

Study Arms (2)

Target Tape

EXPERIMENTAL

Including target tape in the procedure

Device: Target Tape

Control

NO INTERVENTION

Without target tape in the procedure

Interventions

Comparing procedures using Target Tape against procedures not using Target Tape

Target Tape

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Surgical spine procedures involving the use of medical imaging to determine the vertebra site (ex. fusions, tumor removals, fracture repairs, discectomies). The medical imaging scans may include planar X-rays, fluoroscopy, CT or MRI scans
  • Able and willing to consent

You may not qualify if:

  • Subjects who may have allergies to medical skin adhesives

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Kim KD, Li W, Galloway CL. Use of a radiopaque localizer grid to reduce radiation exposure. Ann Surg Innov Res. 2011 Aug 9;5:6. doi: 10.1186/1750-1164-5-6.

    PMID: 21827694BACKGROUND

MeSH Terms

Conditions

Spinal Cord NeoplasmsSpinal Fractures

Condition Hierarchy (Ancestors)

Central Nervous System NeoplasmsNervous System NeoplasmsNeoplasms by SiteNeoplasmsSpinal Cord DiseasesCentral Nervous System DiseasesNervous System DiseasesSpinal InjuriesBack InjuriesWounds and InjuriesFractures, Bone

Study Officials

  • Jin W Tee, MD, FRACS

    University of British Columbia

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Nicholas Seto, BComm

CONTACT

Colin O'Neill, BASc

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 5, 2015

First Posted

November 13, 2015

Study Start

January 1, 2016

Primary Completion

June 1, 2016

Study Completion

December 1, 2016

Last Updated

November 13, 2015

Record last verified: 2015-11