U.S. Prospective Evaluation of EPIONE Device for Percutaneous MSK Procedures
EPIOS
Evaluation of the Epione Robotic System for Image-guided Percutaneous MSK Procedures of the Pelvis and Spine in USA. A Prospective Study on Feasibility, Safety and Accuracy
1 other identifier
interventional
60
1 country
3
Brief Summary
The goal of this investigational device exemption is to evaluate the Epione assistance for introducer placement during percutaneous procedures in musculo-skeletic (MSK) structures of the pelvis and the spine in adults. The main question is the determination of the rate of feasible procedures assisted by the Epione device Participants will undergo their procedure(s) as planned by their physician. If they accept to participate to the study, the differences with standard of care will be:
- The use of the Epione device to place the introducer(s), instead of freehand placement if they do not participate
- Additional CT or CBCT scans during the procedure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2026
Shorter than P25 for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 19, 2025
CompletedFirst Posted
Study publicly available on registry
January 8, 2026
CompletedStudy Start
First participant enrolled
April 28, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 1, 2026
May 5, 2026
April 1, 2026
4 months
December 19, 2025
April 30, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Feasability
Rate of successful insertions of the introducer with the assistance of the Epione device.
5 months
Secondary Outcomes (2)
Safety Adverse Event
6 months
Accuracy
5 months
Study Arms (2)
CT guidance
EXPERIMENTALThe procedure is performed under CT guidance.
CBCT guidance
EXPERIMENTALThe procedure is performed under CBCT guidance.
Interventions
The introducer placement is performed with the Epione device.
Eligibility Criteria
You may qualify if:
- Patients ≥22 years old,
- Patients approved for CT- or CBCT-guided MSK procedure in the pelvis or spine (except the cervical area) under general anesthesia,
- Patients who have signed an IRB-approved informed consent form
- Patients approved for coverage by their insurance for routine costs involved in this standard of care procedure
You may not qualify if:
- Patients with contraindication to undergo general anesthesia,
- Patients unable to maintain appropriate breathing control,
- Patients requiring CT- or CBCT-guided percutaneous procedure on target areas other than those indicated
- Patients unable to fully understand all relevant aspects of the clinical study necessary for their decision to participate, or who could be manipulated or unduly influenced because of a compromised position, expectation of benefits or fear of retaliatory response,
- Pregnant or breast-feeding women,
- Patients subject to a legal protection measure,
- Patients already participating in another conflicting interventional clinical study,
- Patients for whom the scan field of view cannot contain the anatomy of interest, the overlaying skin surface, skin markers and the whole patient reference.
- Patients having a coagulation abnormalities or bleeding disorder
- Patients having an active infection on the day of intervention
- Patients having a history of previous surgery resulting in an existing hardware precluding percutaneous approach
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Precision IO Grouplead
- ICUREsearchcollaborator
- Endpoint, LLCcollaborator
Study Sites (3)
UC San Diego
San Diego, California, 92093, United States
Baptist Hospital Of Miami, Inc
Miami, Florida, 33176, United States
Rush University Medical Center
Chicago, Illinois, 60612, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sean Tutton, MD
UC San Diego
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 19, 2025
First Posted
January 8, 2026
Study Start
April 28, 2026
Primary Completion (Estimated)
September 1, 2026
Study Completion (Estimated)
October 1, 2026
Last Updated
May 5, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR
- Time Frame
- by the end of the study
- Access Criteria
- everyone, they will be described in the report and publication
Age, Sex, Ethnicity, Race will be shared