Intra-laryngeal Implant for Treatment of Chronic Aspirations

Sponsor
ProTiP Medical (Industry)
Overall Status
Withdrawn
CT.gov ID
NCT03325725
Collaborator
(none)
0
2
1
0

Study Details

Study Description

Brief Summary

This study evaluates the medical device Newbreez LD is designed to protect the lower airways from saliva, liquids and food aspirations in tracheotomized patients suffering from chronic aspirations that require specific care and may lead to complications, including inhalation pneumonia.

Condition or Disease Intervention/Treatment Phase
  • Device: NewBreez LD intra-laryngeal implant
N/A

Detailed Description

Patients suffering from swallowing disorders characterized by chronic aspirations (repeated episodes of aspirations defined as penetration of material - liquids, food, saliva, into the respiratory system due to a malfunctioning of the swallowing mechanism) are subject to pathologies and pulmonary insufficiencies. The risks of aspiration pneumonia or suffocation are significantly greater if the patient is not able to expectorate and thus engages the vital prognosis. There are several methods to treat chronic aspirations: the least invasive methods involve adopting postures and/or positions of the body during swallowing and adapting food textures; when these treatments are insufficient there is the need to recur to more advanced ones to protect the airways and keep the patient on a sufficient nutrition.

For these severe cases, heavier surgical methods can be also considered. These methods lead to important anatomical changes, with a variable degree of reversibility, up to irreversibility (eg total laryngectomy). Among surgical methods, there is also an implant of a tracheotomy cuffed cannula that allows patient to breathe through a hole in the trachea. The efficacy of this solution is highly controversial as reported by numerous studies and several adverse effects are reported on the tracheal duct.

Due to the interest of a prosthetic treatment and the disadvantages of the current methods and devices, PROTiP Medical has developed a closed intra-laryngeal implant: NewBreez LD. This device is innovative because its geometry has been optimized to conform totally to the anatomy of the larynx with the aim to ensure a sealing against saliva, liquids and food aspirations.

Study Design

Study Type:
Interventional
Actual Enrollment :
0 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Device Feasibility
Official Title:
Intra-laryngeal Implant for Treatment of Chronic Aspirations
Actual Study Start Date :
Jan 9, 2018
Actual Primary Completion Date :
Jan 9, 2018
Actual Study Completion Date :
Jan 9, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: NewBreez LD Intra-laryngeal implant

Device: NewBreez LD intra-laryngeal implant
NewBreez LD intra-laryngeal implantation

Outcome Measures

Primary Outcome Measures

  1. Sealing of the NewBreez LD: Protection of the lower airways will be assessed using the gold standard exam, videofluoroscopy (VFS) [7 days]

    Protection of the lower airways will be assessed using the gold standard exam, videofluoroscopy (VFS)

Other Outcome Measures

  1. Stability of the NewBreez LD: Number of patients who kept the implant until the end of the study period. [30 days]

    Number of patients who kept the implant until the end of the study period.

  2. Safety of the NewBreez LD: Number of patient with adverse events will be assessed at each follow-up during the study period [2, 7, 30 days]

    Number of patient with adverse events will be assessed at each follow-up during the study period

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Swallowing disorders characterized by chronic aspirations;

  • Tracheotomy performed, inter alia, in the management of swallowing disorders;

  • Aged over 18;

  • Willing and able to comply with the requirements of the study;

  • Informed consent signed;

  • Affiliated patient or beneficiary of the social security system.

Exclusion Criteria:
  • Do not implant in patients with incomplete cricoid cartilage (surgery or other);

  • Do not implant in patients with tracheotomy performed by cricothyroidectomy or between cricoid cartilage and the 1st tracheal ring;

  • Do not implant in patients with tracheal lumen in the 1st tracheal ring, the lateral and anteroposterior diameters of which are less than 11 mm;

  • Do not implant in patients with tight trismus;

  • Do not implant in subjects less than 18 years of age;

  • Do not implant in patients with bleeding disorders;

  • Do not implant in patients contraindicated to general anesthesia.

Contacts and Locations

Locations

Site City State Country Postal Code
1 CHU Strasbourg Strasbourg France 67000
2 CHU Toulouse Toulouse France 31000

Sponsors and Collaborators

  • ProTiP Medical

Investigators

  • Principal Investigator: Christian Debry, Pr., CHU Strasbourg

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
ProTiP Medical
ClinicalTrials.gov Identifier:
NCT03325725
Other Study ID Numbers:
  • NB_LD
First Posted:
Oct 30, 2017
Last Update Posted:
Jan 12, 2018
Last Verified:
Jan 1, 2018
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by ProTiP Medical
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jan 12, 2018