Pediatric Percutaneous Ultrasound Gastrostomy Technique

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age0-21
SponsorCoapTech

About this trial

The purpose of this research study is to test a new device called the PUMA-G Pediatric System. The research will measure if the device works well to safely aid doctors placing gastrostomy feeding tubes in children. The PUMA-G Pediatric System is an investigational device that uses ultrasound and magnets to guide insertion of a feeding tube.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Informed consent must be obtained from the patient or a Legally Authorized Representative (ex. parent/guardian) before any study-specific assessment is performed

Weight ≥5 (Phase 0, Phase 1, Phase 2)

Weight ≥3kg and <10kg (Phase 3)

Estimated abdominal wall thickness ≤3cm

Disqualifiers

Temperature ≥ 38 C

Systolic BP < 80 or > 180 mmHg

Heart Rate < 50 or > 160

Estimated abdominal wall thickness >3cm

Trial design

Design model

Parallel

Treatments tested in this trial

  • Percutaneous Ultrasound Gastrostomy

    Device

    Ultrasound guided placement of gastrostomy tube using the PUMA-G Pediatric System

Treatment groups

80 Participants
are divided into 2 treatment groups
Group A: Percutaneous Ultrasound Gastrostomy (PUG)Experimental treatment 1 intervention
Group B: Percutaneous Radiologic GastrostomyNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

PUMA-G Pediatric System Device-Related Complication Rate

A composite rate of the quantity and severity of device related adverse events will be quantified (i.e. linking complications to what are caused by the device) in the post-procedural period including any additional medical/surgical interventions to resolve

Time frame
up to 30 days

Secondary outcomes

1

Gastrostomy Procedure Complication Rate

The rate of other complications during the immediate procedural period between the PUG placement and a historical cohort of matched controls who underwent gastrostomy placement using standard of care Interventional Radiologic gastrostomy tube placement method

Time frame
up to 30 days
2

Exposure to treatment conditions that pose long term risk to patient health: Ionizing Radiation (Fluoroscopic Time)

The quantity of ionizing radiation used during the PUG procedure will be compared to a historical cohort of matched controls who underwent gastrostomy placement using the standard of care Interventional Radiologic gastrostomy tube placement method. Quantities of procedural ionizing radiation will be measured by total fluoroscopic time (min).

Time frame
up to 30 days
3

Exposure to treatment conditions that pose long term risk to patient health: Ionizing Radiation (Dose Area Product)

The quantity of ionizing radiation used during the PUG procedure will be compared to a historical cohort of matched controls who underwent gastrostomy placement using the standard of care Interventional Radiologic gastrostomy tube placement method. Quantities of procedural ionizing radiation will be measured by dose area product (microGy-m2).

Time frame
up to 30 days
4

Exposure to treatment conditions that pose long term risk to patient health: Ionizing Radiation (Skin Dose)

The quantity of ionizing radiation used during the PUG procedure will be compared to a historical cohort of matched controls who underwent gastrostomy placement using the standard of care Interventional Radiologic gastrostomy tube placement method. Quantities of procedural ionizing radiation will be measured by skin dose (mGy).

Time frame
up to 30 days

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

CoapTech

Lead sponsor

Children's Hospital of Philadelphia

Collaborator

Columbia University

Collaborator

Children's National Research Institute

Collaborator