About this trial
A trocar is a surgical instrument with a sharp point and tube and is used to create endoscopic access in the abdomen or chest where endoscopic instruments can be entered \& used in minimally invasive surgical procedures. Xpan has created an FDA Cleared radially dilating trocar (RDT) that is inserted at 3mm and can be expanded to 5mm or 12mm during surgery. The purpose of this research protocol is to demonstrate that a new FDA Cleared Xpan® radially dilating trocar (RDT) system is at least, just as effective as the existing RDT trocar systems. The procedure will be performed using a radially dilating trocar that is inserted at 3mm and can be expanded to 5mm or 12mm during surgery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Sleeve Gastrectomy
Bypass
Revision & other bariatric procedures
Robotic procedures
Disqualifiers
Any individual not scheduled for the above procedure and/or does not meet the age requirments.
Trial design
Parallel
Treatments tested in this trial
Xpan Trocar System
DeviceA radially dilating trocar system intended to reduce incision trauma by gradually dilating tissue rather than cutting. Allows initial placement at 3 mm and expansion up to 12 mm as needed for surgical access.
Standard of Care (Non-expanding Trocar)
DeviceA surgical access device used during laparoscopic procedures that does not expand the incision site and is routinely used in standard practice.
Treatment groups
Trial outcomes
Primary outcomes
Percentage of Trocar slippage and Displacement
Percentage of trocars inserted for use during surgery that need to be adjusted or reinserted during surgical procedure due to slippage and/or displacement.
Secondary outcomes
Percentage of Cases Without Fascial Closure at 12 mm Sites
The proportion of surgical cases where fascial closure was not required at 12 mm trocar sites.
Incidence of Trocar-Related Complications
The number of trocar-related complications (e.g., bleeding, infection, loss of pneumoperitoneum) observed during surgery.
Ease of Use of Expansion Technique
Surgeon-reported ease of use of the trocar expansion technique, rated on a 1-5 Likert scale (1 = difficult to use, 5 = easy to use) with 5 being the best outcome.
Frequency of Trocar Upsizing
The percentage of trocar insertions requiring upsizing.
Sponsors and contacts
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