Xpan Non-Inferiority Study

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-89
SponsorWest Virginia University

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Xpan Trocar System

    Device

    A 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)

    Device

    A surgical access device used during laparoscopic procedures that does not expand the incision site and is routinely used in standard practice.

Treatment groups

35 Participants
are divided into 2 treatment groups
Group A: Xpan Trocar SystemActive comparator 1 intervention
Group B: Standard of Care (Non-expanding Trocar)Placebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

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.

Time frame
Day 1- At time of procedure

Secondary outcomes

1

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.

Time frame
Day 1- At time of procedure
2

Incidence of Trocar-Related Complications

The number of trocar-related complications (e.g., bleeding, infection, loss of pneumoperitoneum) observed during surgery.

Time frame
Day 1- At time of procedure
3

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.

Time frame
Day 1- At time of procedure
4

Frequency of Trocar Upsizing

The percentage of trocar insertions requiring upsizing.

Time frame
Day 1- during procedure

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: