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NCT Number: NCT04122261

A Clinical Study of Chinese Domestic Surgical Robot

This is a prospective, multi-center, randomized, single-blind, parallel-controlled clinical trial to evaluate the safety and efficacy of the Chinese domestic endoscopic instrument control system in clinical treatment.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The Third Xiangya Hospital of Central South University

Changsha, Hunan, 410013, China

About this study

To evaluate the safety and efficacy of the Chinese domestic endoscopic instrument control system in clinical treatment.This clinical trial is a prospective, multi-center, randomized, single-blind, parallel-controlled study. The system used in the experimental group is the endoscopic instrument control system developed by WEGO Surgical Robot Co., Ltd., and the system used in the control group is the da Vinci endoscopic instrument control system developed by Intuitive Surgical. Before patients are enrolled in this clinical study, the researchers will do a detailed screening of the subjects based on the inclusion criteria and the exclusion criteria to determine if the patients are appropriate for the clinical study. Patients who meet the conditions of the study will be required to sign an informed consent form. Then they will be randomly assigned to the experimental group or the control group. To evaluate the primary outcome measures and secondary outcome measures and to observe the incidence of organ and vascular injury. Finally, we evaluate the safety and efficacy of the test product through the comparison of the data obtained from the experimental group and the control group during the treatment.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 18-65 years old, male or female

2 .American Society of Anesthesiologists (ASA): Level 1, Level 2 or Level 3

  • BMI 18-30Kg/m2
  • Benign gallbladder diseases such as acute or chronic cholecystitis, gallstones and polypoid lesions of gallbladder
  • Subjects or their legal representatives/guardians voluntarily participate in clinical trials and have signed informed consent form

Exclusion criteria

  • Participating in any other clinical trial within 30 days before signing the informed consent form
  • Pregnancy or lactation
  • With a history of epilepsy or psychosis
  • With a history of previous operations at related sites
  • Severe cardiovascular and cerebrovascular diseases with New York grade III-IV cardiac function or pulmonary insufficiency that can't tolerate the operation
  • Severe liver and kidney insufficiency such as cirrhosis and renal failure
  • Acute cholecystitis lasting for more than 72 hours, acute cholecystitis with severe complications such as cholecystitis, gangrene, perforation, etc., and gallbladder thickness thicker than 10 mm
  • Acute cholangitis, gallstone with acute pancreatitis, primary common bile duct stones, intrahepatic bile duct stones and obstructive jaundice
  • Gallbladder cancer or protuberant lesions are suspected to be cancerous
  • Severe allergic constitution and suspected or identified addicts to alcohol or drugs
  • Abdominal infection, peritonitis, diaphragmatic hernia, severe systemic infection or metastatic diseases
  • Other situations that researchers consider it inappropriate to participate in this clinical trial

Treatment and study plan

the MicroHand S endoscopic instrument control system

Device

Using the MicroHand S endoscopic instrument control system to treat gallstone or cholecystitis in minimal invasive surgery.

the da Vinci endoscopic instrument control system

Device

Using the da Vinci endoscopic instrument control system to treat gallstone or cholecystitis in minimal invasive surgery.

Primary outcomes

  1. surgical success rate

    Time frame: within 24 hours after operation

    The surgical success rate is defined as the proportion of successfully operative subjects in the experimental group or the control group.

Secondary outcomes

  1. The breakage rate of gallbladder

    Time frame: within 12 hours after operation

    The breakage rate of gallbladder is defined as the proportion of the subjects in the experimental group or the control group with specimen breakage.

  2. Comprehensive Complication Index (CCI)

    Time frame: an average of 5 days after operation

    CCI is calculated using online tools provided by http://cci.assessurgery.com. Based on the Clavien-Dindo complications grade system (appendix.1), all complications and adverse events after surgical intervention are taken into consideration. The overall incidence is measured on a scale ranging from 0 (no complication) to 100 (death).

  3. Operative time

    Time frame: within 12 hours after operation

    The length of time from the beginning of the operation after the robot installation to the end of the suture of the incision.

  4. Intraoperative bleeding

    Time frame: within 12 hours after operation

    The total bleeding volume from the beginning of the operation to the end of the suture of the incision. It can be calculated by measuring the blood volume in the vacuum suction device and weighing the gauze after using them to wipe the bleeding.

  5. Postoperative pain

    Time frame: within 24 hours after operation

    Postoperative pain is assessed by visual analogue scale (VAS) 24-26 hours after the operation, ranging from 0 (no pain) to 10 (maximum pain).

  6. Time to first flatus

    Time frame: an average of 2 days after operation

    The time from the end of the operation to the subject's first flatus after surgery.

  7. Surgeon's satisfaction

    Time frame: within 12 hours after operation

    After the operation, surgeons fill a questionnaire to score the flexibility, intuition and stability of the products, as well as their sense of delay and fatigue when using the products. Each question in the score ranges from 1 to 5 points and the total score is 100.

  8. Installation time

    Time frame: preoperation

    The time from the power-on of the products to the end of the connection between trocars and the operative arms.

  9. Hospital stay

    Time frame: an average of 5 days after operation

    The total hospital days of subjects from admission to discharge.

Sponsors and collaborators

Lead sponsor

The Third Xiangya Hospital of Central South University

Other

Collaborators

  • The Affiliated Hospital of Qingdao University

Registry information

Official study title

Prospective, Multicenter, Randomized, Single-blind, Parallel-controlled Clinical Trial Protocol for the Safety and Efficacy of Clinical Applications of the Endoscopic Instrument Control System

Important dates

Study start
2019
Primary completion
2020
Study completion
2021
First posted
Oct 10, 2019
Registry last updated
Oct 25, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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