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The ForConti Contix Fecal Incontinence Management System (FIMS) is indicated for the management of accidental bowel leakage due to bowel incontinence. The ForConti Contix FIMS is designed to seal and help prevent the involuntary leakage of stool, liquids and gases from the rectum. ForConti Contix FIMS is for an individual with fecal incontinence that has impaired quality of life, is responsive and mentally capable to participate in their own treatment.
This study is designed to evaluate the safety and effectiveness of the ForConti Contix FIMS for its intended use utilizing a baseline period of 2 weeks followed by an on-device period of using the device for 4 weeks and completed with a followup period of 2 weeks.
Treatments for bowel incontinence depend on the cause and severity of the condition. Often more than one modality is used to treat the condition, beginning with conservative options such as adult diapers and pads, medication, biofeedback and anal plugs/balloons and moving on to invasive procedures (i.e. nerve stimulators, restorative surgery, colostomy) where conservative treatment isn't effective.
The main reason for potential pain and discomfort with the current available anal plugs is the plug location within the anus below the dentate line. This part of the anus, which is highly sensitive, may cause discomfort and pain to some users. The advantage of the ForConti Contix Fecal Incontinence Management System (FIMS) is that it is designed to be located in an inner section of the rectum, above the dentate line, and therefore less sensitive and less likely to cause discomfort or pain to the user.
This study is a prospective, non-randomized, single-arm, self-controlled clinical investigation designed to evaluate the safety and effectiveness of the ForConti Contix FIMS. Total duration of the study for each patient will be 8 weeks, including follow-up.
This multi center study will be conducted on 10-20 patients (per site) suffering from accidental bowel leakage due to bowel incontinence and who meet all of the inclusion criteria and none of the exclusion criteria.
The ForConti Contix FIMS includes 2 main parts: the inserted part and the insertion system. The inserted part includes a balloon and a pulling string, and the insertion system includes the applicator and the inflation kit. The balloon is a soft flexible biocompatible, component. It is designed to be located in the rectum by an applicator and to be filled with a pre-determined amount of air to gain its final shape.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Assigned Interventions | Experimental | ForConti Contix Fecal Incontinence Management System (FIMS) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ForConti Contix Fecal Incontinence Management System (FIMS) | Device | Use the device for up to 12 hours per use for 4 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of device related serious adverse events | Number of device related serious adverse events | 6 weeks (4 weeks of use and 2 weeks follow-up) |
| Rate of subjects who improved by 50% or more in ABL (FI episodes) during the on-device period as compared to the baseline period. | ≥40% of subjects reporting ≥50% reduction in FI episodes during the on-device period as compared to the baseline period. | 8 weeks (2 weeks baseline, 4 weeks of use and 2 weeks follow-up) |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of device or procedure related adverse events in the treatment or in the follow-up periods. | Rate of device or procedure related adverse events in the treatment or in the follow-up periods. | 6 weeks (4 weeks of use and 2 weeks follow-up) |
| Change in mean scores on subject-reported outcomes related to symptom-specific Fecal Incontinence Quality of Life (FIQoL) Questionnaire. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Shay Leventhal Gabay, CA/RA Director | Contact | +972-4-647-2419 | shay.leventhal@forconti-medical.com |
| Name | Affiliation | Role |
|---|---|---|
| Stacy B Menees, MD | University of Michigan, Department of Medicine, Division of Gastroenterology | Principal Investigator |
| William D Chey, MD | University of Michigan, GI Physiology Laboratory | Principal Investigator |
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| ID | Term |
|---|---|
| D005242 | Fecal Incontinence |
| ID | Term |
|---|---|
| D012002 | Rectal Diseases |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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Fecal Incontinence Quality of Life scale (all subscale scores 1-4) Scales range from 1 to 5, with a 1 indicating a lower functional status of quality of life. Scale scores are the average (mean) response to all items in the scale (e.g., add the responses to all questions in a scale together and then divide by the number of items in the scale. |
| 6 weeks (2 weeks baseline, 4 weeks of use ) |
| Lin Chang, MD | David Gefen School of Medicine at UCLA, Division of Digestive Diseases | Principal Investigator |