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Prior to the implementation of the Medical Device Regulation (MDR), the clinical evaluation of existing devices was conducted by Notified Bodies (NBs) based on clinical data obtained from equivalent devices, and CE certificates were issued for devices exhibiting similar characteristics. Following the transition to the MDR, the European Commission's Guidance Document MEDDEV 2.12/2 highlighted that Notified Bodies, which issued CE certificates under the previous regime, must now organize Post-Marketing Clinical Follow-up (PMCF) studies to verify the performance and safety of the device in accordance with its intended use throughout its lifecycle. Consequently, PMCF studies are being planned to demonstrate that medical devices previously marked with the CE mark under the old regulations are used safely for patients throughout their lifecycle.
Primary Objective To demonstrate the performance of the Bıçakcılar Vent Catheter in patients for whom its use is planned, in accordance with the device's intended purpose as outlined in the user manual, taking into account the following aspects: bleeding, trauma, passage manipulation, insertion and removal, compliance with the intended use, occlusion, retention of debris, effective use, and maintenance of its form
Primary Endpoints The primary endpoints have been designed to encompass all clinical outcomes that characterize the device's performance. The evaluation items listed below, which are directly related to the Bıçakcılar Vent Catheter, will be measured using a Likert scale with values ranging from 1 to 5.
Secondary Endpoints Since factors such as the surgeon performing the operation, the perfusionist operating the heart-lung machine, and the patients' clinical characteristics may act as confounding variables, other variables affecting the primary endpoints will be identified through secondary endpoints.
Definition of Participants (Volunteers) / Study Population Patients for whom a decision has been made by their physician to undergo routine surgical procedures using cardiopulmonary bypass, and for whom the use of a vent catheter is planned during the procedure
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vent Catheter | Device | Vent catheters have been used for many years in surgeries performed using cardiopulmonary bypass. Even after cardioplegic arrest has begun, blood continues to return to the right heart from the bronchial circulation, the Thesbian vascular system, and the coronary sinus; unless ventilated, it finds its way to the left ventricle, causing distension and tissue damage, respectively. A ventilation catheter must be used in any situation where the volume of blood returning to the heart chambers cannot be expelled. Vent catheters are used during cardiopulmonary bypass procedures for the surgical treatment of congenital and/or acquired heart and major vascular diseases in patients of all age groups to reduce pressure in the left ventricle and facilitate ventilation. Vent catheters are used as suction catheters to assist in completely draining blood from the heart. Therefore, Bıçakcılar Vent Catheters are designed to be used during cardiopulmonary bypass to reduce pressure in the heart chambers |
| Measure | Description | Time Frame |
|---|---|---|
| Trauma effects | Primary endpoints are structured to encompass all clinical use outcomes characterizing device performance. Evaluation items directly related to the Bıçakcılar Vent Catheter will be measured using a Likert scale with values ranging from 1 to 5. | It will be measured during the surgery up to 6 hours. |
| Presence of bleeding | It will be used the 5-likert scale. | It will be measured during the surgery up to 6 hours. |
| Manipulation during insertion | It will be used 5-likert scale. | It will be measured during the surgery up to 6 hours. |
| Catheter placement | It will be used the 5-likert scale. | It will be measured during the surgery up to 6 hours. |
| Catheter removal | It will be used the 5-likert scale. | It will be measured during the surgery up to 6 hours. |
| Removal of the stylet (If the catheter contains a stylet) | It will be used the 5-likert scale. | It will be measured during the surgery up to 6 hours. |
| Suitability of the device for its intended use / emptying capability | It will be used 5-likert scale. | It will be measured during the surgery up to 6 hours. |
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Inclusion Criteria:
Patients who have consulted the Department of Cardiovascular Surgery and for whom the physician has decided to perform heart surgery using the cardiopulmonary bypass technique,
Exclusion Criteria:
• Patients with diseased or abnormal tissue in the catheter placement site
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Gizem ÖZDEMİR, Biomedical Engineer | Contact | +90 5346137760 | gizemozdemir@kocyasa.com |
| Name | Affiliation | Role |
|---|---|---|
| Atıf Akçevin, Prof. Dr. | Koc University Hospital | Principal Investigator |
| Ozan Onur Balkanay, Prof. Dr. | İstanbul University-Cerrahpaşa Prof. Dr. Murat Dilmener Hospital | Study Director |
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| Blockage in the holes during emptying |
It will be used 5-likert scale. |
| It will be measured during the surgery up to 6 hours. |
| Was there any residue left on the catheter surface after the removal procedure was completed? | It will be used 5-likert scale. | It will be measured during the surgery up to 6 hours. |
| Was its use as a filler for air extraction effective? | It will be used 5-likert scale. | It will be measured during the surgery up to 6 hours. |
| Has the device retained its pre-operation form? (Evaluate for deformation, bending, or fractures) | It will be used 5-likert scale. | It will be measured during the surgery up to 6 hours. |