Use of the Hattler Respiratory Assist Catheter in Severe Respiratory Failure
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Purpose
A new artificial lung device has been developed that potentially provides added support to mechanical ventilation for severely damaged lungs. The Hattler Respiratory Assist Catheter is designed to provide gas exchange (deliver oxygen and remove carbon dioxide) for a period of up to 7 days, providing more time for the lungs to improve.
Extrapolating from large animal data, the hypothesis is that the Hattler Catheter will be capable of providing 30% to 40% of the basal requirements of carbon dioxide exchange in a manner that is dependable and reproducible.
| Condition | Intervention | Phase |
|---|---|---|
|
Emphysema Acute Respiratory Distress Syndrome Chronic Obstructive Pulmonary Disease Asthma Respiratory Insufficiency |
Device: Hattler Respiratory Assist Catheter |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label |
| Official Title: | Compassionate Use of the Hattler Respiratory Assist Catheter in Severe Respiratory Failure - A Clinical Trial |
- Effective insertion and removal as measured by hemostasis
- Amount of effort required for both insertion and removal
- Peak gas exchange status within a maximum 7 day study
| Estimated Enrollment: | 20 |
| Study Start Date: | November 2005 |
The Hattler Catheter Respiratory Assist Device consists of a Catheter and a drive console. The catheter consists of a bundle of polypropylene hollow fibers (approximately 1000) in 30cm or 35cm length surrounding a helium filled balloon. The balloon is similar to an Intra-Aortic Balloon, however, it is pulsed at 300 beats per minute, while IABP typically operate at 120 bpm. The hollow fibers are similar to fibers utilized in external oxygenators for cardio-pulmonary bypass. No device exists on the market in which fibers surround a balloon, and no device exists on the market in which the hollow fiber bundle is designed to be inserted into the venous system, i.e., the vena cava. External oxygenators are designed to be used in an extracorporeal circulatory loop.
The Hattler Catheter drive console provides the power to drive the helium filled balloon while removing excess oxygen and carbon dioxide from the venous system via the catheter.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Both sexes, 18 years and older
- Have a terminally ill disease process
- On maximum ventilator support
- Intubated and unconscious
- Swan Ganz in place
- Hypoxic
- Unsuitable for organ donation
Exclusion Criteria:
- Circulatory shock (< 80 mmHg) and unresponsive to drug therapy and volume replacement
- Pregnancy
- Morbid obesity > 182 kg
- Weight < 41 kg
- History of bleeding disorders with contraindication to heparin
- Have a disease process with a contraindication to heparin
- Known internal jugular or femoral vein complications or abnormalities
- Known inferior vena cava (IVC) filter in place
Contacts and Locations| United Kingdom | |
| Papworth Hospital NHS Trust | |
| Papworth Everard, Cambridge, United Kingdom, CB3 8RE | |
| Principal Investigator: | Steven Tsui, MD | Papworth Hospital |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00288964 History of Changes |
| Other Study ID Numbers: | 04/Q0104/125 |
| Study First Received: | February 7, 2006 |
| Last Updated: | August 13, 2009 |
| Health Authority: | United Kingdom: Department of Health |
Keywords provided by Alung Technologies:
|
balloon fiber respiratory oxygenator |
Heart Failure ARDS COPD |
Additional relevant MeSH terms:
|
Asthma Emphysema Pulmonary Emphysema Lung Diseases Respiration Disorders Pulmonary Disease, Chronic Obstructive Respiratory Distress Syndrome, Newborn Respiratory Distress Syndrome, Adult Acute Lung Injury Respiratory Insufficiency Lung Diseases, Obstructive |
Bronchial Diseases Respiratory Tract Diseases Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Pathologic Processes Infant, Premature, Diseases Infant, Newborn, Diseases Lung Injury |
ClinicalTrials.gov processed this record on May 16, 2013