Implant System for Fixation of Cranial Bone Flaps After Craniotomy for Brain Surgery (CRANIOSG)
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Purpose
Bone flaps after craniotomy are typically fixed with suture material, mini plates and others devices. In some cases, fixation with suture material is not secure as it may result in shifting of the bone flap with its dislocation. We will test the safety and efficacy of SKULL GRIP a new device for fixation of the bone flap during cranial procedure comparing to traditional suture materials.
| Condition | Intervention | Phase |
|---|---|---|
|
Skull Fixation After Craniotomy for Neurosurgical Procedures |
Device: Skull Grip bone fixation Device: sutures |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Implant System for Fixation of Cranial Bone Flaps After Craniotomy for Brain Surgery |
- To evaluate the efficacy of the "Skull Grip" new system of cranial flap fixation [ Time Frame: 2009 ] [ Designated as safety issue: No ]
- To evaluate the security of "Skull Grip" new system of cranial flap fixation [ Time Frame: 2009 ] [ Designated as safety issue: Yes ]
- Compare functional benefits (ease and speed of implementation) of "Skull Grip" new system of cranial flap fixation compared with traditional sutures [ Time Frame: 2009 ] [ Designated as safety issue: No ]
| Enrollment: | 16 |
| Study Start Date: | October 2009 |
| Study Completion Date: | July 2010 |
| Primary Completion Date: | July 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Skull Grip bone fixation
|
Device: Skull Grip bone fixation
Skull Grip bone fixation
Other Name: Skull Grip bone fixation
|
|
Active Comparator: 2
Standard skull bon flap fixation, sutures
|
Device: sutures
Standard skull bon flap fixation, sutures
Other Name: Standard skull bon flap fixation, sutures
|
Detailed Description:
At the end of the operation to start the fixation of cranial bone flaps, at least three Skull Grip titanium clamps will be positioned equidistant to one another along the craniotomy opening. The lower parts (complete circle) will be inserted between the dura and the cranium. The linear parts of the superior semicircle have to be in line with the craniotomy borders to allow the lodging of the bone flap. The different heights of the device are finalized to suit it for the different thickness of the cranial vault. The same procedure will be performed with all remaining Skull Grip titanium clamps.The bone flap will be then placed in its original position. By using a forceps, a simple and easy clockwise rotation of the superior semicircle will allow to block the SKULL GRIP clamp in place. For simple removal if necessary of the Skull Grip titanium clamps, even if bone ossification of the craniotomy edges has already occurred, it will be necessary just to lift up the superior semicircle of the Skull Grip by a forceps and to cut by a cutting forceps the pin between the two circle. Then, craniotomy could be completed in a standard way.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Major patient (aged ≥ 18 years)
- Patient scheduled for craniotomy for a benign tumor
- Patient informed and have signed informed consent
Exclusion Criteria:
- Patient not affiliated with a social security scheme (or beneficiary entitled)
- Patient with a known allergy to titanium
- Patient non-compliant or whose follow-up to 3 months is impossible
- Patient with against-indication scanner
- Pregnant or lactating
Contacts and Locations| France | |
| CHU Lariboisière, AP-HP, Neurochirurgie | |
| Paris, Ile De France, France, 75010 | |
| Principal Investigator: | Salvatore CHIBBARO, MD | Hôpital Lariboisière, Neurochirurgie |
More Information
Publications:
| Responsible Party: | Assistance Publique - Hôpitaux de Paris |
| ClinicalTrials.gov Identifier: | NCT00797979 History of Changes |
| Other Study ID Numbers: | P080501 |
| Study First Received: | November 24, 2008 |
| Last Updated: | November 23, 2012 |
| Health Authority: | France: Ministry of Health |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
Craniotomy Skull fixation Skull Grip Reconstructive cranial surgery |
ClinicalTrials.gov processed this record on May 19, 2013