Essure Transvaginal Ultrasound (TVU) Study
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Purpose
The Essure procedure, FDA approved since 2002 and CE Mark approved since 2001, is the first permanent birth control method that can be performed in the comfort of a physician's office without hormones, cutting, burning or the risks associated with general anesthesia or tubal ligation. Soft, flexible inserts are placed in a woman's fallopian tubes through the cervix without incisions. Over the next three months, the body forms a natural barrier around the micro-inserts to prevent sperm from reaching the egg. Three months after the Essure procedure, a doctor performs an Essure Confirmation Test. In the United States, this test is called a hysterosalpingogram and evaluates the location of the inserts and whether the fallopian tubes are blocked. Outside of the United States, a standard x-ray is performed to evaluate the location of the inserts.
The purpose of this study is to evaluate whether a transvaginal ultrasound is an effective method of confirming micro-insert location.
| Condition | Intervention | Phase |
|---|---|---|
|
Contraceptive Usage |
Device: TVU |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Use of Transvaginal Ultrasound to Confirm Essure® Micro-insert Placement in Women: Demonstration of Effectiveness |
- Effectiveness [ Time Frame: Annually beginning at one year ] [ Designated as safety issue: No ]Rate of pregnancy at 1 and 10 years among subjects relying on Essure micro-inserts for birth control on the basis of the TVU/HSG algorithm
| Estimated Enrollment: | 600 |
| Study Start Date: | July 2011 |
| Estimated Primary Completion Date: | January 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: TVU |
Device: TVU
Use of transvaginal ultrasound to determine location of micro-insert
|
Eligibility| Ages Eligible for Study: | 21 Years to 40 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Women who are 21 to 40 years of age;
- Women who are between 90-300 pounds (40-136 kilograms);
- Women who are scheduled to undergo an Essure micro-insert placement procedure for permanent birth control;
- Women who are willing to accept the risk of pregnancy occurring while relying on the Essure device for prevention of pregnancy;
- Women who are believed to have two viable fallopian tubes;
- Women who are able and willing to provide written informed consent;
- Women who have the mental capacity to understand the Informed Consent, comply with the protocol requirements, and provide reliable feedback regarding device wearing;
- Women who can be available for all study visits;
- Women who are willing to allow data to be shared with the sponsor and with regulatory bodies
- Women who are not contraindicated for the Essure procedure according to the Essure Instructions for Use (IFU).
Exclusion Criteria:
- Women who have known proximal tubal occlusion in either fallopian tube;
- Women who have had a fallopian tube sterilization procedure;
- Women who have a unicornuate uterus;
- Women who have known endometrial or myometrial pathology that is likely to prevent access to the fallopian tube ostia;
- Women who are scheduled to undergo any other intrauterine procedures at the time of Essure placement;
- Women who are pregnant or suspected of being pregnant;
- Women who have had a delivery or termination of pregnancy within the last six weeks;
- Women who have an active or recent upper or lower pelvic infection;
- Women who are contraindicated for Essure micro-insert placement according to the Essure Instructions for Use (IFU).
- Women who have a known intolerance to transvaginal imaging
Contacts and Locations| United States, Florida | |
| Cleveland Clinic | |
| Weston, Florida, United States, 33331 | |
| Netherlands | |
| St. Antonius Hospital | |
| Nieuwegein, Netherlands | |
| Principal Investigator: | Viviane Connor | The Cleveland Clinic |
| Principal Investigator: | Michel Vleugels | St. Antonius Hospital |
More Information
No publications provided
| Responsible Party: | Conceptus, Inc. |
| ClinicalTrials.gov Identifier: | NCT01327105 History of Changes |
| Other Study ID Numbers: | ESS-TVU |
| Study First Received: | March 30, 2011 |
| Last Updated: | April 4, 2012 |
| Health Authority: | United States: Food and Drug Administration Spain: Ethics Committee Netherlands: Independent Ethics Committee United Kingdom: Research Ethics Committee Canada: Health Canada |
ClinicalTrials.gov processed this record on May 21, 2013