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Compression Anastomosis Using the Compression Anastomotic Ring-locking Procedure (CARP)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01451008
Recruitment Status : Completed
First Posted : October 13, 2011
Last Update Posted : July 8, 2013
Carponovum AB
Information provided by (Responsible Party):
Region Skane

Brief Summary:
The intestinal ends must be rejoined after colonic resection. Conventional methods include sutured and stapled anastomoses, which is associated with 3-6% leakage after colonic surgery. The leakage of an anastomosis can cause serious consequences, such as abdominal infections and/or sepsis. Early detection of anastomotic leakage is the best way to avoid serious abdominal infections. The methods that are used today to detect leaks are unfortunately not very accurate. These methods include monitoring symptoms, temperature, and CRP-levels, and performing abdominal examinations and tomography scans. Because of the difficulties in objectively assessing these parameters, the anastomotic leaks are often diagnosed late. When reoperation is required, a permanent stoma may be made at the level of the sigmoid colon. The CARP system has been developed to achieve a safe anastomosis. The CARP is designed to providing an improved contact surface between the two intestinal ends and the ability to precisely investigate the anastomosis during and after surgery using the catheters of the CARP system. Standardized use of the CARP to anastomose the large intestine may provide significant advantages in the field of colorectal surgery.

Condition or disease Intervention/treatment Phase
Cancer Polyp Device: Compression anastomotic ring-locking procedure (CARP) Phase 1

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 25 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Safety Study of Compression Anastomotic Ring-locking Procedure (CARP) in Patients Undergoing Colonic Resection
Study Start Date : June 2009
Actual Primary Completion Date : September 2012
Actual Study Completion Date : September 2012

Intervention Details:
  • Device: Compression anastomotic ring-locking procedure (CARP)
    The Compression anastomotic ring-locking procedure (CARP) device is based on a set of rings to make a compression anastomosis between the intestinal ends.
    Other Name: The rings are called RapAn

Primary Outcome Measures :
  1. Complications, including anastomotic leakage, problems with ring evacuation [ Time Frame: Up to 14 days after operation ]

Secondary Outcome Measures :
  1. Time to evacuation of the CARP device [ Time Frame: 1-2 week after operation ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years to 90 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Age between 18 - 90 years (male or female)
  2. Planned resection due to benign or malign disease in the left colon
  3. Cognitive ability to take part in the study and understand the information he/she receives about participating in the study

Exclusion Criteria:

  1. Urgent medical condition requiring immediate care
  2. Health condition classified as ASA IV
  3. Albumin level less than 25 g/l
  4. Inflammatory bowel disease (IBD) (ulcerative colitis or Crohn´s disease)
  5. Disease that requires more than one anastomosis during the surgical procedure
  6. Treatment with cortisone and/or other immunosuppressive medications less than one month before surgery
  7. Contraindications to general anaesthesia
  8. Cognitive ability that limits the patient's ability to take part in the study and understand the information he/she received about participating in the study, or the patient does not agree to join the study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01451008

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Skåne University Hospital
Malmö, Skåne, Sweden, 20502
Sponsors and Collaborators
Region Skane
Carponovum AB
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Responsible Party: Region Skane Identifier: NCT01451008    
Other Study ID Numbers: CARP-002
First Posted: October 13, 2011    Key Record Dates
Last Update Posted: July 8, 2013
Last Verified: July 2013
Keywords provided by Region Skane: