Renal Tumors
Conditions
Brief summary
A Prospective Investigation of the Use of the Fluorescence Imaging on the da Vinci Surgical System for Intraoperative Near Infrared Imaging of Renal Cortical Tumors. To determine the feasibility of the fluorescence imaging on the da Vinci Surgical System in robotic partial nephrectomy procedures and report perioperative outcomes.
Interventions
DEVICEFluorescence imaging
Intraoperatively acquire fluorescence images of renal tumors
Sponsors
Intuitive Surgical
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Ages of 18 to 80 years. * Urine pregnancy test negative for women of childbearing potential prior to surgery * Subject is able to comply with the study procedures * A CT or MRI preoperative assessment of renal cortical tumor * The renal tumor must be stage T1a-b - T2 * Written informed consent.
Exclusion criteria
* Subject has significant liver disease, cirrhosis or liver insufficiency with abnormal liver function tests, as total bilirubin \>1.5 X normal and/or SGOT \>2X normal * Subject has uremia, serum creatinine \>2.0 mg/dl. * Subject has a previous history of adverse reaction or allergy to ICG, iodine, shellfish or iodine dyes * Subject in whom the use of x-ray dye or ICG is contraindicated including development of adverse events when previously or presently administered * Subject has any medical condition, which in the judgment of the Investigator and/or designee makes the subject a poor candidate for the investigational procedure * Subject is pregnant or lactating * Subjects actively participating in another drug, biologic and/or device protocol * The presence of medical conditions contraindicating general anesthesia or standard surgical approaches.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The rate of good or excellent fluorescence images achieved intraoperatively. It will be measured by the correlation of the ultrasound imaging with the fluorescence imaging. | Intraoperatively | The feasibility of using the fluorescence imaging on the da Vinci Surgical System to detect renal cortical tumors will be measured by the rate of good or excellent images achieved intraoperatively. |
Secondary
| Measure | Time frame |
|---|---|
| Include but not limited to the rate of positive surgical margins, incidence of complications, estimated blood loss and length of stay. | up to 3 weeks postoperatively |
Countries
United States
Outcome results
None listed