Cerebrospinal Fluid Leak, Dural Defect, Neurosurgical Procedures
Conditions
Keywords
Immiseal, Dural sealant, Dural repair, Cerebrospinal Fluid Leak, Surgical site infection, Post-market clinical follow-up, Dural Defect, Neurosurgical Procedure
Brief summary
This is a multicentre, prospective, open-label, single-arm, observational, post-market clinical follow-up registry study designed to observe the safety and performance of the Immiseal™ Dural Sealant System when used as an adjunct to standard methods of dural repair to provide watertight closure during neurosurgical procedures. Eligible adult subjects requiring dural repair after neurosurgical procedures or traumatic injury, for whom the investigator has made the clinical decision to use the device, will be enrolled and followed for approximately 100 ± 10 days after surgery.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 18 to 75 years old, regardless of gender. 2. Patients diagnosed with craniocerebral trauma, brain tumour, cerebrovascular disease, congenital disease of the nervous system, or spinal canal disease, who undergo neurosurgical procedures such as posterior fossa surgery or other interventions resulting in dural defects, whether due to surgery or accidental injury, and who present with, or are at risk of, cerebrospinal fluid (CSF) leakage requiring auxiliary dural repair. 3. Patients willing to comply with the requirements of the clinical investigation by signing the informed consent. 4. Female patients of childbearing potential must use highly effective contraceptive methods for the duration of the study. Highly effective contraceptive methods include hormonal contraception, intrauterine device, or sexual abstinence.
Exclusion criteria
1. Immiseal™ Dural Sealant System is not to be used in confined bone structures where nerves are present, since neural compression may result due to hydrogel swelling. 2. Patients with an active infection present at the surgical site. 3. Patients with life expectancy less than 3 months. 4. Female patients who are pregnant, planning pregnancy, breastfeeding, and/or unwilling to use adequate contraception during the trial.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of Central Nervous System (CNS) Infection | Up to 30 days post-operation | Percentage of subjects with central nervous system infection up to 30 days post-operation, including bacterial meningitis, aseptic meningitis, and/or surgical site infection. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cerebrospinal Fluid (CSF) Leak Rate | Up to 100 ± 10 days post-operation | Percentage of subjects with cerebrospinal fluid leak after primary dural repair using the Immiseal™ Dural Sealant System, used to assess effective watertight dural closure. |
Countries
Latvia