Status:

TERMINATED

Safety and Performance Study of the Harpoon Mitral Valve Repair System

Lead Sponsor:

Edwards Lifesciences

Conditions:

Mitral Valve Regurgitation

Mitral Valve Prolapse

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The primary objective of this study is to evaluate the safety and performance of the Harpoon Medical Device. It is anticipated, that the Harpoon Medical Device will provide advantages over current sur...

Detailed Description

The device is designed to reduce the degree of mitral regurgitation by delivering and anchoring artificial chordae tendineae to the affected mitral valve leaflet(s) in a beating heart.

Eligibility Criteria

Inclusion

  • Age ≥ 18 years
  • Patient referred for mitral valve surgery
  • Presence of severe MR as read on an echocardiographic study performed within 60 days prior to procedure.
  • Estimated post-ePTFE cordal implantation coaptation surface is adequate in the judgment of the operating surgeon and the patient eligibility committee
  • Degenerative mitral valve disease associated with anterior, bileaflet, or posterior leaflet prolapse
  • Patient is able to sign informed consent and able to return for follow-up and is capable of participating in all testing associated with this clinical investigation
  • Women of child-bearing potential have a negative pregnancy test

Exclusion

  • Age \< 18 years
  • Infective endocarditis
  • History of Mediastinal Radiation
  • Inflammatory (rheumatic) valve disease
  • Requirement for concomitant cardiac surgery (e.g., coronary artery bypass grafting (CABG), aortic valve surgery, etc.)
  • Symptomatic coronary artery disease
  • Cardiogenic shock at the time of enrollment
  • ST segment elevation myocardial infarction requiring intervention within 30 days prior to enrollment
  • Evidence of cirrhosis or hepatic synthetic failure
  • Pregnancy at the time of enrollment (women of child bearing age should have negative pregnancy within 14 days of surgery)
  • Severe pulmonary hypertension (PA systolic pressure \> 70 mmHg)
  • Previous cardiac surgery, or surgery on the left pleural space
  • Left ventricular, atrial or appendage thrombus
  • Severely calcified mitral leaflets
  • Recent stroke (\< 6 months) with permanent impairment
  • EuroScore (for mitral valve repair) \> 8%
  • Patients with contraindications to Transesophageal echocardiography
  • Severe left or right ventricular dysfunction
  • NYHA Class IV
  • Renal insufficiency CKD stage 3b or worse (GFR \< 45 ml/min/1.73 m2)
  • Patient is participating in another clinical study for which follow-up is currently ongoing. (Co-enrollment in an investigational device or interventional study)
  • Patient with non-cardiac co-morbidities and life expectancy \< 1 year
  • Patient has a condition or conditions that, in the opinion of the Investigator, preclude participation, including willingness to comply with all follow-up procedures

Key Trial Info

Start Date :

May 16 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 20 2018

Estimated Enrollment :

1 Patients enrolled

Trial Details

Trial ID

NCT03285724

Start Date

May 16 2017

End Date

April 20 2018

Last Update

November 19 2019

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Jagiellonian University

Krakow, Poland

2

Instytut of Kardiologii & Transplantology

Warsaw, Poland, 04-628