Actively Recruiting

Phase Not Applicable
Age: 18Years - 85Years
All Genders
NCT06959121

CellFX® Nanosecond Pulsed Field Ablation (nsPFA)™ Cardiac Surgery Clamp System to Treat Atrial Fibrillation

Led by Pulse Biosciences, Inc. · Updated on 2026-01-12

135

Participants Needed

2

Research Sites

162 weeks

Total Duration

On this page

Sponsors

P

Pulse Biosciences, Inc.

Lead Sponsor

A

Avania

Collaborating Sponsor

AI-Summary

What this Trial Is About

The primary objective of this Pivotal study is to demonstrate the safety and effectiveness of the Pulse Biosciences nsPFA™ Cardiac Surgery System in treating atrial fibrillation during concomitant cardiac surgical procedures.

CONDITIONS

Official Title

CellFX® Nanosecond Pulsed Field Ablation (nsPFA)™ Cardiac Surgery Clamp System to Treat Atrial Fibrillation

Who Can Participate

Age: 18Years - 85Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Subject must be between 18 and 85 years of age
  • Subject is willing and able to give informed consent and complete follow-up visits
  • Subject has documented paroxysmal or persistent/longstanding persistent atrial fibrillation within one year prior to enrollment
  • Subject is scheduled for non-emergency cardiac surgery including mitral or aortic valve repair/replacement, ascending aortic aneurysm repair, atrial septal defect or patent foramen ovale repair, or coronary artery bypass graft
  • Left ventricular ejection fraction of 30% or higher
  • Subject has a life expectancy of at least 5 years
  • Subject lives within reasonable distance of the study site and plans to remain stable for 12 months follow-up
Not Eligible

You will not qualify if you...

  • Subject has an implanted electronic medical device such as pacemaker, ICD, cardiac resynchronization therapy device, or left atrial appendage device
  • Presence or history of left atrial appendage clot
  • Subject has a prosthetic heart valve
  • Stand-alone atrial fibrillation without indication for concomitant CABG or valve surgery
  • Prior cardiac surgery including prior surgical ablation
  • Left atrial diameter of 6 cm or greater
  • Wolff-Parkinson-White syndrome or other supraventricular arrhythmias
  • Persistent atrial fibrillation longer than 10 years
  • Need for surgery other than CABG, valve surgery, atrial septal defect repair, or ascending aorta surgery
  • Prior left atrial instrumentation such as previous ablation
  • Use of antiarrhythmic drugs for ventricular arrhythmia
  • STS predicted risk of mortality of 10 or higher
  • Class III or IV heart failure symptoms
  • Stroke within 6 months prior
  • Myocardial infarction within 6 weeks prior
  • Need for emergent cardiac surgery
  • Known carotid artery stenosis over 80%
  • Active systemic infection
  • Severe peripheral arterial disease causing claudication with minimal exertion
  • Renal failure requiring dialysis or severe liver failure
  • Known drug or alcohol addiction
  • Mental impairment preventing understanding of the study
  • Pregnancy or plans to become pregnant within 12 months
  • Preoperative need for intra-aortic balloon pump or intravenous inotropes
  • Prior thoracic radiation therapy
  • Current chemotherapy
  • Long-term steroid treatment except intermittent inhaled steroids
  • Known hypertrophic obstructive cardiomyopathy
  • Known cold agglutinin disease
  • Contraindication to anticoagulation
  • Organ transplant recipient or evaluation for transplant
  • Body mass index above 45 kg/m2
  • Diagnosed connective tissue disorder
  • Severe chronic obstructive pulmonary disease
  • Participation in other investigational drug, therapy, or device studies within 30 days

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

Adventist Heart Institute: Adventist Health St. Helena

St. Helena, California, United States, 94574

Actively Recruiting

2

Cardiac Surgery Clinic | Frankel Cardiovascular Center

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

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Research Team

S

Shweta Kalpa, MD

CONTACT

W

William A. Knape

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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