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Safety and Effectiveness of the Yaari Extractor for Management of Shoulder Dystocia

F

FetalEase

Status

Enrolling

Conditions

Shoulder Dystocia

Treatments

Device: Yaari Extractor

Study type

Interventional

Funder types

Industry

Identifiers

NCT05913609
CLT-005

Details and patient eligibility

About

Prospective, multi-center, single arm with historical control, to verify the safety and effectiveness of the Yaari Extractor used by board certified or board eligible U.S. OB/GYN physicians in the management of shoulder dystocia.

Enrollment

80 estimated patients

Sex

Female

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  1. Subject 18 years of age or older at time of consent.
  2. Subject planning on vaginal birth.
  3. Singleton pregnancy in vertex presentation.
  4. Full-term pregnancy having completed 37 weeks or more gestational weeks.
  5. Able and willing to provide written informed consent prior to enrollment.
  6. In the opinion of the Investigator, the subject has sufficient mental capacity to understand the informed consent form (ICF).
  7. Subject with fetus experiencing shoulder dystocia as defined by ACOG Practice Bulletin 178 "Shoulder dystocia is most commonly diagnosed as failure to deliver the fetal shoulder(s) with gentle downward traction on the fetal head, requiring additional maneuvers to effect delivery."

Exclusion criteria

  1. Patients who have undergone ancillary standard of care maneuvers, to include first-line maneuvers (McRoberts/suprapubic pressure), prior to use of the Yaari Extractor.
  2. Cesarean section is planned for the patient.
  3. Obstetric contraindications to vaginal birth.
  4. Subject carrying fetus with known significant chromosomal or structural anomalies.
  5. Clinically estimated fetal weight ≥5kg in non-diabetic subjects.
  6. Clinically estimated fetal weight ≥4.5kg in subjects with diabetes.
  7. Subject has any general health condition or systemic disease that may represent, in the opinion of the Investigator, a potential increased risk associated with device use or pregnancy.
  8. Bleeding disorders, such as thrombocytopenia, von Willebrand's disease, bleeding disorder currently using anticoagulation medication, etc.
  9. Any maternal disease or disorder that precludes the subject from pushing effectively.
  10. If the maternal cervix is not fully dilated.
  11. If the fetal head is not completely out of the birth canal.
  12. In the presence of a non-reducible nuchal cord.

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

80 participants in 2 patient groups

Yaari Extractor group
Experimental group
Description:
Prospective experimental arm
Treatment:
Device: Yaari Extractor
Control group
No Intervention group
Description:
Historical control arm - retrospective review of medical records at the same study sites

Trial contacts and locations

3

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Central trial contact

Ahava Stein

Data sourced from clinicaltrials.gov

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