CraniSeal Post Approval Study

Overview

About this study

To collect post-approval data comparing the safety and effectiveness of CraniSeal Dural Sealant to DuraSeal Dural Sealant. The study has been powered specifically to determine whether the CraniSeal device when used as an adjunct to sutured dural closure following elective cranial surgery is no worse than (i.e., non-inferior) to the DuraSeal device with respect to proportion of subjects free from post-operative cerebrospinal fluid (CSF) leaks. Additional safety outcomes (i.e., surgical site infections and adverse events/device-related adverse events) will also be captured and compared.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

* Patient is ≥ 18 years of age.
* Patient is scheduled for an elective infratentorial or supratentorial cranial procedure that entails a dural incision.
* Patient requires a procedure involving surgical wound classification Class I/Clean.
* Patient signs a written Informed Consent form to participate in the study, prior to any study mandated determinations or procedures.
* Patients who are able to comply with study requirements.

Exclusion Criteria:
.
* Patient requires a procedure involving translabyrinthine, transsphenoidal, transoral and/ or any procedure that penetrates the air sinus or mastoid air cells; superficial penetration of air cells are not excluded.
* Patient has had a prior intracranial neurosurgical procedure in the same anatomical location.
* Patient with diagnosis of severely altered renal (creatinine levels \> 2.0 mg/dL) or hepatic (total bilirubin \> 2.5 mg/dL) function.
* Patient diagnosed with a compromised immune system or autoimmune disease (WBC count less than 4000/uL or greater than 20,000/uL)
* Patients undergoing cranial procedures involving petrous bone drilling.
* Patients with traumatic injuries to the head or dural disease in planned dural closure area.
* Patients who are pregnant or lactating.
* Patient with an active infection.
* Patient is undergoing cranial procedures involving synthetic or non-autologous duraplasty material that are not collagen based.
* Patient with a known allergy to FD\&C Blue #1 dye.
* Patient is not able to tolerate multiple Valsalva maneuvers, or an intraoperative CSF shunt does not allow for transient elevation of CSF pressure during Valsalva maneuvers.
* Patient with a diagnosis of uncontrolled diabetes (e.g., persistent HbA1c elevation of \>9% despite standard diabetes care),
* Patient has a documented, uncorrectable clinically significant coagulopathy (e.g., PTT\>37 seconds or INR \>1.5 units)
* Patient is not likely to comply with the follow-up evaluation schedule.
* Contraindications to both an MRI and CT scan.
* Patients participating in any investigational device study within 30 days or currently receiving an investigational drug/biologic therapy.

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 5/13/2024. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Maria Peris Celda, M.D., Ph.D.

Open for enrollment

Contact information:

RST Neurosurgery Research Team

(507) 293-7354

Jacksonville, Fla.

Mayo Clinic principal investigator

Rabih Tawk, M.D.

Contact us for the latest status

Contact information:

Megan Gauthier

(904) 956-8393

Gauthier.Megan2@mayo.edu

More information

Publications

Publications are currently not available
.
CLS-20575110

Mayo Clinic Footer