Trial Outcomes & Findings for Epidural Catheter Thread Between Two Different Vendors (NCT NCT03722446)

NCT ID: NCT03722446

Last Updated: 2020-10-06

Results Overview

A thread is considered successful at first pass if there were no minor or major manipulations required.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

257 participants

Primary outcome timeframe

within 60min of first attempt at placement

Results posted on

2020-10-06

Participant Flow

Patients in labor requesting epidural analgesia for an expected vaginal delivery.

Participants were excluded if there was a fetal loss involved.

Participant milestones

Participant milestones
Measure
Arrow Catheter Kit.
Arrow FlexTip Plus Epidural Catheterization Kit is a single orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. Arrow Catheter Kit.: The group will be randomized to receive this labor analgesia kit.
B.Braun Catheter Kit
Perifix FX Springwound Epidural Catheter Kit is a multi-orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. B.Braun Catheter Kit: The group will be randomized to receive this labor analgesia kit.
Overall Study
STARTED
135
122
Overall Study
COMPLETED
120
120
Overall Study
NOT COMPLETED
15
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Arrow Catheter Kit.
Arrow FlexTip Plus Epidural Catheterization Kit is a single orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. Arrow Catheter Kit.: The group will be randomized to receive this labor analgesia kit.
B.Braun Catheter Kit
Perifix FX Springwound Epidural Catheter Kit is a multi-orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. B.Braun Catheter Kit: The group will be randomized to receive this labor analgesia kit.
Overall Study
Protocol Violation
15
2

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arrow Catheter Kit.
n=120 Participants
Arrow FlexTip Plus Epidural Catheterization Kit is a single orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. Arrow Catheter Kit.: The group will be randomized to receive this labor analgesia kit.
B.Braun Catheter Kit
n=120 Participants
Perifix FX Springwound Epidural Catheter Kit is a multi-orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. B.Braun Catheter Kit: The group will be randomized to receive this labor analgesia kit.
Total
n=240 Participants
Total of all reporting groups
Age, Continuous
30 years
STANDARD_DEVIATION 5 • n=120 Participants
30 years
STANDARD_DEVIATION 6 • n=120 Participants
30 years
STANDARD_DEVIATION 6 • n=240 Participants
Sex: Female, Male
Female
120 Participants
n=120 Participants
120 Participants
n=120 Participants
240 Participants
n=240 Participants
Sex: Female, Male
Male
0 Participants
n=120 Participants
0 Participants
n=120 Participants
0 Participants
n=240 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Gestational Age
38.9 weeks
STANDARD_DEVIATION 1.5 • n=120 Participants
38.6 weeks
STANDARD_DEVIATION 2.6 • n=120 Participants
38.8 weeks
STANDARD_DEVIATION 2.1 • n=240 Participants
BMI
31.5 kg/m^2
STANDARD_DEVIATION 5.6 • n=120 Participants
31.6 kg/m^2
STANDARD_DEVIATION 6.7 • n=120 Participants
31.6 kg/m^2
STANDARD_DEVIATION 6.2 • n=240 Participants
Cervical Dilation
4 cm
STANDARD_DEVIATION 2 • n=120 Participants
4 cm
STANDARD_DEVIATION 2 • n=120 Participants
4 cm
STANDARD_DEVIATION 2 • n=240 Participants

PRIMARY outcome

Timeframe: within 60min of first attempt at placement

A thread is considered successful at first pass if there were no minor or major manipulations required.

Outcome measures

Outcome measures
Measure
Arrow Catheter Kit.
n=120 Participants
Arrow FlexTip Plus Epidural Catheterization Kit is a single orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. Arrow Catheter Kit.: The group will be randomized to receive this labor analgesia kit.
B.Braun Catheter Kit
n=120 Participants
Perifix FX Springwound Epidural Catheter Kit is a multi-orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. B.Braun Catheter Kit: The group will be randomized to receive this labor analgesia kit.
Number of Participants Who Experienced a Successful Thread at First Pass
81 Participants
117 Participants

SECONDARY outcome

Timeframe: within 60min of first attempt at placement

At the epidural placement, total amount of time required to establish successful epidural catheter thread

Outcome measures

Outcome measures
Measure
Arrow Catheter Kit.
n=120 Participants
Arrow FlexTip Plus Epidural Catheterization Kit is a single orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. Arrow Catheter Kit.: The group will be randomized to receive this labor analgesia kit.
B.Braun Catheter Kit
n=120 Participants
Perifix FX Springwound Epidural Catheter Kit is a multi-orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. B.Braun Catheter Kit: The group will be randomized to receive this labor analgesia kit.
Time to Thread Epidural Catheter
135 seconds
Standard Deviation 186
51 seconds
Standard Deviation 31

SECONDARY outcome

Timeframe: within 60min of first attempt at placement

Count of participants for whom there was an unintended dural puncture after placement

Outcome measures

Outcome measures
Measure
Arrow Catheter Kit.
n=120 Participants
Arrow FlexTip Plus Epidural Catheterization Kit is a single orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. Arrow Catheter Kit.: The group will be randomized to receive this labor analgesia kit.
B.Braun Catheter Kit
n=120 Participants
Perifix FX Springwound Epidural Catheter Kit is a multi-orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. B.Braun Catheter Kit: The group will be randomized to receive this labor analgesia kit.
Incidence of Unintended Dural Punctures
0 Participants
1 Participants

SECONDARY outcome

Timeframe: within 60min of first attempt at placement

Count of participants for whom there was an incidence of paresthesia

Outcome measures

Outcome measures
Measure
Arrow Catheter Kit.
n=120 Participants
Arrow FlexTip Plus Epidural Catheterization Kit is a single orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. Arrow Catheter Kit.: The group will be randomized to receive this labor analgesia kit.
B.Braun Catheter Kit
n=120 Participants
Perifix FX Springwound Epidural Catheter Kit is a multi-orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. B.Braun Catheter Kit: The group will be randomized to receive this labor analgesia kit.
Incidence of Paresthesia
8 Participants
4 Participants

SECONDARY outcome

Timeframe: within 60min of first attempt at placement

Count of participants for whom there was an incidence of epidural intravascular cannulation

Outcome measures

Outcome measures
Measure
Arrow Catheter Kit.
n=120 Participants
Arrow FlexTip Plus Epidural Catheterization Kit is a single orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. Arrow Catheter Kit.: The group will be randomized to receive this labor analgesia kit.
B.Braun Catheter Kit
n=120 Participants
Perifix FX Springwound Epidural Catheter Kit is a multi-orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. B.Braun Catheter Kit: The group will be randomized to receive this labor analgesia kit.
Incidence of Epidural Intravascular Cannulations
1 Participants
1 Participants

SECONDARY outcome

Timeframe: within 60min of first attempt at placement

For each participant, the number of total manipulations (major or minor) needed to successfully advance catheter

Outcome measures

Outcome measures
Measure
Arrow Catheter Kit.
n=120 Participants
Arrow FlexTip Plus Epidural Catheterization Kit is a single orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. Arrow Catheter Kit.: The group will be randomized to receive this labor analgesia kit.
B.Braun Catheter Kit
n=120 Participants
Perifix FX Springwound Epidural Catheter Kit is a multi-orifice flex tip catheter used to place epidurals in pregnant women in labor who request an epidural for pain management in labor. This kit will be used in half of the randomized weeks. B.Braun Catheter Kit: The group will be randomized to receive this labor analgesia kit.
Epidural Needle Manipulations Needed to Successfully Advance
0 manipulations
81 Participants
117 Participants
Epidural Needle Manipulations Needed to Successfully Advance
1 manipulation
19 Participants
2 Participants
Epidural Needle Manipulations Needed to Successfully Advance
2 manipulations
6 Participants
0 Participants
Epidural Needle Manipulations Needed to Successfully Advance
3 manipulations
6 Participants
0 Participants
Epidural Needle Manipulations Needed to Successfully Advance
4 manipulations
5 Participants
0 Participants
Epidural Needle Manipulations Needed to Successfully Advance
5 manipulations
2 Participants
1 Participants
Epidural Needle Manipulations Needed to Successfully Advance
6 manipulations
1 Participants
0 Participants

Adverse Events

Arrow Catheter Kit.

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

B.Braun Catheter Kit

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Carlo Pancaro

University of Michigan - Department of Anesthesiology

Phone: 617-435-5403

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place