Real-world evaluation of a novel, adhesion device for the prevention of post-operative bleeding

ISRCTN ISRCTN54521345
DOI https://doi.org/10.1186/ISRCTN54521345
ClinicalTrials.gov (NCT) Nil known
Clinical Trials Information System (CTIS) Nil known
Protocol serial number Cura PMCF 1
Sponsor Selentus Science
Funder Selentus Science
Submission date
20/06/2023
Registration date
26/06/2023
Last edited
13/11/2025
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Haemostats are medical devices used by surgeons to stop bleeding during procedures and also to prevent bleeding restarting after the procedure has been completed. Not all haemostats stick to the bleeding site and so are less effective at preventing post-operative bleeding. Many of the haemostats that can adhere to the bleeding site use biological or chemical agents to achieve this. This study aims to evaluate a new haemostat (TenaTac) that avoids the use of biologic or chemical agents.

Who can participate?
Patients undergoing planned surgery at one of the participating hospitals if their surgeon is part of the evaluation group

What does the study involve?
During surgery, if the surgeon needs to use a haemostat and chooses to use TenaTac, then on completion of the surgery the surgeon will complete a structured questionnaire about how well the TenaTac performed.

What are the possible benefits and risks of participating?
The benefits are that the patient will avoid exposure to the biological or chemical agents used in alternative haemostats. The risks are that the TenaTac doesn't perform as well as another haemostat.

Where is the study run from?
St John's Innovation Centre, Cambridge, UK.

When is the study starting and how long is it expected to run for?
January 2020 to December 2025.

Who is funding the study?
The co-sponsors of the study are Selentus Science (UK) and CuraMedrix (Netherlands).

Who is the main contact?
Mr Paul Hayes MD FRCS, phayes@selentus.com

Contact information

Mr Paul Hayes
Public

BioCity, 1 Thoresby Street
Nottingham
NG1 1GF
United Kingdom

ORCiD logoORCID ID 0000-0002-1968-5930
Phone +44 1159124210
Email enquiry@selentus.com
Mr Paul Hayes
Scientific

Biocity, 1 Thoresby Street
Nottingham
NG1 1GF
United Kingdom

Phone +44 1159124210
Email phayes@selentus.com
Mr Paul Hayes
Principal investigator

BioCity, 1 Thoresby Street
Nottingham
NG1 1GF
United Kingdom

Phone +44 1159124210
Email phayes@selentus.com

Study information

Primary study designObservational
Study designObservational case series
Secondary study designCase series
Study type Participant information sheet
Scientific titleReal-world, post-market clinical study of the intra-procedural performance of a novel adhesive haemostat across six surgical specialities
Study objectivesA novel adherent haemostat using only a simple physical modification of its surface would adhere adequately to tissues, and effect haemostasis on a bleeding surgical site to the satisfaction of the operating surgeon.
Ethics approval(s)Ethics approval not required
Ethics approval additional informationThe study is a post-market clinical follow up of a CE-marked medial device being used within its Indication for Use. The choice of which haemostat to treat the patient with was at the discretion of the surgeon and no mandating of treatment occurred. No patient data was shared, only information relating to the general type of surgery and the performance of the device.
Health condition(s) or problem(s) studiedTreatment of haemorrhage in surgical patients
InterventionA novel haemostat using only a physical modification of the device surface to affect adhesion was evaluated by multiple surgeons, across 6 surgical specialities. A structured questionnaire relating to the device performance was completed by the surgeon at the end of the procedure.

The application of a haemostat to the bleeding site. No control agent is planned. The adherence of the haemostat to the tissue surface will be graded 1 to 5 by the surgeon, as will the efficacy of haemostasis obtained.
Intervention typeDevice
PhaseNot Applicable
Drug / device / biological / vaccine name(s)TenaTac
Primary outcome measure(s)

The effectiveness of haemostasis graded from 1 (unacceptable) to 5 (excellent) by the operating surgeon at the end of the procedure.

Key secondary outcome measure(s)

1. The effectiveness of adhesion graded from 1 (unacceptable) to 5 (excellent) by the operating surgeon at the end of the procedure.
2. The ease of use of the haemostat graded from 1 (unacceptable) to 5 (excellent) by the operating surgeon at the end of the procedure.
3. Binary response to whether the surgeon would use the product again during surgery

Completion date31/12/2025

Eligibility

Participant type(s)Patient
Age groupMixed
Lower age limit16 Years
Upper age limit100 Years
SexAll
Target sample size at registration300
Key inclusion criteria1. Patient undergoing elective surgery
2. Patient greater than 16 years of age
3. Able to give informed consent
4. Willing to complete study procedures and attend for follow-up visit
Key exclusion criteria1. Presence of a documented disorder of coagulation
2. An INR >2.0 within 12h of surgery (if measured)
3. Allergy to porcine products
4. Use of dual anti-platelets within 3 days of surgery
5. Oral anti-coagulant use within 24h of surgery
6. Enrolment in another clinical study that might reasonably interfere with this study’s end-points
7. Member of a vulnerable group of adults or life expectancy less than one year.
Date of first enrolment14/01/2020
Date of final enrolment01/11/2025

Locations

Countries of recruitment

  • United Kingdom
  • England
  • Belgium
  • Croatia
  • Denmark
  • France
  • Germany
  • Netherlands
  • Serbia
  • Sweden

Study participating centres

St John's Innovation Centre
Cowley Road
Cambridge
CB4 0WS
England
Dept of Neurosurgery
Antwerp University Hospital (UZA)
Antwerp
2650
Belgium

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

13/11/2025: Study participating centres updated.
23/06/2023: Trial's existence confirmed by Isabelle Van Herzeele Dept of Thoracic and Vascular Surgery Ghent University Hospital