Clinical Outcomes in Patients Treated With SternaLock Blu

Study Overview
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Brief Summary
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The primary objective of this study is to evaluate the rate of deep sternal wound infection at 30 days post-operative following a full median sternotomy in patients treated with SternaLock Blu for rigid sternal fixation. This study will also provide evidence of the clinical performance of SternaLock Blu for up to 90 days using real world evidence methodology. Sternal complications will be reported through 90 days follow up.

Detailed Description
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The primary endpoint for this study is the rate of deep sternal wound infection (DSWI) at 30 days post-operative, following a midline sternotomy closed with SternaLock Blu. DSWI is defined as deep infection involving muscle, bone, and/ or mediastinum requiring operative intervention and has all of the following conditions: Wound opened with excision of tissue or re-exploration of mediastinum Positive culture unless patient on antibiotics at the time of culture or no culture obtained Treatment with antibiotics beyond perioperative prophylaxis Post-operative sternal wound complications occurring within 90 days post-operative. Outcomes will be reported up to 90 days after surgery, including data on adverse events associated with the use of SternaLock Blu Sternal Closure System from the moment of implantation to the end-of-study.

Official Title
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Sternal Rigid Fixation: Evaluation of Clinical Outcomes Using Real-World Evidence

Conditions
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Cardiac Surgical Procedures, Coronary Artery Disease, Heart Valve Diseases

Intervention / Treatment
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* Device: SternaLock Blu


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ≥ 18 years of age, no upper limit Undergoing a full standard midline sternotomy as part of an elective or urgent cardiac surgical procedure [i.e., coronary artery bypass graft (CABG) and/ or valve replacement along with other cardiac surgical procedures] and closed with the SternaLock Blu Sternal Closure System Willing and able to return for follow-up Exclusion Criteria: Preoperative Emergent or salvage cardiac acuity i.e., patients undergoing cardiopulmonary resuscitation en-route to the operating room or prior to induction of anesthesia Any contraindication listed in the SternaLock Blu instructions for use (IFU/ Appendix 3) (active infection, foreign body sensitivity, or mental/ neurologic conditions who are unwilling or incapable of following post-operative care instructions) Operative Delayed sternal closure required for any reason Intra-operative conditions that, in the opinion of the operating surgeon, would preclude the use of rigid plate fixation, i.e.: insufficient quantity of sternal bone or compressible sternum indicating poor bone quality, as assessed by the operating surgeon using his or her professional judgment at the time of closure Use of bone wax between the sternal halves Intraoperative death prior to device placement

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| SternaLock Blu<br>All patients will receive SternaLock Blu for closure of full mid-line sternotomy. | Device: SternaLock Blu<br>* Sternal closure will be accomplished using SternaLock Blu plates and screws in combination with single-wire method of sternal reduction.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Deep Sternal Wound Infection Rate | DSWI is defined as deep infection involving muscle, bone, and/ or mediastinum requiring operative intervention and has all of the following conditions: Wound opened with excision of tissue (I&D) or re-exploration of mediastinum Positive culture unless patient on antibiotics at the time of culture or no culture obtained Treatment with antibiotics beyond perioperative prophylaxis | at 30 days post operatively up to 90 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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sternotomy, rigid fixation, sternal fixation, sternal plating