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CTRI Number  CTRI/2022/09/045789 [Registered on: 22/09/2022] Trial Registered Prospectively
Last Modified On: 22/09/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Single Arm Study 
Public Title of Study   Versius Clinical Study in Robot Assisted Total Hysterectomy 
Scientific Title of Study   Prospective Clinical Study to Evaluate the Safety and Efficacy of the Versius Surgical System in Robot-Assisted Hysterectomy 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rajnish Nagarkar 
Designation  Surgical Oncologist 
Affiliation  HCG Manavata Cancer Centre 
Address  HCG Manavata Cancer Centre, Behind Shivang auto, Mumbai Naka Nashik, Maharashtra, India

Nashik
MAHARASHTRA
422002
India 
Phone  9823061929  
Fax    
Email  drraj@manavatacancercentre.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manisha Jadhav 
Designation  Operations Manager 
Affiliation  CMR Surgical India Pvt Ltd 
Address  CMR Surgical India Pvt Ltd. Ground Floor, Navelcar Pride, Kadamba Plateau NH-4A, Chimbel Tiswadi, North Goa, Goa, 403006

North Goa
GOA
403006
India 
Phone  9623243509  
Fax    
Email  manisha.jadhav@cmrsurgical.com  
 
Details of Contact Person
Public Query
 
Name  Dr Manisha Jadhav 
Designation  Operations Manager 
Affiliation  CMR Surgical India Pvt Ltd 
Address  CMR Surgical India Pvt Ltd. Ground Floor, Navelcar Pride, Kadamba Plateau NH-4A, Chimbel Tiswadi, North Goa, Goa, 403006

North Goa
GOA
403006
India 
Phone  9623243509  
Fax    
Email  manisha.jadhav@cmrsurgical.com  
 
Source of Monetary or Material Support  
Versius - Surgical Robotic System by CMR Surgical. Local partner is Indical Medsurg Pvt Ltd 
 
Primary Sponsor  
Name  CMR Surgical India Pvt Ltd 
Address  CMR Surgical India Pvt Ltd. Ground Floor, Navelcar Pride, Kadamba Plateau NH-4A, Chimbel Tiswadi, North Goa, Goa, 403006  
Type of Sponsor  Other [Privet Limited Company] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Raj Nagarkar   HCG Manavata Cancer Centre   HCG Manavata Cancer Centre, Nashik Near Mylan Circle, Mumbai Naka, Nashik, Maharashtra 422002 Nashik MAHARASHTRA
Nashik
MAHARASHTRA 
09823061929

drraj@manavatacancercentre.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Manavata Clinical Research Institute Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N948||Other specified conditions associated with female genital organs and menstrual cycle,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Not Applicable   Not Applicable  
Intervention  Versius - A Surgical Robotic System   Preoperative Screening Intraoperative Hospital Stay Postoperative Follow up DIscharge Day Postoperative Follow up Day 42±2 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Female 
Details  1. Patient deemed suitable for total laparoscopic hysterectomy
procedure using Versius Surgical Robotic System
2. Patients able to provide written informed consent to
participate in the study (with help of appropriate legal
representatives if required)
3. Female, aged 18 years or above
4. Female of childbearing potential, must not be pregnant
5. Patients with BMI ≤40. Ideally BMI ≥25 to ≤ 40  
 
ExclusionCriteria 
Details  1. Patient participation in an investigational clinical study within 30
days before screening
2. Inability or difficulties to provide informed consent
3. Oncological cases, patients undergoing surgery or treatment for
malignant disease
4. Patients who fall into American Society of Anaesthesiologists (ASA)
Class IV or above (Appendix B)
5. Uterus size of > 14 weeks
6. History of chronic alcohol or drug abuse
7. Chronic renal failure or on dialysis
8. Significant medical history or immunocompromised
9. Subjects with any other clinically significant unstable medical
disorder, life-threatening disease, or anything else in the opinion
of the Investigator which would contra-indicate a surgical procedure
10. Patient tested COVID positive within last 30 days of screening
11. Patient tested COVID positive within 48 hours within procedure
12. Diabetes mellitus (Glycemia > 11mmol/L; >200 mg/dL)
13. Uncontrolled hypertension

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Primary Efficacy Outcome:
Efficacy will be measured by the rate of successful completion of the procedures as planned (i.e., without
unplanned conversion to other laparoscopic or open surgery).

Primary Safety Outcome:
Safety will be measured by the rate of incidence of serious adverse events up to 30 days following the procedure.  
Primary Efficacy Outcome:
Efficacy will be measured by the rate of successful completion of the procedures as planned (i.e., without
unplanned conversion to other laparoscopic or open surgery).

Primary Safety Outcome:
Safety will be measured by the rate of incidence of serious adverse events up to 30 days following the procedure.  
 
Secondary Outcome  
Outcome  TimePoints 
Secondary Endpoints:
• Operative time – From skin incision to skin closure
• Estimated blood loss (intra-operative)
• Blood transfusion (during hospitalization)
• Intra-operative complications
• Return to operating room within 24 hours
• Length of hospital stay
• Readmission to hospital within 30 days
• Reoperation within 30 days
• Mortality rate at 30 days
• Vaginal Vault healing at 42 days post-operative
• Histopathology of surgically removed specimen
• Device deficiencies and use errors regardless of relationship to an adverse event
• All Adverse Events
• Device performance data including unplanned instrument usage, clashes, collision detection, alarms. 
• Vaginal Vault healing at 42 days post-operative 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   01/10/2022 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Not yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Study Title:Prospective Clinical Study to Evaluate the Safety and Efficacy of the Versius Surgical System in Robot-Assisted Total Hysterectomy

Objective: To evaluate the Safety and Efficacy of the Versius Surgical Robotic System in robotically assisted total hysterectomy (RATH) surgical procedures. Measured by incidence of serious adverse events and successful completion of the surgery without conversion to laparoscopic or open surgery, respectively.

Study Design: A prospective cohort study as
Preoperative Screening>Intraoperative Hospital Stay>Postoperative Follow up DIscharge Day>Postoperative Follow up Day 42±2

Product: The Versius Surgical Robotic System (Versius®)

Study Population: Patients suitable for Robot assisted- minimal access total hysterectomy surgeries using Versius® (as determined by the Principal Investigator), above 18 years of age.

Procedure Type: Minimal access Robot-Assisted Total Hysterectomy procedures

Primary Efficacy Outcome: Rate of successful completion of robotic assisted surgery without unplanned conversion to other laparoscopic or open surgery 

Primary Safety Outcome: Incidence of Serious Adverse Events up to 30 days post operation 

Secondary Outcomes: 
1. Operative time – From incision to skin closure 
2. Estimated blood loss (intra-operative) 
3. Blood transfusion (intra-operative)
4. Intra-operative complications 
5. Return to operating room within 24 hours 
6. Length of hospital stay 
7. Readmission to hospital within 30 days 
8. Reoperation within 30 days 
9. Mortality rate at 30 days  
10. Vaginal Vault healing at 42 days post-operative 
11. Histopathology of surgically removed specimen 
12. Device deficiencies and use errors regardless of relationship to an adverse event 
13. All Adverse Events 
14. Device performance data including unplanned instrument usage, clashes, collision detection, alarms.
 
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