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Study evaluated use of PleuraFlow Active Clearance Technology System to prevent retained blood complications.
February 2, 2015
By: Michael Barbella
Managing Editor
ClearFlow Inc. announced positive results from the Prevention of Retained Blood Outcomes Using Active Clearance Technology trial (PRO-ACT), a clinical study evaluating the use of its PleuraFlow Active Clearance Technology System to prevent retained blood complications. The PleuraFlow System enables caregivers to actively keep chest drainage tubes clear of clot in the early hours after heart surgery. The PRO-ACT studied the efficacy of a protocol for actively clearing chest tubes of clotted blood to prevent retained blood complications. “Chest tube clogging is known to occur in over one-third of heart surgery patients in the early hours after heart surgery, and nearly one in five can have some form of retained blood complication that includes the need to perform subsequent invasive reinterventions to remove undrained blood or clot from inside the chest after heart surgery,” said Ed Boyle, M.D.,founder/chairman of ClearFlow. The primary outcome of this study was a reduction of interventions for retained blood complications after heart surgery and prior to discharge. The PRO-ACT results showed a statistically significant reduction of interventions for retained blood complications by 42 percent in the treatment group. In addition, the trial revealed a statistically significant reduction of postoperative atrial fibrillation. Patients treated with PleuraFlow System also had a statistically significant reduction in bleeding, suggesting that the Active Clearance Technology may help reduce the amount of bleeding after heart surgery. “We are very pleased to have completed the trial, which shows an immediate and significant reduction in the need for interventions for retained blood complications, as well as other common complications in patients recovering from heart surgery,” said Prof. Dr. Theodor Fischlein of Klinikum Nürnberg Heart Center in Germany. “We are always striving for ways to improve outcomes and this appears to be a promising technology that may achieve that goal.” “Building on prior published studies showing that active clearance is superior to the currently used methods to remove shed blood from around the heart and lungs after heart surgery, this study shows a clear clinical benefit for patients that can also translate to a significant economic value for hospitals and payers,” said Paul Molloy, president/CEO of ClearFlow. “Most hospitals are shouldering the burden of extensive cost increases due to lack of consistent protocols regarding blood evacuation post-cardiac surgery and the unacceptable failure with current available drains. We now have data from multiple sources that show approximately 20 percent of cardiac surgery patients require additional interventional procedures, longer ICU and hospital stays, hospital re-admissions, and sometimes even death due to the complications caused by inadequate drainag. Procedures to remove retained blood are the most common invasive reinterventions after heart surgery and atrial fibrillation is the most common complication after heart surgery.” The PleuraFlow System with Active Clearance Technology is approved for use in the United States, Europe, Australia, Brazil, and Canada, and has either cleared or pending clearance in nearly a dozen additional countries. ClearFlow is an Anaheim, Calif-based developer of active blood and fluid evacuation systems to speed recovery, reduce complications and lower healthcare costs in patients recovering from surgery. The company is currently enrolling programs in its ACT Registry for further studies.
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