Congestive Heart Failure Clinical Trial
Official title:
TARGET: A Study to Evaluate the Treatment of Patients With Acute Decompensated Heart Failure (ADHF) Using an Automated Fluid Management System
This is a prospective, single arm, early feasibility study designed to evaluate the safety and device performance of The RenalGuard System in the management of patients admitted with signs and symptoms of congestive heart failure who require diuresis for the treatment of volume overload.
This is a prospective, single arm, early feasibility study designed to evaluate the safety
and device performance of The RenalGuard System in the management of patients admitted with
signs and symptoms of congestive heart failure who require diuresis for the treatment of
volume overload. Subjects will be referred by their physician if he/she feels that the
subject could benefit from observed diuresis in a hospital setting.
The device being utilized is called The RenalGuard® System (The System). By default, The
System infuses a volume of hydration fluid equal to the volume of urine output. This is known
as matched hydration. In addition, the clinician has the ability to adjust the matched
setting such that RenalGuard can infuse hydration fluid to achieve a positive fluid balance
(e.g. +100 ml/hr.) or a negative fluid balance (e.g. -100 ml/hr.). The purpose of this
balanced fluid replacement is to prevent hypovolemia that may lead to hypotension and vital
organ dysfunction, or fluid overload that may lead to shortness of breath in subjects in whom
high urine output is desired.
All patients will be treated with The RenalGuard System for a minimum of 24-hours, and
possibly longer, at the investigators discretion. They will be followed for 30 days post
discharge. The protocol will enroll up to 40 subjects to develop the clinical algorithm
required to optimally and safely perform removal of volume. The study will be conducted in up
to 5 sites in Europe.
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