New device aims to protect the breathing nerve during heart ablation
NCT ID NCT07820631
First seen Sep 15, 2026 · Last updated Sep 16, 2026 · Updated 1 time
Summary
Researchers are testing the Circle Safe System, a device that stimulates the phrenic nerve and records the diaphragm's electrical response during pulmonary vein ablation for atrial fibrillation. The study enrolls up to 50 adults scheduled for this procedure. All participants receive the device during treatment of the right pulmonary veins, and researchers track whether it can reliably capture and display the diaphragm's signal and whether any device-related safety problems occur through hospital discharge.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Circle Safe System, a catheter-based device that stimulates the phrenic nerve and records the diaphragm's electrical response during ablation
- What this could lead to
- If it works, this device could give heart rhythm doctors a real-time way to watch the phrenic nerve during ablation and avoid injuring the diaphragm.
- What could go wrong
- This is a first-in-human study with 50 participants and no comparison group, so safety and performance data are early and may not hold up in larger studies. Device placement or nerve stimulation could cause complications such as blood vessel damage or stroke.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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19 to 84 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Male or females \>18 and ≤ 85 years of age 2. Subject willing to sign informed consent 3. Subject is a candidate for pulmonary vein ablation for the treatment of atrial fibrillation ablation procedures therapy Exclusion Criteria: 1. Subjects with pacemaker or defibrillator leads placed through the vena cava 2. Subjects with implantable vena cava filter 3. Subjects with a contraindication to contrast dye 4. Pregnant subjects 5. Subjects with inadequate venous access due to prior vein thrombosis or indwelling chronic ports or catheters 6. Subjects participating in another clinical trial that has not reached the follow-up time point to primary endpoint assessment 7. Subjects with known neuromuscular disease or other medical history (i.e trauma, surgery) that could have impacted diaphragmatic function
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
4 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Auckland City Hospital
Auckland, 1023, New Zealand
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CHU Timone - APHM
Marseille, 13005, France
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Clinique Pasteur
Toulouse, 31300, France
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Hôpital Cardiologique du Haut Lévèque
Pessac, 33604, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can exercise tame atrial fibrillation? trial tests workouts on heart rhythm and fitness
- Pacemaker lead position may cut heart rhythm complication
- Can zapping the heart beat drugs for AF in heart failure?
- Heart hole or stroke trigger? global registry tracks who gets closure and what happens next
- Two ways to quiet a racing heart: trial pits hybrid ablation against standard catheter treatment
- Stroke's hidden heart rhythm clue under investigation