Symani Restore surgery for Moyamoya disease

An Early Feasibility Study for the Symani Surgical System

Not applicable Interventional Jacobs institute · NCT07140731

This study tests using the Symani Surgical System to assist surgeons performing neurosurgery in adults with moyamoya disease.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment15 (estimated)
Ages18 Years and up
SexAll
SponsorJacobs institute Academic / other
Locations1 site (Buffalo, New York)
Trial IDNCT07140731 on ClinicalTrials.gov

What this trial studies

This is a prospective, interventional study of the Symani Surgical System in adults with moyamoya disease who require neurosurgical treatment. Eligible patients (>18 years) will undergo the planned surgical procedure with the aid of the Symani device and will be followed for safety and device-related outcomes. The trial enrolls patients at the Jacobs Institute in Buffalo, New York, and applies standard inclusion and exclusion criteria for operative candidates. Investigators will record perioperative safety, technical performance, and clinical recovery measures to determine device effectiveness in this population.

Who should consider this trial

Good fit: Adults over 18 with moyamoya disease who have minor to moderate symptoms and are candidates for neurosurgical treatment and general anesthesia are ideal candidates.

Not a fit: Patients with current or past bleeding/coagulation disorders, those who cannot tolerate prolonged anesthesia, hemodynamically unstable neurological exams, or pressure-dependent neurologic status are unlikely to benefit from this study.

Why it matters

Potential benefit: If successful, using the Symani system could improve the precision of delicate cerebrovascular procedures and potentially reduce surgical complications.

How similar studies have performed: Robotic-assisted microsurgery has shown promise in other microvascular procedures, but application specifically for moyamoya disease is limited and this study is among the early tests of Symani in this setting.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Patients aged \>18.
2. Moyamoya disease with minor to moderate symptoms requiring neurosurgical treatment.
3. Patients agree to have the surgery and the anesthesia.
4. Patients who voluntarily decide to participate in this study with the surgery performed with the aid of Symani and agree to sign the Informed Consent Form.

   \-

Exclusion Criteria:

1. Patients who have bleeding or coagulation disorders in the past or present.
2. Any criteria that preclude prolonged anesthesia.
3. Hemodynamically unstable neurological exam.
4. Pressure dependent neurologic status.

Where this trial is running

Buffalo, New York

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Moyamoya Disease
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.