FDA Adverse Event Injury Summary report: N

ENROUTE TRANSCAROTID NEUROPROTECTION SYSTEM

MDR report key: 22243521 · Received June 17, 2025

Report

Report Number
2124215-2025-38226
Event Type
Injury
Date Received
June 17, 2025
Date of Event
May 20, 2025
Report Date
July 16, 2025
Manufacturer
SILK ROAD MEDICAL
Product Code
NTE
UDI-DI
00811311021062
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UPDATED FIELDS: H6 - EVALUATION METHOD CODES; EVALUATION CONCLUSION CODES.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A RIGHT TRANSCAROTID ARTERY REVASCULARIZATION (TCAR) PROCEDURE, A DISSECTION WAS IDENTIFIED POST INSERTION OF THE ARTERIAL SHEATH OF THE ENROUTE TRANSCAROTID NEUROPROTECTION SYSTEM (NPS), REQUIRING ADDITIONAL INTERVENTION. AN ENROUTE TRANSCAROTID NEUROPROTECTION SYSTEM WAS SELECTED FOR USE IN THE RIGHT SIDED TCAR PROCEDURE. SLUGGISH FLOW THROUGH THE NPS WAS IDENTIFIED AFTER INSERTION OF THE ARTERIAL SHEATH. A DISSECTION WAS DISCOVERED WHILE THE PHYSICIAN ATTEMPTED TO CROSS THE LESION WITH 0.014" GUIDEWIRE. THE DISSECTION WAS REPAIRED WITH A PATCH AND THE PROCEDURE WAS COMPLETED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A RIGHT TRANSCAROTID ARTERY REVASCULARIZATION (TCAR) PROCEDURE, A DISSECTION WAS IDENTIFIED POST INSERTION OF THE ARTERIAL SHEATH OF THE ENROUTE TRANSCAROTID NEUROPROTECTION SYSTEM (NPS), REQUIRING ADDITIONAL INTERVENTION. AN ENROUTE TRANSCAROTID NEUROPROTECTION SYSTEM WAS SELECTED FOR USE IN THE RIGHT SIDED TCAR PROCEDURE. SLUGGISH FLOW THROUGH THE NPS WAS IDENTIFIED AFTER INSERTION OF THE ARTERIAL SHEATH. A DISSECTION WAS DISCOVERED WHILE THE PHYSICIAN ATTEMPTED TO CROSS THE LESION WITH 0.014" GUIDEWIRE. THE DISSECTION WAS REPAIRED WITH A PATCH AND THE PROCEDURE WAS COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1630108 ENROUTE TRANSCAROTID NEUROPROTECTION SYSTEM EMBOLIC PROTECTION FILTERING GUIDEWIRE NTE SILK ROAD MEDICAL FG12531 0000306431 00811311021062

Patients

Seq Age Sex Outcome Treatment
1 65 YR Male Required Intervention