FDA Adverse Event Injury Summary report: N

ENROUTE TRANSCAROTID NEUROPROTECTION SYSTEM

MDR report key: 22872861 · Received August 22, 2025

Report

Report Number
2124215-2025-58808
Event Type
Injury
Date Received
August 22, 2025
Date of Event
July 23, 2025
Report Date
December 18, 2025
Manufacturer
SILK ROAD MEDICAL
Product Code
NTE
UDI-DI
00811311021062
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UPDATED FIELDS: E1 - INITIAL REPORTER EMAIL.

Description of Event or Problem · 0

IT WAS REPORTED THAT A DISSECTION OCCURRED, REQUIRING AN ADDITIONAL STENT PLACEMENT. AN ENROUTE TRANSCAROTID NEUROPROTECTION SYSTEM (NPS) WAS SELECTED FOR USE IN THE RIGHT INTERNAL CAROTID ARTERY (ICA). THE MICRO NEEDLE, 0.014 GUIDEWIRE, AND SHEATH WERE INSERTED SUCCESSFULLY. TWO ANGIOGRAPHY IMAGES OF THE EXTERNAL CAROTID ARTERY (ECA) WERE TAKEN. THE MICRO WIRE AND MICRO SHEATH WERE ADVANCED FROM THE ICA INTO THE ECA, AND 0.014 WIRE WAS EXCHANGED FOR THE J-WIRE OF THE NPS. THE MICRO SHEATH WAS REMOVED, AND THE ARTERIAL SHEATH WAS INSERTED. TWO ANGIOGRAPHY VIEWS OF THE ARTERIAL SHEATH REVEALED A DISSECTION OF THE COMMON CAROTID ARTERY (CCA). THE SHEATH WAS PULLED BACK AND PROCEDURE COMPLETED AS PLANNED, WITH THE PLACEMENT OF AN ADDITIONAL STENT TO COVER THE DISSECTION. THE PATIENT WAS STABLE FOLLOWING THE PROCEDURE.

Description of Event or Problem · 0

IT WAS REPORTED THAT A DISSECTION OCCURRED, REQUIRING AN ADDITIONAL STENT PLACEMENT. AN ENROUTE TRANSCAROTID NEUROPROTECTION SYSTEM (NPS) WAS SELECTED FOR USE IN THE RIGHT INTERNAL CAROTID ARTERY (ICA). THE MICRO NEEDLE, 0.014 GUIDEWIRE, AND SHEATH WERE INSERTED SUCCESSFULLY. TWO ANGIOGRAPHY IMAGES OF THE EXTERNAL CAROTID ARTERY (ECA) WERE TAKEN. THE MICRO WIRE AND MICRO SHEATH WERE ADVANCED FROM THE ICA INTO THE ECA, AND 0.014 WIRE WAS EXCHANGED FOR THE J-WIRE OF THE NPS. THE MICRO SHEATH WAS REMOVED, AND THE ARTERIAL SHEATH WAS INSERTED. TWO ANGIOGRAPHY VIEWS OF THE ARTERIAL SHEATH REVEALED A DISSECTION OF THE COMMON CAROTID ARTERY (CCA). THE SHEATH WAS PULLED BACK AND PROCEDURE COMPLETED AS PLANNED, WITH THE PLACEMENT OF AN ADDITIONAL STENT TO COVER THE DISSECTION. THE PATIENT WAS STABLE FOLLOWING THE PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2503605 ENROUTE TRANSCAROTID NEUROPROTECTION SYSTEM EMBOLIC PROTECTION FILTERING GUIDEWIRE NTE SILK ROAD MEDICAL FG12531 0000306440 00811311021062

Patients

Seq Age Sex Outcome Treatment
1 66 YR Female Required Intervention