SENTINEL CEREBRAL PROTECTION SYSTEM CMS15-10C

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-03-16 for SENTINEL CEREBRAL PROTECTION SYSTEM CMS15-10C manufactured by Claret Medical, Inc..

Event Text Entries

[183727295] (b)(6) study it was reported that stroke occurred. Procedure summary: the subject was enrolled into the reprise iii study in february 2020 and the index procedure was performed on the same day. Prior to the index procedure, heparin or other anticoagulant was given and the subject was not on prior regimen of aspirin and antiplatelet at the time of index procedure. The subject received loading doses of 300 mg of aspirin and 300 mg of clopidogrel. A sentinel embolic protection system was placed. A lotus introducer was placed and then the aortic valve was treated with balloon valvuloplasty (bav). The subject developed complete heart block with ventricular escape post bav. The aortic valve was treated with deployment of a 27 mm lotus edge valve. The complete heart block with ventricular escape, persisted post transcatheter aortic valve replacement (tavr). There was correct positioning of a single prosthetic heart valve into the proper anatomical location and neither repositioning nor retrieval was attempted. On the same day as the index procedure, during tavr, the subject was noted non responsive, slightly weak the right side with reduced glasgow coma scale and aphasia. The subject was hospitalized for further evaluation. Neurological exam revealed normal cerebellar function with abnormal reflexes, cranial nerves, sensations and muscle strength. Nihss was 6. Computed tomography (ct) and magnetic resonance imaging (mri) scans revealed stroke. The stroke was ischemic. The cause of the ischemic stroke is unknown. The event was treated medically. In (b)(6) 2020, the subject was in good condition and on the same day, the subject was discharged at home on aspirin.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2134265-2020-02664
MDR Report Key9838368
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-16
Date of Report2020-03-16
Date of Event2020-02-17
Date Mfgr Received2020-03-03
Date Added to Maude2020-03-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJAY JOHNSON
Manufacturer StreetTWO SCIMED PLACE
Manufacturer CityMAPLE GROVE MN 55311
Manufacturer CountryUS
Manufacturer Postal55311
Manufacturer Phone7634942574
Manufacturer G1CLARET MEDICAL, INC
Manufacturer CitySANTA ROSA CA
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSENTINEL CEREBRAL PROTECTION SYSTEM
Generic NameEMBOLIC PROTECTION DEVICE
Product CodePUM
Date Received2020-03-16
Model NumberCMS15-10C
Catalog NumberCMS15-10C
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCLARET MEDICAL, INC.
Manufacturer Address1745 COPPERHILL PARKWAY SANTA ROSA CA 95403 US 95403


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-03-16

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