FDA Early Alert Over Boston Scientific Transcarotid Catheter Systems

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FDA has issued an early alert warning healthcare providers about a potentially high-risk issue involving certain lots of Boston Scientific's ENROUTE Transcarotid Neuroprotection System (NPS) and ENROUTE Transcarotid Neuroprotection System Plus (NPS Plus), following reports that the arterial sheath tip can separate during use.

The agency said Boston Scientific notified affected customers on 7/9 to immediately stop using and distributing the affected devices, segregate existing inventory, and return the products to the company. Customers were also instructed to notify personnel who use the devices and inform any facilities that may have received the affected products.

According to the agency, a retained sheath tip may require endovascular or surgical retrieval and could lead to serious complications, including embolism, stroke, transient ischemic attack, restenosis, or thrombosis. Boston Scientific has reported one serious injury linked to the issue and no deaths.

The device is used during transcarotid artery revascularization procedures to reduce the risk of stroke by temporarily reversing blood flow in the carotid artery, diverting embolic material away from the brain while physicians treat carotid artery lesions.

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