About this trial
The purpose of this study is to assess the feasibility and safety of the Transverse Medical, Inc. Point-Guard device. This feasibility study is a limited clinical investigation of the Point-Guard device. The study will be conducted to evaluate the device design concept with respect to clinical safety and device functionality.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
The patient is ≥18 years of age;
The patient meets indications for Transcatheter Aortic Valve Replacement (TAVR);
The patient is willing to comply with protocol-specified follow-up evaluations;
The patient has been informed of the nature of the study, agrees to its provisions, and has provided written informed consent, approved by the appropriate Institutional Review Board or Ethics Committee.
Disqualifiers
TAVR conducted via other than transfemoral access (subclavian, axillar, transapical, transaortic, carotid or transcaval).
Anatomy that precludes safe delivery and retrieval of the investigational device.
Current or planned treatment with any investigational drug or investigational device during the study enrollment or follow-up period.
Cardiovascular surgical or interventional procedure 10 days prior or planned during the TAVR procedure or during the 30-day study follow-up.
Trial design
Single group
Treatments tested in this trial
cerebral embolic protection
DeviceUse of Transverse Medical Inc. Point-Guard CEP device.
Treatment groups
Trial outcomes
Primary outcomes
Primary Endpoint
Technical success, defined as successful deployment, positioning and retrieval per the Instructions For Use (IFU), with minimal device interference, and as outlined below: * Deployment of the Point-Guard filter unit from the Delivery sheath into the aortic arch; * Positioning of the Point-Guard device within the aortic arch; * Retrieving and removing the Point-Guard device intact; * Minimal device interference (operator assessed).
Primary Safety Endpoints
1. Primary Safety Endpoint: TAVR procedure complications associated with the delivery, positioning, and removal of the test device. 2. Primary Safety Endpoint: MACCE (all death, all stroke, and acute kidney injury class 3) within 72 hours or discharge, whatever occurs first and at 30 days.
Other outcomes
Observational Endpoints
1\. Reduction in Median Total New Lesion Volume in whole-brain as assessed by traditional 1.5T DW-MRI as soon as possible and within twenty-four (24) hours post-procedure. \[Time Frame: Day 0-1 days Post-Procedure\] \- Total new lesion volume is defined as the sum of all diffusion- positive new cerebral lesions in post-TAVR DW-MRI relative to the pre-TAVR DW-MRI scans. (in mm\^3)
Sponsors and contacts
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Transverse Medical, Inc.
Lead sponsor
Medical Metrics Diagnostics, Inc
Collaborator
Monash Health
Collaborator
Transverse Medical Australia
Collaborator
Ascend Clinical
Collaborator