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U.S. Department of Health and Human Services

Post-Approval Studies (PAS) Database

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The FDA has the authority to require sponsors to perform a post-approval study (or studies) at the time of approval of a premarket approval (PMA), humanitarian device exemption (HDE), or product development protocol (PDP) application. Post-approval studies can provide patients, health care professionals, the device industry, the FDA and other stakeholders information on the continued safety and effectiveness (or continued probable benefit, in the case of an HDE) of approved medical devices. This database allows you to search Post-Approval Study information by applicant or device information.

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PULSED AF Post Approval Study


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General
Study Status Study Pending
Application Number /
Requirement Number
P230017 / PAS001
Date Original Protocol Accepted 06/18/2024
Date Current Protocol Accepted  
Study Name PULSED AF Post Approval Study
Device Name PulseSelect™ Pulsed Field Ablation (PFA) system
Clinical Trial Number(s) NCT04198701 
General Study Protocol Parameters
Study Design Prospective Cohort Study
Data Source Sponsor Registry
Comparison Group No Control
Analysis Type Analytical
Study Population Transit. Adolescent B (as adults) : 18-21 yrs, Adult: >21
Detailed Study Protocol Parameters
Study Objectives Prospective, multi-center, global, registry-based, observational study
Study Population Subjects greater than or equal to 18 years of age (or minimum age as required by local regulations) who have a recommendation for an ablation with the PulseSelect™ PFA System may be approached regarding enrollment in this study.
Sample Size Number of subjects: 580
Assumptions for sample size estimation: ~10% attrition
Number of sites: 15
Sites location: US and OUS
Key Study Endpoints Safety Endpoints
Primary: Estimate the rate of major procedural complications for catheter ablation using the PulseSelect™ PFA System.
Effectiveness Endpoints
Primary: Estimate the 36-month freedom from AF/AFL/AT recurrence following ablation using the PulseSelect™ PFA System.
Ancillary Objectives:
1. Characterize the PulseSelect™ PFA System ablation procedure, including but not limited to:
o Acute procedural success
o Total procedure time
o Left Atrial (LA) dwell time
o Total Fluoroscopy time
o Total PulseSelect™ PFA System ablation time
o Number and location of applications
2. Estimate change in quality of life (QoL) through 36 months.
3. Estimate the freedom from symptomatic AF/AFL/AT recurrence through 36 months.
4. Characterize all reported AEs through 36 months.
5. Estimate the rate of procedure-related mortality of the AF ablation procedure using the PulseSelect™ PFA system.
6. Estimate the rate of early mortality after ablation using the PulseSelect™ PFA system through 3 months post-procedure.
7. Estimate the rate of cardiac arrest that occurs during or after the AF ablation procedure (index or repeat) using the PulseSelect™ PFA system
through 12 months post-procedure.
8. Estimate the rate of new left ventricular wall motion abnormality seen on echocardiogram at 12 months post-ablation.
9. Estimate the rate of all serious device or serious procedure related adverse events for catheter ablation using the PulseSelect™ PFA System
through 12 months post-procedure.
10. Estimate the freedom from AF/AFL/AT recurrence post-90-day blanking period through 12 months post-ablation using the PulseSelect™
PFA System.
11. Estimate the freedom from AF/AFL/AT recurrence post-90-day blanking period through 12, 24, and 36 months post-ablation using the
PulseSelect™ PFA System for subjects off all Class I/III AADs.
Follow-up Visits and Length of Follow-up 3-, 6-, 12-, 24-, 36-months


PULSED AF Post Approval Study Reporting Schedule

Reporting Schedule
Report
Date Due
FDA Receipt
Date
Applicant's Reporting Status
6 month report 06/12/2024 07/11/2024 Overdue/Received
1 year report 12/12/2024    
18 month report 06/12/2025    
2 year report 12/12/2025    
3 year report 12/12/2026    
4 year report 12/12/2027    
5 year report 12/11/2028    


Contact Us

Mandated Studies Program
Food and Drug Administration
10903 New Hampshire Ave.
Silver Spring, MD 20993-0002
Email: MandatedStudiesPrograms@fda.hhs.gov

Additional Resources

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