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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SCIENTIA VASCULAR ARISTOTLE; GUIDEWIRE

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SCIENTIA VASCULAR ARISTOTLE; GUIDEWIRE Back to Search Results
Model Number 01322
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/25/2023
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
From the review of the manufacturing lot history record, there is no indication that the break occurred due to a manufacturing defect, and it confirms the lot met the releasing criteria.
 
Event or Problem Description
During a neurovascular procedure it was reported that the nitinol hypotube of an aristotle colossus guidewire may have kinked during the stroke procedure and became stretched.It was noted the wire was used with many different catheter throughout the procedure.There was no patient injury as a result of the malfunction.
 
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Brand Name
ARISTOTLE
Common Device Name
GUIDEWIRE
Manufacturer (Section D)
SCIENTIA VASCULAR
2460 south 3270 west
west valley city UT 84119
Manufacturer (Section G)
SCIENTIA VASCULAR
2460 south 3270 west
west valley city UT 84119
Manufacturer Contact
joshua verlac
2460 south 3270 west
west valley city, UT 84119
MDR Report Key24309562
Report Number3009546466-2026-00024
Device Sequence Number5240037
Product Code MOF
UDI-Device Identifier00818075010691
UDI-Public00818075010691
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
PMA/510(K) Number
K222437
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 02/04/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Expiration Date03/31/2024
Device Model Number01322
Device Catalogue NumberACL-200-002
Device Lot Number021656
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer06/06/2023
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/25/2023
Initial Report FDA Received Date02/10/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured03/27/2023
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
IMPERATIVE CARE ZOOM 35 CATHETER; MEDTRONIC RIST 7F RADIAL ACCESS SYSTEM; PENUMBRA 5F SELECT CATHETER; PENUMBRA RED 62 CATHETER; Q'APEL MEDICAL ARMADILLO RADIAL SHEATH; STRYKER AXS VECTA 46 CATHETER
Patient SexUnknown
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