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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 00897
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/16/2023
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 the physician was putting the wire in and felt friction.The physician noticed the distal end of the wire was starting to unravel and subsequently removed the guidewire and replaced it with another device.The procedure was completed with no issue and no harm to the patient.
 
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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 Key24309563
Report Number3009546466-2026-00002
Device Sequence Number5240038
Product Code MOF
UDI-Device Identifier00818075010134
UDI-Public00818075010134
Combination Product (Y/N)N
Initial Reporter StateAL
Initial Reporter CountryUS
PMA/510(K) Number
K231954
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 02/03/2026
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 Date09/30/2025
Device Model Number00897
Device Catalogue NumberA24-200-002
Device Lot Number502977
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/13/2023
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/03/2023
Initial Report FDA Received Date02/10/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/13/2022
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
Patient SexUnknown
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