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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 00917
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/29/2023
Type of Reportable Event Malfunction
Event or Problem Description
During a neurovascular procedure an aristotle 18 guidewire was used in stroke case with what was said to be a very difficult case due to the anatomical presentation.The guidewire broke during the procedure.It was noted the system may have kinked and could be a contributing factor to the break.No injury to the patient was reported as a result of the device 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.
 
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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 Key24309619
Report Number3009546466-2026-00018
Device Sequence Number9679416
Product Code MOF
UDI-Device Identifier00818075010097
UDI-Public00818075010097
Combination Product (Y/N)N
Initial Reporter StateOH
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,Company Representative
Initial Reporter Occupation Other Health Care Professional
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 Date02/28/2026
Device Model Number00917
Device Catalogue NumberA18-200-001
Device Lot Number021311
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer11/30/2023
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/24/2023
Initial Report FDA Received Date02/10/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/23/2023
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
Patient SexUnknown
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