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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 09/12/2024
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
It was reported that a aristotle colossus guidewire malfunctioned during a procedure and there was no difficulty advancing or removing the unwound colossus.After the guidewire was removed the distal tip was noted to be fractured and hanging by a thread.No harm was done 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 Key24319416
Report Number3009546466-2026-00028
Device Sequence Number21413602
Product Code MOF
UDI-Device Identifier00818075010691
UDI-Public00818075010691
Combination Product (Y/N)N
Initial Reporter StateMO
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 Date05/31/2025
Device Model Number01322
Device Catalogue NumberACL-200-002
Device Lot Number027498
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer09/26/2024
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/12/2024
Initial Report FDA Received Date02/11/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured05/02/2024
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
PENUMBRA RED 62 CATHETER
Patient SexUnknown
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