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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SHOCKWAVE MEDICAL, INC. SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 AERO CORONARY IVL CATHETER

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SHOCKWAVE MEDICAL, INC. SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 AERO CORONARY IVL CATHETER Back to Search Results
Model Number C2AIVL3512
Medical Device Problem Code Failure to Deflate (4060)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 02/06/2026
Type of Reportable Event Malfunction
Event or Problem Description
A shockwave c2 aero coronary intravascular lithotripsy (ivl) catheter was used during a procedure to treat an unknown lesion.It is unknown if the device was prepped successfully, if any pulses were delivered, or if the shockwave procedure was successfully completed.It was reported that the ivl balloon failed to deflate, and it was addressed by applying repeated negative pressure.The ivl balloon did not require puncture.The length of time that the ivl balloon could not be deflated is unknown.It is unknown if there was any patient sequelae.
 
Additional Manufacturer Narrative
The subject device was returned for investigation and inspected.The reported failure of unable to deflate was confirmed.Based on the investigation observations, not being able to deflate the balloon can be attributed to a loose component on the catheter, attributed to manufacturing.Shockwave medical has controls in place to ensure devices are built to approved procedures and meet lot release acceptance criteria prior to being distributed.A review of the manufacturing and test documentation for subject lot does not reveal any issues with the manufacturing of the device.The device passed all of shockwave medical, inc.Acceptance criteria prior to shipping.
 
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Brand Name
SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 AERO CORONARY IVL CATHETER
Common Device Name
SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 AERO CORONARY IVL CATHETER
Manufacturer (Section D)
SHOCKWAVE MEDICAL, INC.
5403 betsy ross drive
santa clara CA 95054
Manufacturer (Section G)
SHOCKWAVE MEDICAL, INC.
5403 betsy ross drive
santa clara CA 95054
Manufacturer Contact
alexis weil
5403 betsy ross drive
santa clara, CA 95054
MDR Report Key24573213
Report Number3015053858-2026-00024
Device Sequence Number9560955
Product Code QMG
UDI-Device Identifier00195451000614
UDI-Public(01)00195451000614(17)270831(10)01A250812A
Combination Product (Y/N)N
Initial Reporter StatePA
Initial Reporter CountryUS
PMA/510(K) Number
P200039/S015
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 03/11/2026
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 Model NumberC2AIVL3512
Device Catalogue NumberC2AIVL3512
Device Lot Number01A250812A
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/23/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/17/2026
Initial Report FDA Received Date03/11/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/12/2025
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
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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