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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MICROVENTION, INC. HEADWAY-DUO 16; CATHETER, INTRAVASCULAR, DIAGNOSTIC

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MICROVENTION, INC. HEADWAY-DUO 16; CATHETER, INTRAVASCULAR, DIAGNOSTIC Back to Search Results
Model Number MC162156S-AL
Medical Device Problem Code Material Protrusion/Extrusion (2979)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/17/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The investigation found that an in-house guidewire encountered resistance when attempting to advance into the proximal end of the lumen of the returned headway microcatheter during functional testing, which is consistent with the advancement issue described in the reported event.The lumen of the microcatheter was found with the lumen braid exposed and protruding into the lumen, which would have resulted in the resistance encountered.The physical evaluation of the device could not identify the exact conditions or circumstances that led to the exposed braid, but this condition is consistent with a deviation in the manufacturing process.
 
Event or Problem Description
It was reported were unable to advance a wire through it.Opened up another hwduo to complete the case.When the device was received for evaluation, the investigation findings found an exposed lumen coil protruding into the lumen.
 
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Brand Name
HEADWAY-DUO 16
Common Device Name
CATHETER, INTRAVASCULAR, DIAGNOSTIC
Manufacturer (Section D)
MICROVENTION, INC.
35 enterprise
aliso viejo CA 92656
Manufacturer Contact
terrence callahan
35 enterprise
aliso viejo, CA 92656
7142478000
MDR Report Key24623798
Report Number2032493-2026-00171
Device Sequence Number15720197
Product Code DQO
UDI-Device Identifier00842429117408
UDI-Public(01)00842429117408(11)241206(17)271130(10)0000808727
Combination Product (Y/N)N
Initial Reporter StateMN
Initial Reporter CountryUS
PMA/510(K) Number
K120917
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 Other Health Care Professional
Type of Report Initial
Report Date (Section B) 03/17/2026
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 NumberMC162156S-AL
Device Lot Number0000808727
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/16/2025
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/20/2026
Initial Report FDA Received Date03/17/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured12/06/2024
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
Patient SexUnknown
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