| Catalog Number |
F3001 |
| Medical Device Problem Code |
Material Deformation (2976)
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| Health Effect - Clinical Code |
Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available (4581)
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| Date of Event |
07/28/2026
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Type of Reportable Event
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Death
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Event or Problem Description
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F3001: during the procedure, immediately after valvuloplasty, the savvywire was noted to be kinked.The procedure continued; however, following valve deployment, the patient's aortic pressure did not increase.A perforation of the ventricular wall was subsequently identified.Despite the measures taken, the patient died.
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Additional Manufacturer Narrative
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The savvywire used in the procedure has not been returned at the time of this report.If the sample has been received and evaluated, a supplemental report will be submitted.Check of the device history records (dhr) of guidewire lot number osw-0421 showed that it was released per specifications.No other complaint was received against this lot.Without inspecting the wire, a visual inspection could not be conducted, therefore no definitive root cause can be established.If there is any further relevant information, a follow-up report will be
submitted to the fda.While we cannot confirm that an excessive handling was performed, many warnings and precautions must be considered and are well identified in the ifu.As stated in the instruction for use of the savvywire (lbl-2015-03-v10_en osw ifu_f3001-f3002) under precautions:
1.Confirm the compatibility of the guidewire diameter with the interventional device before actual use.2.Inspect the savvywire for bends, kinks or other damage prior to use.3.Avoid abrasion of the savvywire orange ptfe sleeve.Do not withdraw or manipulate the orange sleeve in a metal cannula or sharp-edged object.4.Never advance, pull or torque a savvywire against resistance without first determining the reason for the resistance under fluoroscopy.Excessive force against resistance may result in damage to the wire and/or to the anatomy.
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Search Alerts/Recalls
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