WAVELINQ 4FR P
Received Apr 28, 2026 · Event occurred Apr 3, 2026
Report 9616666-2026-00097 · MDR key 25014050
Device
Generic name
Endovascular Arteriovenous Fistula Device
Manufacturer
Clearstream Technologies Ltd.Catalog number
WQ4300
Lot number
CMJZ0175
Product problems
- Adverse Event Without Identified Device or Use Problem
Patient
52 YR · Male
- Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
Narrative
Description of Event or Problem
IT WAS REPORTED THROUGH THE RESULTS OF A CLINICAL TRIAL (B)(4) THAT THREE MONTHS POST AN ENDOVASCULAR ARTERIOVENOUS FISTULA CREATION USING THE WAVELINQ 4FR P, THE ENDOVASCULAR ARTERIOVENOUS FISTULA WAS ALLEGEDLY FOUND TO BE NOT MATURED WITHIN THREE MONTHS OF INDEX PROCEDURE, BY PHYSICAL ASSESSMENT. THE CURRENT STATUS OF THE PATIENT WAS UNKNOWN.
Additional Manufacturer Narrative
H11: AS THE LOT NUMBER FOR THE DEVICE WAS PROVIDED, A REVIEW OF THE DEVICE HISTORY RECORDS WAS PERFORMED. THE SAMPLE WAS NOT RETURNED TO THE MANUFACTURER FOR INSPECTION/EVALUATION. THEREFORE, THE INVESTIGATION OF THE REPORTED EVENT IS INCONCLUSIVE. BASED UPON THE AVAILABLE INFORMATION, THE DEFINITIVE ROOT CAUSE FOR THIS EVENT IS UNKNOWN. THE INSTRUCTIONS FOR USE (IFU) IS ADEQUATE FOR THE REPORTED DEVICE/PATIENT CODE(S) AND PROVIDES GENERAL INSTRUCTIONS FOR USE, AS WELL AS WARNINGS, PRECAUTIONS AND POTENTIAL COMPLICATIONS ASSOCIATED WITH THE DEVICE. UPON RECEIPT OF NEW OR ADDITIONAL INFORMATION, A FOLLOW-UP REPORT WILL BE SUBMITTED AS APPLICABLE. SECTION A THROUGH F: THE INFORMATION PROVIDED BY BD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BD.