inforMED
MalfunctionNFA

FILTERWIRE EZ?

Received Jul 7, 2026 · Event occurred Jun 11, 2026

Report 2124215-2026-36344 · MDR key 25738412

Device

Generic name

Temporary Coronary Saphenous Vein Bypass Graft For Embolic Protection

Model number

H749201001900

Catalog number

H749201001900

Lot number

0035419796

Product problems

  • Material Split, Cut or Torn

Patient

71 YR · Male

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

E1: INITIAL REPORTER ADDRESS 1: (B)(6). E1: INITIAL REPORTER PHONE: (B)(6).

Description of Event or Problem

IT WAS REPORTED THAT FILTERWIRE RUPTURE OCCURRED. THE TARGET LESION WAS LOCATED IN THE CAROTID ARTERY. A 190 CM FILTERWIRE EZ WAS SELECTED FOR USE. DURING PREPARATION, THE PACKAGE WAS UNPACKED AND IT WAS NOTED THAT THE BOTTOM OF THE FILTERWIRE WAS RUPTURED. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.