FDA Adverse Event
Malfunction
Summary report: N
MOTION HYBRID WIRE GUIDE
MDR report key: 23390185
·
Received October 27, 2025
Report
- Report Number
- 23390185
- Event Type
- Malfunction
- Date Received
- October 27, 2025
- Date of Event
- September 18, 2025
- Report Date
- October 2, 2025
- Manufacturer
- HERAEUS MEDICAL COMPONENTS LLC
- Product Code
- EZB
- UDI-DI
- 00827002448469
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- AZ
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
GUIDEWIRE BROKE WHILE INSIDE PATIENT WHEN USING LASER. SURGEON REMOVED THE BROKEN PIECES. POTENTIAL ISSUE WITH LASER HITTING GUIDEWIRE CAUSING BREAKAGE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2733957 | MOTION HYBRID WIRE GUIDE | STYLET FOR CATHETER, GASTRO-UROLOGY | EZB | HERAEUS MEDICAL COMPONENTS LLC | MHW-035150 | 9019157405 | 00827002448469 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR | Male |