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Shockwave IVL System with the Shockwave M5+ Peripheral IVL Catheter M5PIVL6560Recalls & reported problems

Shockwave Medical, Inc. · The Shockwave M5+ Intravascular Lithotripsy (IVL) Catheter consists of an array of miniaturized lithotripsy emitters, located inside a balloon, that generate acoustic pressure waves within the target treatment site, disrupting calcium within the lesion and allowing subsequent dilation of a peripheral artery stenosis using low balloon pressure. Two radiopaque marker bands inside the balloon aid in positioning. The proximal hub has three ports: one for inflation/deflation of the balloon with 50/50 saline/contrast medium, one for the ‘Over-the-wire’ (OTW) guidewire lumen, and one for connection to the IVL Connector Cable (and IVL Generator). · Class 2

Data updated Oct 18, 2026 from official FDA records · Editorial policy

Adverse event reports
3
Deaths reported
0
Injuries reported
2
Recalls naming it
0

Summary

The FDA's MAUDE database contains 3 adverse event reports that list this exact device (DI 00195451000263), received between Jul 24, 2024 and Feb 21, 2025 — classified as 2 injuries, 1 malfunction.

The most frequently reported specific device problem is “Difficult to Advance” (2 reports).

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 0 reportsFeb 2024: 0 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 0 reportsJul 2024: 2 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 0 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 0 reportsFeb 2025: 1 reportsMar 2025: 0 reportsApr 2025: 0 reportsMay 2025: 0 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 0 reportsSep 2025: 0 reportsOct 2025: 0 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 0 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520262
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Difficult to Advance2
  • Detachment of Device or Device Component1
  • Difficult to Remove1

Patient problems

  • Vascular Dissection2
  • No Clinical Signs, Symptoms or Conditions1

Recent adverse event reports

The 3 most recent of 3 reports, in the reporter's own words as published by the FDA.

  • MalfunctionFeb 21, 2025Detachment of Device or Device Component; Detachment of Device or Device Component

    A SHOCKWAVE M5+ PERIPHERAL INTRAVASCULAR LITHOTRIPSY (IVL) CATHETER WAS USED TO TREAT A LESION IN THE SUPERFICIAL FEMORAL (SFA)/POPLITEAL ARTERY. DURING THE PROCEDURE, THE CATHETER TIP AND BALLOON DETACHED WHILE THE PHYSICIAN WAS REMOVING THE DEVICE FROM THE PATIENT'S BODY. THERE WAS NO INDICATION OF EXCESSIVE FORCE DURING THE REMOVAL OR MANIPULATION OF THE DEVICE. THE BALLOON HAD RUPTURED WHILE PULSING PRIOR TO THE REMOVAL ATTEMPT AND WAS FULLY DEFLATED AT THE TIME OF DETACHMENT. THE DETACHED FRAGMENT REMAINED WITHIN THE SUBINTIMAL SPACE AND COULD NOT BE RETRIEVED. A VIABAHN STENT WAS USED TO COVER THE DETACHED COMPONENT. THE DEVICE DID NOT PASS THROUGH ANY EXISTING STENTS IN THE VESSEL BEFORE TREATMENT WITH THE SHOCKWAVE DEVICE. THE PHYSICIAN'S PERSPECTIVE ON THE CAUSE OF THE EVENT IS UNKNOWN. THE PATIENT, A MALE, HAD UNKNOWN DEMOGRAPHICS AND MEDICAL CONDITION BUT WAS REPORTED TO BE DOING WELL AFTER THE PROCEDURE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21439181 ↗
  • InjuryJul 24, 2024Difficult to Remove; Difficult to Advance; Difficult to Remove; Difficult to Advance

    A SHOCKWAVE M5+ PERIPHERAL INTRAVASCULAR LITHOTRIPSY (IVL) CATHETER WAS USED TO TREAT LESIONS IN THE SUPERFICIAL FEMORAL ARTERY (SFA) AND COMMON FEMORAL ARTERY (CFA). THE PHYSICIAN WAS UNABLE TO PASS THE CATHETER TO TREAT THE INTENDED LESION. 300 PULSES WERE DELIVERED IN THE CFA TO HELP WITH ADVANCEMENT. A SECOND M5+ IVL CATHETER WAS ATTEMPTED TO BE USED BUT FAILED TO ADVANCE TO THE INTENDED LESION, KINKING THE GUIDEWIRE IN THE PROCESS. THE PHYSICIAN ENCOUNTERED DIFFICULTIES IN REMOVING THE IVL CATHETER AND CUT THE IVL CATHETER MULTIPLE TIMES TO REMOVE FROM THE PATIENT. A LENGTH IN PROCEDURE TIME WAS NOTED. IT WAS REPORTED THAT THE FILTER WIRE CAUSED A DISSECTION IN THE POPLITEAL AREA. IT IS NOT KNOWN HOW THE DISSECTION WAS TREATED. THE CURRENT PATIENT STATUS IS UNKNOWN AND MULTIPLE ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL INFORMATION. THIS REPORT IS FOR THE SECOND IVL CATHETER USED IN THE PROCEDURE. REFER TO MDR# 3015053858-2024-00076 FOR THE FIRST CATHETER.

    Patient problems: Vascular Dissection

    MAUDE report 19822979 ↗
  • InjuryJul 24, 2024Difficult to Advance; Difficult to Advance

    A SHOCKWAVE M5+ PERIPHERAL INTRAVASCULAR LITHOTRIPSY (IVL) CATHETER WAS USED TO TREAT LESIONS IN THE SUPERFICIAL FEMORAL ARTERY (SFA) AND COMMON FEMORAL ARTERY (CFA). THE PHYSICIAN WAS UNABLE TO PASS THE CATHETER TO TREAT THE INTENDED LESION. 300 PULSES WERE DELIVERED IN THE CFA TO HELP WITH ADVANCEMENT. A SECOND M5+ IVL CATHETER WAS ATTEMPTED TO BE USED BUT FAILED TO ADVANCE TO THE INTENDED LESION, KINKING THE GUIDEWIRE IN THE PROCESS. THE PHYSICIAN ENCOUNTERED DIFFICULTIES IN REMOVING THE IVL CATHETER AND CUT THE IVL CATHETER MULTIPLE TIMES TO REMOVE FROM THE PATIENT. A LENGTH IN PROCEDURE TIME WAS NOTED. IT WAS REPORTED THAT THE FILTER WIRE CAUSED A DISSECTION IN THE POPLITEAL AREA. IT IS NOT KNOWN HOW THE DISSECTION WAS TREATED. THE CURRENT PATIENT STATUS IS UNKNOWN AND MULTIPLE ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL INFORMATION. THIS REPORT IS FOR THE FIRST IVL CATHETER USED IN THE PROCEDURE. REFER TO MDR# 3015053858-2024-00077 FOR THE SECOND CATHETER.

    Patient problems: Vascular Dissection

    MAUDE report 19822977 ↗

Other Cardiovascular Procedure Kit devices

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Sources and updates

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