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Approach G50788Recalls & reported problems

Cook Incorporated · Approach, CTO-18 Micro Wire Guide · Class 2

2 open recalls name this device. See the recall details and contact the manufacturer or your healthcare provider.

Adverse event reports
1
Deaths reported
0
Injuries reported
1
Recalls naming it
2

Summary

The FDA's MAUDE database contains 1 adverse event report that list this exact device (DI 00827002507883), received between Jan 17, 2025 and Jan 17, 2025 — classified as 1 injury.

The most frequently reported specific device problem is “Break” (1 report).

2 FDA recall records name this device's identifier, 2 still open.

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. How this data works · Data updated Oct 13, 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: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 0 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 1 reportsFeb 2025: 0 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 reports2024202520261
Last 36 months. The most recent month may be incomplete.

Recalls naming this device

  1. Mar 5, 2026Open, Classified

    Products from the affected device lots were labeled with expiration dates that exceed the true shelf life.

    Z-1777-2026 · Root cause: Incorrect or no expiration date · FDA record ↗

  2. Oct 8, 2024Open, Classified

    Affected device lots have labels that state the incorrect expiration dates.

    Z-0346-2025 · Root cause: Labeling Change Control · FDA record ↗

Most reported problems

Device problems

  • Break1
  • Flaked1

Patient problems

  • Foreign Body In Patient1

Recent adverse event reports

The 1 most recent of 1 reports, in the reporter's own words as published by the FDA.

  • InjuryJan 17, 2025Break; Flaked; Break; Flaked

    AS REPORTED, DURING A BELOW-THE-KNEE ANGIOPLASTY PROCEDURE INVOLVING THE RIGHT POSTERIOR TIBIAL ARTERY (PTA), THE TIP OF AN APPROACH TO MICROWIRE WIRE GUIDE SEPARATED UPON REMOVAL OF THE DEVICE. ANTEGRADE ACCESS WAS OBTAINED IN THE RIGHT COMMON FEMORAL ARTERY WITH AN UNKNOWN 4-FRENCH, 11-CENTIMETER SHEATH TO TARGET THE POSTERIOR TIBIAL ARTERY. A DIAGNOSTIC ANGIOGRAM WAS PERFORMED DURING THE PROCEDURE, AS WELL AS ANGIOPLASTY OF THE ANTERIOR TIBIAL ARTERY. THE POSTERIOR TIBIAL ARTERY WAS OCCLUDED AND SEVERELY CALCIFIED, WITHOUT SIGNIFICANT TORTUOSITY. THE WIRE WAS NOT ALTERED PRIOR TO USE. RESISTANCE WAS NOT ENCOUNTERED WHEN THE WIRE WAS INSERTED INTO ANOTHER MANUFACTURER¿S CATHETER; HOWEVER, RESISTANCE WAS REPORTEDLY ENCOUNTERED ¿DURING WIRE DRILLING¿ INTO THE CALCIFIED SEGMENT OF THE VESSEL. THE WIRE BECAME STUCK IN THE CATHETER, WITHIN THE OCCLUDED PTA SEGMENT. THE TIP OF THE WIRE SEPARATED AND UNRAVELED AND REMAINS IN THE OCCLUDED SEGMENT OF THE MID- POSTERIOR TIBIAL ARTERY. THE WIRE WAS NOT PULLED OR MANIPULATED BACKWARDS THROUGH A NEEDLE OR OTHER METAL INSTRUMENT DURING THE PROCEDURE. REPORTEDLY, THE CUSTOMER DOES NOT SUSPECT A MALFUNCTION OF THE WIRE, AS IT BROKE OFF DUE TO A

    Patient problems: Foreign Body In Patient

    MAUDE report 21183972 ↗

Other Catheter for crossing total occlusions devices

All Catheter for crossing total occlusions devices →

Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.