FATHOM™ -16 M001509100Recalls & reported problems
Boston Scientific Corporation · Steerable Guidewire · Class 2
Quick summary
This Boston Scientific Fathom steerable guidewire is a thin wire used to guide catheters through blood vessels. Its 105 reports mostly describe the wire breaking, shearing or detaching inside patients, sometimes leaving fragments in the liver or blood vessels. Reports describe 1 death and 27 injuries. No recalls name this device. Reports fell to 11 in the last 12 months from 28 in the previous 12 months.
AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.
- Adverse event reports
- 105
- Deaths reported
- 1
- Injuries reported
- 27
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 105 adverse event reports that list this exact device (DI 08714729762553), received between Sep 14, 2018 and Jul 14, 2026 — classified as 1 death, 27 injuries, 77 malfunctions.
The most frequently reported specific device problem is “Detachment of Device or Device Component” (51 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. How this data works · Data updated Oct 13, 2026.
Reports received per month
Most reported problems
Device problems
- Detachment of Device or Device Component51
- Fracture31
- Adverse Event Without Identified Device or Use Problem15
- Material Integrity Problem11
- Difficult to Advance8
- Unraveled Material6
- Material Deformation5
- Difficult to Remove4
Patient problems
- No Clinical Signs, Symptoms or Conditions69
- Foreign Body In Patient16
- No Consequences Or Impact To Patient12
- No Known Impact Or Consequence To Patient6
- Device Embedded In Tissue or Plaque1
- Hematoma1
- No Patient Involvement1
- Perforation of Vessels1
Recent adverse event reports
The 25 most recent of 105 reports, in the reporter's own words as published by the FDA.
MalfunctionJul 14, 2026Detachment of Device or Device Component
IT WAS REPORTED THAT THE GUIDEWIRE FRACTURED OCCURRED. A 180X25CM FATHOM -16 GUIDEWIRE WAS SELECTED FOR USE. DURING AN ANGIOGRAPHY PROCEDURE, A GUIDEWIRE WAS INTRODUCED INTO A MICROCATHETER. WHILE THE GUIDEWIRE WAS BEING ADVANCED THROUGH THE MICROCATHETER, SEPARATION OF THE GUIDEWIRE TIP WAS OBSERVED UNDER FLUOROSCOPY. NO RESISTANCE OR ENTRAPMENT WAS ENCOUNTERED PRIOR TO THE FRACTURE. THE GUIDEWIRE WAS REMOVED, HOWEVER, APPROXIMATELY HALF OF THE DETACHED TIP REMAINED WITHIN THE MICROCATHETER. THE DETACHED TIP WAS SUCCESSFULLY REMOVED FROM THE MICROCATHETER USING NEGATIVE PRESSURE WITH A 5 CC SYRINGE. A NEW FATHOM 16 GUIDEWIRE WAS THEN USED TO COMPLETE THE PROCEDURE. NO PATIENT COMPLICATIONS WERE REPORTED, AND THE PATIENT FULLY RECOVERED AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25820977 ↗MalfunctionMar 10, 2026Detachment of Device or Device Component
IT WAS REPORTED VIA ATTACHED VOLUNTARY MEDWATCH REPORT # (B)(4) THAT TIP DETACHMENT OCCURRED. A 180X25CM GW FATHOM PERIPH WAS SELECTED FOR USE. DURING THE PROCEDURE, IT WAS NOTED THAT THE GUIDEWIRE SHEARED OFF INSIDE THE PATIENT'S HEPATIC ARTERY. THE WIRE END PORTION WAS LEFT INSIDE OF PATIENT. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: Foreign Body In Patient
MAUDE report 24562915 ↗MalfunctionFeb 17, 2026Fracture
IT WAS REPORTED VIA ATTACHED VOLUNTARY MEDWATCH REPORT #0504240000-2025-8016 THAT GUIDEWIRE FRACTURE OCCURRED, RESULTING IN AN UNRETRIEVED DEVICE FRAGMENT. THE TARGET LESION WAS LOCATED IN THE HEPATIC PARENCHYMA. A 180X25CM FATHOM? -16 GUIDEWIRE WAS SELECTED FOR USE. DURING THE TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT (TIPS) PROCEDURE, A SHORT SEGMENT OF THE THE GUIDEWIRE SHEARED OFF, AND APPEARED EMBEDDED IN THE PARENCHYMA, ADJACENT TO THE INTRAHEPATIC PORTAL VEIN. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT, AND THE PATIENT WAS STABLE FOLLOWING THE PROCEDURE.
Patient problems: Foreign Body In Patient
MAUDE report 24370078 ↗MalfunctionJan 20, 2026
DURING A TIPS [TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT] PROCEDURE, A SHORT SEGMENT OF A 0.16 FATHOM MICROWIRE SHEARED OFF AND WAS RETAINED WITHIN THE HEPATIC PARENCHYMA. THIS WIRE FRAGMENT SHEARED FROM A 0.18" GUIDEWIRE AND APPEARED TO BE EMBEDDED IN THE LIVER PARENCHYMA ADJACENT TO THE INTRAHEPATIC PORTAL VEIN. PATIENT STABLE FOLLOWING PROCEDURE.
Patient problems: Foreign Body In Patient
MAUDE report 24115655 ↗MalfunctionJan 15, 2026Deformation Due to Compressive Stress; Adverse Event Without Identified Device or Use Problem
REPORTABLE BASED ON DEVICE ANALYSIS COMPLETED ON 18DEC2025. IT WAS REPORTED THAT KINK OCCURRED. THE NON-STENOSED TARGET LESION WAS LOCATED IN THE MODERATELY TORTUOUS AND NON-CALCIFIED VESSEL. A 180X25CM FATHOM -16 GUIDEWIRE WAS SELECTED FOR USE. DURING THE PROCEDURE, THERE WAS A BREAK AND A KINK NOTED 15CM IN THE DISTAL END OF THE GUIDEWIRE. THE DEVICE WAS REMOVED FROM THE PATIENT INTACT, AND THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT. HOWEVER, DEVICE ANALYSIS REVEALED THE COATING IS PEELED AND BROKEN.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24081674 ↗MalfunctionJan 12, 2026Unraveled Material; Adverse Event Without Identified Device or Use Problem
REPORTABLE BASED ON DEVICE ANALYSIS COMPLETED ON 18DEC2025. IT WAS REPORTED THAT THE DISTAL END OF THE GUIDEWIRE APPEARED BROKEN. THE TARGET LESION WAS LOCATED IN THE LIVER. A 180X25CM FATHOM 16 WAS SELECTED FOR USE TO TREAT LIVER CANCER IN A Y-90 MAPPING PROCEDURE. DURING THE PROCEDURE, THE DISTAL END OF THE GUIDEWIRE APPEARED BROKEN BUT REMAINED INTACT. THE GUIDEWIRE WAS PULLED OUT OF THE PATIENT AND THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT. HOWEVER, DEVICE ANALYSIS REVEALED A DETACHED DISTAL TIP.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24039229 ↗MalfunctionDec 15, 2025Deformation Due to Compressive Stress; Adverse Event Without Identified Device or Use Problem; Deformation Due to Compressive Stress; Adverse Event Without Identified Device or Use Problem
REPORTABLE BASED ON DEVICE ANALYSIS COMPLETED ON 11NOV2025. IT WAS REPORTED THAT WIRE WAS BENT. A 180X25CM FATHOM? 16 WAS SELECTED FOR USED. DURING UNPACKING, IT WAS NOTED THAT THE WIRE WAS BENT. THERE WERE NO COMPLICATION AS THE RESULT OF THIS EVENT. HOWEVER, DEVICE ANALYSIS REVEALED THAT THE POLYTETRAFLUOROETHYLENE (PTFE) COATING AT THE PROXIMAL SECTION WAS PEELED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23810178 ↗MalfunctionDec 9, 2025Fracture; Adverse Event Without Identified Device or Use Problem; Fracture; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT GUIDEWIRE FRACTURE OCCURRED. A 180 X 25 CM FATHOM-16 GUIDEWIRE WAS SELECTED FOR USE. DURING THE PROCEDURE, THE WIRE WAS BROKEN. THE DEVICE WAS REMOVED, AND THE PROCEDURE WAS COMPLETED USING A DIFFERENT DEVICE. NO PATIENT COMPLICATIONS WERE REPORTED AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23761449 ↗MalfunctionNov 13, 2025Detachment of Device or Device Component; Adverse Event Without Identified Device or Use Problem; Detachment of Device or Device Component; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT GUIDEWIRE TIP DETACHMENT OCCURRED. A 180 CM X 25 CM FATHOM?: 16 WAS SELECTED FOR A PROCEDURE. DURING THE PROCEDURE, HOWEVER, THE TIP OF THE GUIDEWIRE DETACHED INSIDE THE PATIENT. AFTER RETRIEVING THE TIP, ANOTHER GUIDEWIRE HAD TO BE USED. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23542435 ↗MalfunctionNov 10, 2025Detachment of Device or Device Component; Detachment of Device or Device Component
IT WAS REPORTED A DEVICE COMPONENT DETACHED INSIDE OF THE PATIENT. A FATHOM 16 .016 PERPH GW 180X25CM GUIDEWIRE WAS SELECTED FOR A TRANSARTERIAL RADIOEMBOLIZATION (TARE) PROCEDURE. DURING THE PROCEDURE, THE DISTAL TIP OF THE FATHOM 16 .016 PERPH GW 180X25CM GUIDEWIRE DETACHED INSIDE OF THE PATIENT. THE DETACHED COMPONENT WAS REMOVED THROUGH A CATHETER. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23513470 ↗InjuryNov 6, 2025Fracture; Detachment of Device or Device Component; Fracture; Detachment of Device or Device Component
IT WAS REPORTED THAT GUIDEWIRE FRACTURE OCCURRED REQUIRING ADDITIONAL INTERVENTION. DURING A TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION (TACE) PROCEDURE INVOLVING THE LIVER, A 180 CM X 25 CM FATHOM-16 GUIDEWIRE WAS USED FOR SUPER-SELECTION. THE TARGET VESSEL EXHIBITED MODERATE TORTUOSITY AND NO CALCIFICATION. DURING USE, THE GUIDEWIRE FRACTURED WITHIN THE BLOOD VESSEL, SEPARATING INTO TWO PIECES. THE PHYSICIAN SUCCESSFULLY RETRIEVED THE FRACTURED SEGMENT USING A CATCHER DEVICE. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF SAME DEVICE. THE PATIENT REMAINED STABLE FOLLOWING THE PROCEDURE, WITH NO REPORTED COMPLICATIONS OR INJURY.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23486852 ↗MalfunctionOct 15, 2025Entrapment of Device; Fracture; Material Deformation; Adverse Event Without Identified Device or Use Problem; Entrapment of Device; Fracture; Material Deformation; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT WIRE STUCK AND FRACTURED OCCURRED. A 16 .016 PERPH GW 180X25CM FATHOM WAS SELECTED FOR USE IN A PSEUDO ANEURYSM EMBOLIZATION. DURING THE PROCEDURE, THE WIRE DID NOT MAINTAIN ITS SHAPE AFTER MANUAL SHAPING. UPON INSERTION INTO THE MICROCATHETER, RESISTANCE WAS NOTED. WHEN THE FATHOM WIRE WAS SUBSEQUENTLY WITHDRAWN, IT INITIALLY APPEARED STUCK, THEN RELEASED ABRUPTLY AND FRACTURED. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23301257 ↗MalfunctionAug 15, 2025Difficult to Advance; Material Integrity Problem; Difficult to Advance; Material Integrity Problem
REPORTABLE BASED ON THE DEVICE ANALYSIS COMPLETED ON 22JUL2025. IT WAS REPORTED THAT TIP DAMAGE OCCURRED. THE STENOSED TARGET LESION WAS LOCATED IN THE LIVER. A 180X25CM FATHOM? -16 GUIDEWIRE WAS SELECTED FOR USE. DURING THE PROCEDURE, A SMALL PROTRUSION OR IRREGULARITY WAS NOTED AT THE END OF THE DEVICE, WHICH PREVENTED IT FROM PROPERLY ENGAGING WITH THE TRUSELECT. AS A RESULT, THE DEVICE COULD NOT BE LOADED INTO THE MICROCATHETER. THE PROCEDURE WAS COMPLETED USING WITH AN ALTERNATE METHOD. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT. HOWEVER, RETURNED DEVICE ANALYSIS REVEALED DETACHED AT DISTAL TIP.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22816837 ↗MalfunctionAug 1, 2025Unraveled Material; Adverse Event Without Identified Device or Use Problem; Unraveled Material; Adverse Event Without Identified Device or Use Problem
REPORTABLE BASED ON DEVICE ANALYSIS COMPLETED ON 08JUL2025. IT WAS REPORTED THAT THE WIRE WAS UNRAVELED. A 180X25CM FATHOM -16 GUIDEWIRE WAS SELECTED FOR USE. DURING THE COURSE OF THE PROCEDURE, IT WAS NOTED THAT THE WIRE STARTED TO UNRAVEL. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT. HOWEVER, DEVICE ANALYSIS REVEALED THAT THE POLYMER JACKER WAS PEELED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22686360 ↗MalfunctionJul 22, 2025Fracture; Stretched; Unraveled Material; Adverse Event Without Identified Device or Use Problem; Fracture; Stretched; Unraveled Material; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT SHAFT BREAK OCCURRED. A 180X25CM FATHOM -16 GUIDEWIRE WAS SELECTED FOR USE IN A RENAL EMBOLIZATION. DURING THE PROCEDURE, THE GUIDEWIRE FRACTURED IN ADDITION TO BEING STRETCHED AND UNRAVELED. THE PROCEDURE WAS COMPLETED USING AN ALTERNATE METHOD. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22568356 ↗MalfunctionJul 22, 2025Detachment of Device or Device Component; Detachment of Device or Device Component
IT WAS REPORTED THAT GUIDEWIRE BREAKAGE OCCURRED. A 180X25CM FATHOM? -16 GUIDEWIRE WAS SELECTED FOR USE. DURING THE PROCEDURE, THE WIRE WAS TORN APPROXIMATELY 5 TO 7 INCHES FROM THE TIP MIDWAY THROUGH THE CASE. THE PROCEDURE WAS COMPLETED USING WITH A DIFFERENT DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22565264 ↗InjuryJul 18, 2025Detachment of Device or Device Component; Detachment of Device or Device Component
IT WAS REPORTED A COMPONENT OF THE DEVICE DETACHED INSIDE OF THE PATIENT. A FATHOM 16 .016 PERPH GW 180X25CM WAS SELECTED FOR A LIVER EMBOLIZATION PROCEDURE TO TREAT THE TARGET LESION LOCATED IN THE LEFT HEPATIC ARTERY. THE LEFT LIVER WAS BEING TREATED WITH A CISPLATIN-LIPIODOL MIXTURE FOR THE SECOND TIME. THE LEFT HEPATIC ARTERY WAS BEING ACCESSED USING THE FATHOM 16 .016 PERPH GW 180X25CM. DURING THE PROCEDURE, THE DISTAL PART OF THE FATHOM 16 .016 PERPH GW 180X25CM DETACHED INSIDE OF THE PATIENT. THE PHYSICIAN WAS ABLE TO ASPIRATE THE DETACHED PART OF THE FATHOM 16 .016 PERPH GW 180X25CM INTO THE MICROCATHETER AND RETRIEVE THE FRAGMENT FROM THE PATIENT'S VESSEL. THE PROCEDURE WAS COMPLETED USING AN ALTERNATE METHOD WITH ANOTHER DEVICE OF A DIFFERENT MODEL. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22547351 ↗MalfunctionJun 23, 2025Detachment of Device or Device Component; Detachment of Device or Device Component
IT WAS REPORTED THAT DISTAL TIP DETACHMENT OCCURRED. A 180X25CM FATHOM 16 .016 PERPH GW WAS USED FOR PROCEDURE. DURING THE PROCEDURE, THE TIP OF THE GUIDEWIRE SEPARATED. THE DETACHED TIP WAS REMOVED BY WITHDRAWING THE BASE OF THE CATHETER, AND IT REMAINED INTACT WITHIN THE CATHETER BASE. THE TIP WAS ULTIMATELY RETRIEVED FROM THE PATIENT IN TWO PIECES. THE PROCEDURE WAS SUCCESSFULLY COMPLETED USING AN ALTERNATIVE DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22311072 ↗MalfunctionJun 16, 2025Detachment of Device or Device Component; Difficult to Advance; Adverse Event Without Identified Device or Use Problem; Detachment of Device or Device Component; Difficult to Advance; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT TIP DETACHMENT OCCURRED. THE PATIENT WAS PRESENTED WITH MELANOMA CANCER WITH METASTASIS TO THE LIVER. A 180X25CM FATHOM-16 GUIDEWIRE WAS SELECTED FOR USE TO GAIN ACCESS TO THE DISTAL LIVER WITH A NON-BOSTON SCIENTIFIC MICROCATHETER. UPON ADVANCING, THE INITIAL TREK OF THE WIRE WAS TORTUOUS, REQUIRING SIGNIFICANT TORQUING. HOWEVER, UPON TORQUING, THE TIP OF THE WIRE WAS NOT TORQUING ACCORDINGLY. THE WIRE WAS PULLED OUT AND THE DISTAL PIECE WAS MISSING. THE CATHETER WAS PULLED OUT WITH THE DISTAL PORTION STILL INTACT IN THE CATHETER. NEW CATHETER AND WIRE WERE USED TO COMPLETE THE PROCEDURE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT. THE ONLY NEGATIVE OUTCOME WAS THE LOSS OF ACCESS AND THE ADDITIONAL TIME ADDED TO THE CASE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22212037 ↗InjuryJun 9, 2025Detachment of Device or Device Component; Adverse Event Without Identified Device or Use Problem; Detachment of Device or Device Component; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE DISTAL TIP DETACHED. A FATHOM-16 GUIDEWIRE WAS SELECTED FOR USE. DURING THE PROCEDURE, THE GUIDEWIRE DETACHED ABOUT 5CM FROM THE DISTAL TIP. THE DETACHED TIP WAS REMOVED WITH A SNARE, AND A NEW FATHOM-16 GUIDEWIRE WAS USED TO COMPLETE THE PROCEDURE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THE EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22168039 ↗MalfunctionMay 14, 2025Detachment of Device or Device Component; Detachment of Device or Device Component
IT WAS REPORTED VIA MEDWATCH (B)(4)THAT DEVICE BROKE INSIDE THE CATHETER. A 180X25CM FATHOM? -16 GUIDEWIRE WAS SELECTED FOR IMAGE-GUIDED HEPATIC ANGIOGRAPHY AND MAPPING WITH TRANSCATHETER EMBOLIZATION. HOWEVER, IT WAS NOTED THAT THE GUIDEWIRE BROKE INSIDE THE CATHETER. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22020882 ↗MalfunctionMay 12, 2025Detachment of Device or Device Component; Adverse Event Without Identified Device or Use Problem; Detachment of Device or Device Component; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT DISTAL TIP DETACHMENT OCCURRED. THE TARGET LESION WAS LOCATED IN THE MILDLY TORTUOUS LEFT HEPATIC ARTERY. A RENEGADE HIFLO MICROCATHETER AND AN 180X25CM FATHOM-16 GUIDEWIRE WERE UTILIZED FOR A Y90 MAPPING ANGIOGRAM. A .038 NON-BOSTON SCIENTIFIC ANGIOGRAPHIC CATHETER WAS SELECTED INTO THE CELIAC ARTERY AND THE RENEGADE HIFLO MICROCATHETER AND FATHOM GUIDEWIRE WERE SELECTED INTO THE LEFT HEPATIC ARTERY. DURING RETRACTION OF THE GUIDEWIRE, IT WAS OBSERVED THAT THE TIP OF THE WIRE HAD SEPARATED AND WAS LODGED IN THE DISTAL END OF THE RENEGADE HIFLO MICROCATHETER. THE RENEGADE HIFLO MICROCATHETER WAS REMOVED, WITH THE DETACHED FATHOM-16 TIP STILL INSIDE. THE PROCEDURE WAS COMPLETED WITH A NEW FATHOM 16 GUIDEWIRE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22002663 ↗MalfunctionApr 22, 2025Difficult to Remove; Unraveled Material; Difficult to Advance; Difficult to Remove; Unraveled Material; Difficult to Advance
IT WAS REPORTED THAT GUIDEWIRE REMOVAL DIFFICULTY OCCURRED. A 180X25CM FATHOM? -16 WAS SELECTED FOR USE VIA RIGHT FEMORAL ACCESS WITH A BASE 5F CATHETER POSITIONED AT THE CELIAC ARTERY ORIGIN. DURING THE PROCEDURE, A NON-BOSTON SCIENTIFIC MICROCATHETER WAS USED TO CANNULATE THE HEPATIC ARTERY. IN ATTEMPT TO REACH DISTAL HEPATIC BRANCH, FATHOM WIRE BECAME DIFFICULT TO ADVANCE. ATTEMPTED REPOSITION OF MICROCATHETER AND ADVANCING THE WIRE AGAIN WAS UNSUCCESSFUL. THE PHYSICIAN TRIED TO RETRIEVE THE WIRE TO REFORM THE TIP SHAPE BUT WAS UNABLE TO PULL IT BACK. AFTER SEVERAL UNSUCCESSFUL ATTEMPTS TO REMOVE THE WIRE, THE MICROCATHETER AND WIRE WERE PULLED OUT TOGETHER AS ONE PIECE. IT WAS THEN NOTED THAT THE WIRE HAD STARTED TO UNRAVEL INSIDE THE MICROCATHETER. THE PROCEDURE WAS COMPLETED WITH A DIFFERENT DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21886616 ↗InjuryApr 22, 2025Detachment of Device or Device Component; Detachment of Device or Device Component
IT WAS REPORTED THAT TIP DETACHMENT OCCURRED. THE TARGET LESION WAS LOCATED IN THE LIVER. A 180X25CM FATHOM -16 WAS SELECTED FOR USE IN A TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION (TACE). DURING THE PROCEDURE, IT WAS NOTED THAT THE DISTAL FLOPPY PORTION (25CM DISTAL PART) SHEARED OFF AND THE PIECE WAS VISIBLE UNDER FLUOROSCOPY NEAR HEPATIC ARTERY. THE WIRE WAS ATTEMPTED TO BE REMOVED, HOWEVER WAS UNSUCCESSFUL. THEREFORE, AN ACCESS WAS MADE TO THE LEFT FEMORAL ARTERY, MOVED MICROSNARE INTO THE AORTA AND WAS ABLE TO SNARE THE WIRE. NO FRAGMENTS WERE LEFT INSIDE THE PATIENT. THE PROCEDURE WAS COMPLETED WITH AN ALTERNATE DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21882449 ↗MalfunctionApr 7, 2025Fracture; Adverse Event Without Identified Device or Use Problem; Fracture; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT GUIDEWIRE FRACTURE OCCURRED. A 180 X 25 CM FATHOM-16 GUIDEWIRE WAS SELECTED FOR USE. DURING THE PROCEDURE, THE GUIDEWIRE FRAYED AND BROKE OFF IN A PATIENT. THE WIRE WAS RETRIEVED, THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21791253 ↗
Other WIRE, GUIDE, CATHETER devices
- HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL II 1009664Abbott Vascular Inc. · WIRE, GUIDE, CATHETER321 reports
- SYNCHRO 14 M00313010Stryker Corporation · WIRE, GUIDE, CATHETER2 recalls220 reports
- PressureWire™ C12059Lightlab Imaging, Inc. · WIRE, GUIDE, CATHETER1 death296 reports
- SYNCHRO 2 M00326410Stryker Corporation · WIRE, GUIDE, CATHETER2 recalls155 reports
- ENROUTE .014" Guidewire 11686-01Silk Road Medical, Inc. · Wire, Guide, Catheter2 deaths228 reports
- ARROW IPN035915Teleflex Incorporated · WIRE, GUIDE, CATHETER217 reports
- OmniWire Pressure guide wire 89185Philips Image Guided Therapy Corporation · Wire, Guide, Catheter1 recall1 death160 reports
- ARROW IPN055780Teleflex Incorporated · Wire, guide, catheter4 recalls0 reports
Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.