Merit Hydrophilic Guidewire
FDA Clearance Information
The Merit Hydrophilic Guidewire was cleared through the FDA 510(k) pathway on December 16, 2014. It is manufactured by Merit Medical Systems and classified as a Class 2 device.
What It Is
FDA-Cleared Indications
- Used to facilitate the placement and manipulation of catheters and other interventional devices within the vascular system.
- Intended for use by trained clinicians during diagnostic and therapeutic endovascular procedures.
Clinical Applications
- Guidewire-assisted catheter navigation during peripheral vascular angiography and intervention.
- Guidewire-assisted navigation during cerebral or neurovascular angiography when the specific wire configuration is appropriate.
- Navigation through vessels during access and catheter placement, including radial artery access procedures.
- Support for advancing compatible vascular devices under fluoroscopic or other appropriate imaging guidance.
Reported off-label uses
- Use in selected nonvascular systems, such as ureteral navigation, has been described for hydrophilic guidewire technology but may not be covered by this device's FDA vascular labeling. Such use should follow institutional policy, product labeling and specialist judgment.
Off-label use: these uses are reported in practice or the literature but are not part of the FDA-cleared indications. Physicians may use a cleared device off-label based on their medical judgment; the manufacturer may not promote off-label uses.
Evidence Summary
Reported Outcomes
Safety Profile
Evidence Limitations
Practical Considerations
- Available diameter, length, tip shape and stiffness vary by model; select a wire that matches the access site, target anatomy and compatible catheter or sheath.
- Hydrophilic wires should be prepared and lubricated according to the manufacturer's instructions. Avoid advancing or withdrawing against resistance, and do not torque the wire excessively.
- Use imaging guidance and maintain control of the wire tip to reduce the risk of vessel injury, dissection, perforation or wire fracture.
- MRI safety depends on the exact model and labeling. Confirm MR Safe, MR Conditional or MR Unsafe status before an MRI examination; do not assume that all guidewires have the same designation.
- The wire is a sterile, single-use device and is not intended to remain implanted after the procedure. Do not reuse, reprocess or resterilize unless the specific labeling permits it.
Linked Studies (20)
Onyx Liquid Embolic Agent: Basic Knowledge for Its Use in Interventional Neuroradiology.
Journal of neuroendovascular therapy
RCT|prospective|retrospective|case Series|other View Source →Performance evaluation of quantitative hemoglobin A2 and fetal hemoglobin testing using commercially lyophilized vs. in-house whole blood controls in Chinese clinical laboratories: a 12-year analysis of National External Quality Assessment Data.
Clinical chemistry and laboratory medicine
RCT|prospective|retrospective|case Series|other View Source →Clinical progress note: Haemophilus influenzae type b.
Journal of hospital medicine
RCT|prospective|retrospective|case Series|other View Source →Pilot study of social media promotion of home-based self-testing for syphilis.
Sexually transmitted diseases
RCT|prospective|retrospective|case Series|other View Source →Clinical development and performance of the First to Know Syphilis Self-Test for over-the-counter usage: a de novo rapid test for treponemal antibody.
Journal of clinical microbiology
View Source →Implementation of an Opt-Out and Rapid Point-of-Care Syphilis Testing Program for Pregnant Patients Presenting to the Emergency Department.
Sexually transmitted diseases
RCT|prospective|retrospective|case Series|other View Source →Evaluation of Rapid Syphilis Testing Using the Syphilis Health Check in Florida, 2015-2016.
Florida public health review
View Source →Multiplex droplet digital PCR for the detection and quantitation of Streptococcus pneumoniae, Mycoplasma pneumoniae, and Haemophilus influenzae.
Frontiers in cellular and infection microbiology
RCT|prospective|retrospective|case Series|other View Source →Palm Multidiagnostic of Mycoplasma pneumoniae, Chlamydia pneumoniae, Haemophilus influenzae, and Streptococcus pneumoniae Using One-Tube CRISPR/Cas12a.
Transboundary and emerging diseases
View Source →Tp40: a new potential prognostic and diagnostic marker for syphilis.
Microbiology spectrum
View Source →Serotonin sets up neutrophil extracellular traps to promote neuroendocrine prostate cancer metastasis in the liver.
The Journal of clinical investigation
RCT|prospective|retrospective|case Series|other View Source →Application value of Philips Ingenuity TF PET/CT scanner imaging agent FAP in evaluating renal fibrosis.
Hellenic journal of nuclear medicine
RCT|prospective|retrospective|case Series|other View Source →Message from Dr. Philippe T. Georgel, Guest Editor for the Marshall University Collection, Brad D. Smith, President of Marshall University, and Dr. Anivandan Mukherjee, Provost of Marshall University.
Biochemistry and cell biology = Biochimie et biologie cellulaire
View Source →Improved patient comfort and procedural efficiency using chlorhexidine-coated hydrophilic urethral catheters: a randomized controlled trial.
Journal of Yeungnam medical science
RCT View Source →pTx-Pulseq in hybrid sequences: Accessible and advanced hybrid open-source MRI sequences on Philips scanners.
Magnetic resonance in medicine
RCT|prospective|retrospective|case Series|other View Source →Comparative connectomics of Drosophila descending and ascending neurons.
Nature
RCT|prospective|retrospective|case Series|other View Source →Hydrophilic-coated sheaths for reducing radial artery spasm during transradial procedures: A systematic review and meta-analysis.
Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences
View Source →History of antineutrophil cytoplasmic autoantibodies : Milestones in rheumatology.
Zeitschrift fur Rheumatologie
View Source →A Hydrophilic Polyurethane Foam Containing Nigella sativa Oil as a Wound Dressing.
BioMed research international
RCT|prospective|retrospective|case Series|other View Source →Frequently Asked Questions
What are the clinical indications for Merit Hydrophilic Guidewire?
The guidewire is indicated for use in navigating vascular systems during endovascular procedures, such as cerebral angiography and managing ureteric strictures.
What outcomes have been reported in clinical studies?
Studies have reported reduced access site complications and successful navigation through tight ureteric strictures.
What complications have been reported?
Safety data indicates minimal complications, with a focus on reduced access site issues in radial artery procedures.