📊 Evidence-Based Reference

Merit Hydrophilic Guidewire

Merit Medical Systems, Inc.

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Summary: The Merit Hydrophilic Guidewire is a medical device used primarily for navigating through vascular systems during procedures. Key evidence highlights its use in reducing complications in radial artery access.

FDA Clearance Information

Pathway ? 510(k)
Number ? K141295 ↗
Decision Date ? December 16, 2014
Product Code ? DQX Wire, Guide, Catheter
Device Class ? Class 2
Evidence ? 419 studies

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

The Merit Hydrophilic Guidewire is designed to assist clinicians in navigating through vascular systems during endovascular procedures. Its hydrophilic coating facilitates smooth passage through vessels, reducing friction and potential trauma.

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

The available literature includes two studies, one from 2021 and another from 1997, covering applications in radial artery access and ureteric stricture management. These studies include case series and retrospective analyses.

Reported Outcomes

Published studies report that the use of the Merit Hydrophilic Guidewire in radial artery access can significantly reduce access site complications compared to traditional methods. It has also been effective in traversing tight ureteric strictures where conventional techniques may fail.

Safety Profile

Reported complications include minimal adverse events related to the guidewire itself, with studies highlighting its safety in reducing access site complications in radial artery procedures.

Evidence Limitations

The evidence is limited by the small number of studies and lack of large-scale randomized controlled trials. Further research is needed to establish long-term outcomes and broader clinical applications.

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)

PubMed • 2025

Onyx Liquid Embolic Agent: Basic Knowledge for Its Use in Interventional Neuroradiology.

Journal of neuroendovascular therapy

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

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 →
PubMed • 2025

Clinical progress note: Haemophilus influenzae type b.

Journal of hospital medicine

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Pilot study of social media promotion of home-based self-testing for syphilis.

Sexually transmitted diseases

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

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 →
PubMed • 2025

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 →
PubMed • 2025

Evaluation of Rapid Syphilis Testing Using the Syphilis Health Check in Florida, 2015-2016.

Florida public health review

View Source →
PubMed • 2025

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 →
PubMed • 2025

Palm Multidiagnostic of Mycoplasma pneumoniae, Chlamydia pneumoniae, Haemophilus influenzae, and Streptococcus pneumoniae Using One-Tube CRISPR/Cas12a.

Transboundary and emerging diseases

View Source →
PubMed • 2025

Tp40: a new potential prognostic and diagnostic marker for syphilis.

Microbiology spectrum

View Source →
PubMed • 2025

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 →
PubMed • 2025

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 →
PubMed • 2025

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 →
PubMed • 2025

Editorial - Philippe Ascher (1936-2022).

Neuroscience

View Source →
PubMed • 2025

Improved patient comfort and procedural efficiency using chlorhexidine-coated hydrophilic urethral catheters: a randomized controlled trial.

Journal of Yeungnam medical science

RCT View Source →
PubMed • 2025

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 →
PubMed • 2025

Comparative connectomics of Drosophila descending and ascending neurons.

Nature

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

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 →
PubMed • 2025

History of antineutrophil cytoplasmic autoantibodies : Milestones in rheumatology.

Zeitschrift fur Rheumatologie

View Source →
PubMed • 2025

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.

Disclaimer: This page compiles publicly available regulatory and published clinical evidence for educational reference. It does not constitute medical advice, product endorsement, or a recommendation for clinical use. Always consult manufacturer documentation and clinical judgment for patient care decisions.

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