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            <filer>
                <filerCredentials>
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                    <ccc>XXXXXXXX</ccc>
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            <liveTestFlag>LIVE</liveTestFlag>



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        <issuerInfo>
            <issuerCik>0001642545</issuerCik>
            <issuerName>SHOCKWAVE MED INC</issuerName>
            <secFileNumber>001-38829</secFileNumber>
            <issuerAddress>
                <ns2:street1>5403 Betsy Ross Drive</ns2:street1>
                <ns2:city>Santa Clara</ns2:city>
                <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                <ns2:zipCode>95054</ns2:zipCode>
            </issuerAddress>
            <issuerContactPhone>5102794262</issuerContactPhone>
            <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>DAVID &amp; LAURA FRANCIS JOINT REV TR U/A DTD 01/03/2003</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
            <relationshipsToIssuer>
                <relationshipToIssuer>Director</relationshipToIssuer>
            </relationshipsToIssuer>
        </issuerInfo>
        <securitiesInformation>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <brokerOrMarketmakerDetails>
                <name>Morgan Stanley Smith Barney LLC Executive Financial Services</name>
                <address>
                    <ns2:street1>1 New York Plaza</ns2:street1>
                    <ns2:street2>8th Floor</ns2:street2>
                    <ns2:city>New York</ns2:city>
                    <ns2:stateOrCountry>NY</ns2:stateOrCountry>
                    <ns2:zipCode>10004</ns2:zipCode>
                </address>
            </brokerOrMarketmakerDetails>
            <noOfUnitsSold>1500</noOfUnitsSold>
            <aggregateMarketValue>430845.00</aggregateMarketValue>
            <noOfUnitsOutstanding>37396816</noOfUnitsOutstanding>
            <approxSaleDate>03/26/2024</approxSaleDate>
            <securitiesExchangeName>NASDAQ</securitiesExchangeName>
        </securitiesInformation>
        <securitiesToBeSold>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <acquiredDate>03/26/2024</acquiredDate>
            <natureOfAcquisitionTransaction>Exercise of Stock Options</natureOfAcquisitionTransaction>
            <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
            <isGiftTransaction>N</isGiftTransaction>
            <amountOfSecuritiesAcquired>1500</amountOfSecuritiesAcquired>
            <paymentDate>03/26/2024</paymentDate>
            <natureOfPayment>Cash</natureOfPayment>
        </securitiesToBeSold>
        <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for D FRANCIS &amp; L FRANCIS CO-TTEEDAVID &amp; LAURA FRANCIS JOINT REV TRU/A DTD 01/03/2003</name>
                <address>
                    <ns2:street1>5403 Betsy Ross Drive</ns2:street1>
                    <ns2:city>Santa Clara</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>95054</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>02/16/2024</saleDate>
            <amountOfSecuritiesSold>1000</amountOfSecuritiesSold>
            <grossProceeds>250000.00</grossProceeds>
        </securitiesSoldInPast3Months>
        <noticeSignature>
            <noticeDate>03/26/2024</noticeDate>
            <planAdoptionDates>
                <planAdoptionDate>05/23/2023</planAdoptionDate>
            </planAdoptionDates>
            <signature>/s/ Laura Francis</signature>
        </noticeSignature>
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144
0001218802
XXXXXXXX
LIVE
0001642545
SHOCKWAVE MED INC
001-38829
5403 Betsy Ross Drive
Santa Clara
CA
95054
5102794262
DAVID & LAURA FRANCIS JOINT REV TR U/A DTD 01/03/2003
Director
Common
Morgan Stanley Smith Barney LLC Executive Financial Services
1 New York Plaza
8th Floor
New York
NY
10004
1500
430845.00
37396816
03/26/2024
NASDAQ
Common
03/26/2024
Exercise of Stock Options
Issuer
N
1500
03/26/2024
Cash
N
10b5-1 Sales for D FRANCIS & L FRANCIS CO-TTEEDAVID & LAURA FRANCIS JOINT REV TRU/A DTD 01/03/2003
5403 Betsy Ross Drive
Santa Clara
CA
95054
Common
02/16/2024
1000
250000.00
03/26/2024
05/23/2023
/s/ Laura Francis