BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SWAN-GANZ CONTINUOUS CARDIAC OUTPUT CATHETER

    MDR report key: 1011933 · Received March 10, 2008

    Report

    Report Number
    6000002-2008-06174
    Event Type
    Malfunction
    Date Received
    March 10, 2008
    Date of Event
    January 16, 2008
    Report Date
    January 21, 2008
    Manufacturer
    EDWARDS LIFESCIENCES
    Product Code
    DYG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    THE CATHETER WAS RETURNED AND EVALUATED. EXAMINATION REVEALED THAT BALLOON LUMEN LEAKAGE WAS OBSERVED THROUGH A SLIT, 0.2 INCHES IN LENGTH, AT THE 12.5 CM AREA (DISTAL OF THERMAL FILAMENT). NO VISIBLE DAMAGE WAS OBSERVED TO THE BALLOON LATEX.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE BALLOON DID NOT INFLATE AND THE BALLOON COULD NOT MAINTAIN INFLATION. NO PT COMPLICATIONS WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SWAN-GANZ CONTINUOUS CARDIAC OUTPUT CATHETER CONTINUOUS CARDIAC OUTPUT CATHETER DYG EDWARDS LIFESCIENCES 777HF8 58442887

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other