FDA Adverse Event Malfunction Summary report: N

SWAN-GANZ CONTINUOUS CARDIAC OUTPUT CATHETER

MDR report key: 1021582 · Received March 24, 2008

Report

Report Number
6000002-2008-06341
Event Type
Malfunction
Date Received
March 24, 2008
Date of Event
February 1, 2008
Report Date
February 4, 2008
Manufacturer
EDWARDS LIFESCIENCES, PR
Product Code
DYG
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED AND EVALUATED. EXAMINATION REVEALED DRY BLOOD THAT WAS EVIDENT INSIDE THE THERMISTOR CONNECTOR AND THE THERMISTOR LUMEN. A SLIT, ABOUT .11 INCHES LONG, WAS FOUND AT DISTAL END OF THE THERMAL FILAMENT. THE SLIT ENTERED THE THERMISTOR LUMEN. IT WAS APPARENT THAT BLOOD LEAKED INTO THERMISTOR LUMEN THROUGH THE SLIT AND TRAVELED UP TO THE THERMISTOR CONNECTOR. A CAPA IS IN PROCESS FOR CATHETER BODY SLIT RELATED TO BLOOD LEAKAGE AT THE THERMISTOR CONNECTOR.

Description of Event or Problem · 1

IT WAS REPORTED THAT BLOOD LEAKAGE WAS OBSERVED FROM THE THERMISTOR CONNECTOR. 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, PR 777HF8 UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Other