FDA Adverse Event
Malfunction
Summary report: N
VIP PLUS
MDR report key: 1051505
·
Received April 28, 2008
Report
- Report Number
- 1051505
- Event Type
- Malfunction
- Date Received
- April 28, 2008
- Date of Event
- April 23, 2008
- Report Date
- April 28, 2008
- Manufacturer
- EDWARD LIFESCIENCES, LLC
- Product Code
- DYG
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA, US
Narratives
Description of Event or Problem · 1
PRE CHECK OF THE SWAN GANZ CATHETER # 834HF75; DETERMINED THAT IT WAS WORKING PROPERLY BEFORE INSERTION. AFTER INSERTED THE BALLOON WOULD NOT WORK PROPERLY. ONCE THE CATHETER WAS REMOVED IT WAS NO LONGER WORKING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | VIP PLUS | CATHETER, PULMONARY ARTERY | DYG | EDWARD LIFESCIENCES, LLC | * | 237AC898 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |