FDA Adverse Event Other Summary report: N

SWAN-GANZ THERMODILUTION VENOUS INFUSION PORT (VIP) CATHETER

MDR report key: 1325570 · Received February 13, 2009

Report

Report Number
2015691-2009-09901
Event Type
Other
Date Received
February 13, 2009
Date of Event
December 3, 2008
Report Date
January 20, 2009
Manufacturer
EDWARDS LIFESCIENCES, PR
Product Code
DYG
PMA / PMN Number
K812563
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE NOT RETURNED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE NURSE TRIED TO WEDGE THE CATHETER, THE SYRINGE PLUNGER WENT ALL THE WAY IN WITH NO WEDGE AND THEN FAILED TO RETRACT OR WITHDRAW ON ITS OWN. WHEN PULLING BACK THE PLUNGER, THERE WAS BLOOD IN THE SYRINGE. THE PT BECAME TACHYPNEIC BUT THE OXYGEN SATURATIONS STAYED IN THE 90'S. A CHEST X-RAY, ABGS, AND A CBC WERE DONE. THE PT'S RESPIRATIONS FINALLY WENT TO THE 20S AND THE PT WAS MORE COMFORTABLE. IT WAS FURTHER REPORTED THAT A CHEST X-RAY WAS PERFORMED IN 2008: AFTER INCIDENT: CHEST X-RAY - CVC IS IN PLACE WITH THE TIP OF THE CATHETER IN THE SUPERIOR VENA CAVA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SWAN-GANZ THERMODILUTION VENOUS INFUSION PORT (VIP) CATHETER THERMODILUTION VIP CATHETER DYG EDWARDS LIFESCIENCES, PR 831HF75 UNK

Patients

Seq Age Sex Outcome Treatment
1 74 YR Other