BEUDAMED
    FDA Adverse Event Other Summary report: N

    SWAN GANZ THERMAL DILUTION VENOUS INFUSION PORT CATHETER IV

    MDR report key: 15472 · Received March 22, 1994

    Report

    Report Number
    15472
    Event Type
    Other
    Date Received
    March 22, 1994
    Date of Event
    February 27, 1994
    Report Date
    March 22, 1994
    Manufacturer
    EDWARDS CVS DIV. BAXTER HEALTHCARE CORP.
    Product Code
    DQO
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    A CATHETER WAS PLACED 02/27/94, FOR FLUID STATUS EVALUATION. NURSE ATTEMPTED TO OBTAIN WEDGE ON 2/27/94, AT 2350 WITH ONE CC AIR (GRADUALLY); NO RESISTANCE NOTED. PT STARTED COUGHING WITH HEMOPTYSIS OF APPROX 10 TO 15 CC BLOOD. CXR AND ABG WERE OBTAINED. PT WAS TRANSFERRED FOR CARDIOVASCULAR SURGICAL CONSULT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SWAN GANZ THERMAL DILUTION VENOUS INFUSION PORT CATHETER IV Implant DQO EDWARDS CVS DIV. BAXTER HEALTHCARE CORP. UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Other