FDA Adverse Event Death Summary report: N

ARROW SWAN GANZ CATHETER

MDR report key: 19918548 · Received August 5, 2024

Report

Report Number
MW5158024
Event Type
Death
Date Received
August 5, 2024
Date of Event
July 16, 2024
Report Date
August 2, 2024
Manufacturer
ARROW INTERNATIONAL, LLC (SUBSIDIARY OF TELEFLEX, INCORPORATED)
Product Code
DYG
Report Source
Voluntary report
Reporter Location
MN, US
Reporter Occupation
OTHER
Health Professional
*

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED HEMOPTYSIS DURING THE CARDIOMEMS IMPLANT PROCEDURE AND THAT THE PATIENT DIED. DURING PROCEDURE THE PHYSICIAN GAINED ACCESS AND PROCEEDED TO USE A 0.18 GUIDEWIRE. THE PHYSICIAN ADVANCED THE WIRE TO THE PULMONARY ARTERY. THE PHYSICIAN USED AN ARROW SWAN GANZ CATHETER OVER THE WIRE. THE PATIENT COUGHED A FEW TIMES, BUT THE PHYSICIAN PROCEEDED WITH THE RIGHT HEART CATHETERIZATION. IT WAS THEN THAT THE PATIENT EXPERIENCED HEMOPTYSIS. THE PATIENT'S STATUS WAS DETERIORATING SO THE CODE TEAM WAS CALLED IN TO TRY TO RESUSCITATE THE PATIENT. THE PHYSICIAN DID A THORACOTOMY TO TRY TO STOP THE BLEEDING. THE PATIENT DIED IN THE CATH LAB. THE CARDIOMEMS SENSOR WAS NOT OPENED OR INSERTED INTO THE BODY. NO SPECIFIC CAUSE OF DEATH WAS LISTED IN THE PATIENT¿S CHART. THE PHYSICIAN BELIEVED THAT THERE MUST HAVE BEEN A PERFORATION, BUT ONE COULD NOT BE IDENTIFIED. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1560044 ARROW SWAN GANZ CATHETER CATHETER, FLOW DIRECTED DYG ARROW INTERNATIONAL, LLC (SUBSIDIARY OF TELEFLEX, INCORPORATED)

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death