FDA Adverse Event
Malfunction
Summary report: N
SWAN-GANZ VIP+
MDR report key: 24583478
·
Received March 12, 2026
Report
- Report Number
- 2015691-2026-13157
- Event Type
- Malfunction
- Date Received
- March 12, 2026
- Date of Event
- February 24, 2026
- Report Date
- May 26, 2026
- Manufacturer
- EDWARDS LIFESCIENCES PR
- Product Code
- DYG
- UDI-DI
- 00690103151756
- PMA / PMN Number
- K160084
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
ADDITIONAL FDA PRODUCT CODES INCLUDE: DQE- CATHETER, OXIMETER, FIBEROPTIC. DQO- CATHETER, INTRAVASCULAR, DIAGNOSTIC. KRA- CATHETER, CONTINUOUS FLUSH. THE DEVICE EVALUATION IS ANTICIPATED. A SUPPLEMENTAL REPORT WILL BE FORTHCOMING WHEN THE INVESTIGATION IS COMPLETED. COMPLAINT HISTORIES FOR ALL REPORTED EVENTS ARE REVIEWED AGAINST TRENDING CONTROL LIMITS ON A MONTHLY BASIS AND ANY EXCURSIONS ABOVE THE CONTROL LIMITS ARE ASSESSED AND DOCUMENTED AS A PART OF THE MONTHLY REVIEW.
Description of Event or Problem · 0
IT WAS REPORTED THAT DURING USE OF THE SWAN GANZ CATHETER THE PORT OF THE PA CATHETER WAS FOUND TO HAVE SPONTANEOUSLY SEVERED AT THE POINT WHERE THE BLUE PORT CONNECTS TO THE WHITE HUB. THERE WAS NO ALLEGATION OF PATIENT INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 595501 | SWAN-GANZ VIP+ | CATHETER, FLOW DIRECTED | DYG | EDWARDS LIFESCIENCES PR | 834F75 | NI | 00690103151756 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |