FDA Adverse Event Malfunction Summary report: N

SWAN-GANZ

MDR report key: 24691245 · Received March 25, 2026

Report

Report Number
2015691-2026-13519
Event Type
Malfunction
Date Received
March 25, 2026
Date of Event
March 4, 2026
Report Date
March 25, 2026
Manufacturer
EDWARDS LIFESCIENCES PR
Product Code
DQO
UDI-DI
00690103000405
PMA / PMN Number
K160084
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL PRODUCT CODES: KRA, DYG, DQE. 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 A NURSE FOUND BLOOD BACKING UP THROUGH THE BLUE PORT OF A SWAN GANZ CATHETER AND "THE END PIECE HAD FALLEN OFF". ISSUE OCCURRED POST PROCEDURE WHILE IN THE CRITICAL CARE UNIT AND WAS RESOLVED BY REMOVING THE LINE. CATHETER WAS INSIDE THE PATIENT FOR 8 DAYS. THERE WAS MINIMAL BLOOD LOSS BUT OVERALL, THERE WAS NO HARM TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
463406 SWAN-GANZ CATHETER, INTRAVASCULAR, DIAGNOSTIC DQO EDWARDS LIFESCIENCES PR 131F7 00690103000405

Patients

Seq Age Sex Outcome Treatment
1