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 |