FDA Adverse Event Malfunction Summary report: N

SWAN-GANZ CCOMBO V

MDR report key: 24719719 · Received March 30, 2026

Report

Report Number
2015691-2026-13609
Event Type
Malfunction
Date Received
March 30, 2026
Report Date
March 27, 2026
Manufacturer
EDWARDS LIFESCIENCES PR
Product Code
DYG
UDI-DI
00690103146554
PMA / PMN Number
K040287
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL FDA PRODUCT CODES INCLUDE: KRA, CATHETER, CONTINUOUS FLUSH. DQE, CATHETER, OXIMETER, FIBEROPTIC. DQO, CATHETER, INTRAVASCULAR, DIAGNOSTIC. 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, WHEN DRAWING BLOOD FROM THE PA DISTAL LUMEN, THE CATHETER ASPIRATED AIR. THE CATHETER WAS REMOVED FROM THE PATIENT WITHOUT REPLACEMENT AS BLOOD SAMPLING WAS PERFORMED BEFORE THE CATHETER REMOVAL. THERE WAS NO ALLEGATION OF PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
774706 SWAN-GANZ CCOMBO V CATHETER, FLOW DIRECTED DYG EDWARDS LIFESCIENCES PR 777F8 NI 00690103146554

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown