FDA Adverse Event Malfunction Summary report: N

SWAN-GANZ VIP

MDR report key: 24760543 · Received April 1, 2026

Report

Report Number
2015691-2026-13779
Event Type
Malfunction
Date Received
April 1, 2026
Date of Event
March 4, 2026
Report Date
April 1, 2026
Manufacturer
EDWARDS LIFESCIENCES PR
Product Code
DYG
UDI-DI
00690103003031
PMA / PMN Number
K160084
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL PRODUCT CODES: DQO, DQE, KRA, DQK, DRS, DSB, DXN, QAQ. ADDITIONAL PREMARKET SUBMISSION: K231248. 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, THE PROXIMAL INJECTION LUMEN OF A SWAN GANZ CATHETER HAD A CRACK THAT WAS DISTAL TO THE HUB. THE ISSUE OCCURED POST PROCEDURE. A LONG CLOT FORMED. AT THE TIME, THERE WAS BLOOD AROUND THE AREA SITE ON THE BLANKETS. SKIN CHECK WAS PERFORMED FROM HEAD TO TOE AND NO OTHER SOURCE OF BLEEDING WAS IDENTIFIED. CATHETER WAS REMOVED AND THE CORDIS WAS LEFT IN PLACE. PAC WAS PLACED ON (B)(6) 2026 AND REMOVED ON (B)(6) 2026. THERE WAS NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
817381 SWAN-GANZ VIP CATHETER, FLOW DIRECTED DYG EDWARDS LIFESCIENCES PR 831F75P 00690103003031

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown