SWAN-GANZ VIP
Report
- Report Number
- 2015691-2026-13784
- Event Type
- Malfunction
- Date Received
- April 1, 2026
- Report Date
- May 23, 2026
- Manufacturer
- EDWARDS LIFESCIENCES PR
- Product Code
- DYG
- UDI-DI
- 00690103218282
- PMA / PMN Number
- K160084
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
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.
IT WAS REPORTED THAT, DURING POST PROCEDURE, THE BLUE, PROXIMAL PORT OF A SWAN GANZ CATHETER WAS CRACKED AND LEAKING. IT IS UNKNOWN WHAT LEAKED. LUMENS WERE FLUSHED, TUBING WAS CHANGED, AND CATHETER WAS REPOSITIONED. CATHETER WAS IN THE PATIENT FOR EITHER 3 DAYS TO 2 WEEKS. THERE WERE NO PATIENT INJURIES BUT A NEW INSERTION SITE WAS NEEDED FOR A NEW LINE PLACEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 625475 | SWAN-GANZ VIP | CATHETER, FLOW DIRECTED | DYG | EDWARDS LIFESCIENCES PR | 831F75P | 66826032 | 00690103218282 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |