FDA Adverse Event Malfunction Summary report: N

SWAN-GANZ CCOMBO V

MDR report key: 24835013 · Received April 9, 2026

Report

Report Number
2015691-2026-14039
Event Type
Malfunction
Date Received
April 9, 2026
Date of Event
March 11, 2026
Report Date
April 9, 2026
Manufacturer
EDWARDS LIFESCIENCES PR
Product Code
DYG
UDI-DI
00690103146554
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL PRODUCT CODE: KRA, DQE, DQO. MEDWATCH (B)(4) WAS RECEIVED. 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, AFTER INSERTION, UNKNOWN YELLOW FLUID WAS FOUND IN THE BALLOON OF A SWAN GANZ CATHETER. FLUID WAS SEEN IN THE BALLOON SYRINGE AND THEN IN THE BALLOON UPON REMOVAL OF THE CATHETER FROM THE PATIENT. ISSUE OCCURRED IN THE ICU. IT IS UNKNOWN IF THE PATIENT'S MEDICATION WAS THE SOURCE OF THE YELLOW FLUID. THERE WAS NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
890134 SWAN-GANZ CCOMBO V CATHETER, FLOW DIRECTED DYG EDWARDS LIFESCIENCES PR 777F8 00690103146554

Patients

Seq Age Sex Outcome Treatment
1 NA Male