BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SWAN-GANZ VIP

    MDR report key: 24852980 · Received April 12, 2026

    Report

    Report Number
    2015691-2026-14093
    Event Type
    Malfunction
    Date Received
    April 12, 2026
    Date of Event
    March 18, 2026
    Report Date
    May 29, 2026
    Manufacturer
    EDWARDS LIFESCIENCES, PR
    Product Code
    DYG
    PMA / PMN Number
    K160084
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER
    Health Professional
    N

    Narratives

    Additional Manufacturer Narrative · 0

    THE DEVICE EVALUATION IS ANTICIPATED. A SUPPLEMENTAL REPORT WILL BE FORTHCOMING WHEN THE INVESTIGATION IS COMPLETED. A DEVICE HISTORY RECORD REVIEW WAS UNABLE TO BE COMPLETED AS THE LOT NUMBER IS UNKNOWN. BECAUSE THE LOT NUMBER IS UNKNOWN, THE FULL UDI NUMBER IS NOT AVAILABLE. THE PRIMARY DEVICE IDENTIFIER (DI) NUMBER WAS NOT PROVIDED. 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. D2B. ADDITIONAL DEVICE PRODUCT CODE: DQO, DXN, DQE, KRA, DQK, DRS, DSB, QAQ. G4. ADDITIONAL PMA/510K: K231248.

    Description of Event or Problem · 0

    IT WAS REPORTED THAT DURING USE OF THE SWAN-GANZ VIP CATHETER WHILE BEING PLACED, IMMEDIATELY STARTED CLOTTING. CLOTTING HAS BEEN EXPERIENCED WITH SWANS WITHIN 24 HOURS OF PLACEMENT. NO ALLEGATION OF PATIENT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    373774 SWAN-GANZ VIP CATHETER, FLOW DIRECTED DYG EDWARDS LIFESCIENCES, PR 831F75

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown