FDA Adverse Event Other Summary report: N

SWAN GANZ CATHETER

MDR report key: 33100 · Received May 22, 1996

Report

Report Number
MW1009136
Event Type
Other
Date Received
May 22, 1996
Date of Event
March 4, 1996
Report Date
May 20, 1996
Manufacturer
EDWARDS CVS DIV. BAXTER HEALTHCARE CORP.
Product Code
DYG
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
WA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

CATHETER PLACED - UNABLE TO OBTAIN CORE TEMPERATURE. UPON EXAMINATION, 1 OF 4 WIRES FOUND MISSING FROM THERMISTOR PORT. CATHETER REMOVED. NEW CATHETER OBTAINED AND PLACED. PACKAGING DISCARDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SWAN GANZ CATHETER THERMODILUTION CATHETER DYG EDWARDS CVS DIV. BAXTER HEALTHCARE CORP. 93A-831H-75F

Patients

Seq Age Sex Outcome Treatment
1 49 YR Other