STATLOCK CV PLUS SLIDING POST
Received Jan 14, 2021 · Event occurred Dec 8, 2020
Report 3006260740-2020-21319 · MDR key 11172057
Device
Generic name
Stand, Infusion
Manufacturer
C.r. Bard, Inc. (basd) -3006260740Model number
N/ACatalog number
CV0220CE
Lot number
JUDPF189
Product problems
- Fluid/Blood Leak
Patient
Not reported
- No Consequences Or Impact To Patient
- No Consequences Or Impact To Patient
Narrative
Additional Manufacturer Narrative
THE DEVICE HAS NOT BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION. A LOT HISTORY REVIEW (LHR) OF JUDPF189 SHOWED NO OTHER SIMILAR PRODUCT COMPLAINT(S) FROM THIS LOT NUMBER. DEVICE NOT RETURNED FOR EVALUATION.
Description of Event or Problem
IT WAS REPORTED THE PATIENT WAS DIAGNOSED WITH AN INTRAPULMONARY INFECTION AND THE CONDITION WAS SEVERE. MEDICAL STAFF GAVE THE IMPLANTED VENOUS INDWELLING NEEDLE ACCORDING TO THE NORMAL OPERATION. DURING THE NORMAL INFUSION PROCESS, FLUID LEAKAGE OCCURRED AT THE TAIL OF THE INDWELLING NEEDLE.