MalfunctionFOX
STATLOCK SLIDING POST TRICOT CRESCENT PAD INCLUDES SKIN PREP
Received Mar 19, 2021 · Event occurred Feb 25, 2021
Report 3006260740-2021-00904 · MDR key 11531525
Device
Generic name
Stand, Infusion
Manufacturer
C.r. Bard, Inc. (basd) -3006260740Catalog number
PIC0220CE
Lot number
JUEV0698
Product problems
- Detachment of Device or Device Component
- Detachment of Device or Device Component
Patient
Not reported
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
THE DEVICE HAS NOT BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION. A LOT HISTORY REVIEW (LHR) OF JUEV0698 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 HAD A STATLOCK FOR HIS CDC. THEY DISCOVERED THAT THE PLASTIC LOCK HAD BROKEN FROM THE STATLOCK AND THE CATHETER ALMOST LOST. NO OTHER INFORMATION WAS PROVIDED.