InjuryFOX
STATLOCK PICC PLUS CRESCENT SLIDING POST
Received Apr 1, 2021 · Event occurred Mar 12, 2021
Report 3006260740-2021-01079 · MDR key 11603277
Device
Generic name
Stand, Infusion
Manufacturer
C.r. Bard, Inc. (basd) -3006260740Catalog number
PIC0220
Lot number
UNKNOWN
Product problems
- Appropriate Device Problem Term/Code Not Available
- Appropriate Device Problem Term/Code Not Available
Patient
Not reported
- Skin Tears
- Skin Tears
Narrative
Additional Manufacturer Narrative
THE DEVICE HAS NOT BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION. A LOT HISTORY REVIEW (LHR) REVIEW IS NOT POSSIBLE, AS NO MANUFACTURING LOT NUMBER HAS BEEN PROVIDED BY THE COMPLAINANT.
Description of Event or Problem
IT WAS REPORTED THAT WHEN THE STATLOCK WAS REMOVED OFF OF A PATIENT WITH FRAGILE SKIN, IT RIPPED OFF THE LAYER OF SKIN THAT THE DEVICE WAS ADHERED TO. NO OTHER INFORMATION WAS PROVIDED.