MalfunctionFOX
STATLOCK PICC PLUS CRESCENT SLIDING POST
Received Apr 23, 2021 · Event occurred Mar 31, 2021
Report 3006260740-2021-01481 · MDR key 11713549
Device
Generic name
Stand, Infusion
Manufacturer
C.r. Bard, Inc. (basd) -3006260740Catalog number
PIC0220
Lot number
JUET0974
Product problems
- Misconnection
- Misconnection
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 JUET0974 SHOWED NO OTHER SIMILAR PRODUCT COMPLAINT(S) FROM THIS LOT NUMBER.
Description of Event or Problem
IT WAS REPORTED THAT ONE WING OF THE STATLOCK DEVICE DOES NOT STAY CLOSED. NO OTHER INFORMATION WAS PROVIDED.