MalfunctionFOX
STATLOCK SLIDING POST CRESCENT PAD SKIN PREP
Received May 6, 2021 · Event occurred Apr 5, 2021
Report 3006260740-2021-01729 · MDR key 11787817
Device
Generic name
Stand, Infusion
Manufacturer
C.r. Bard, Inc. (basd) -3006260740Catalog number
CV0220CE
Lot number
JUEQ2360
Product problems
- Material Deformation
- Material Deformation
Patient
70 YR
- 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 JUEQ2360 SHOWED NO OTHER SIMILAR PRODUCT COMPLAINT(S) FROM THIS LOT NUMBER.
Description of Event or Problem
IT WAS REPORTED WHEN THE PATIENT REPLACED THE CATHETER FIXATOR ON (B)(6) 2021, THE BUCKLE BROKE AND THE CATHETER COULD NOT BE FIXED. REPLACE THE FIXATOR IMMEDIATELY AFTER DISCOVERY, SO THAT THE CATHETER CAN BE USED NORMALLY. NO OTHER INFORMATION WAS PROVIDED.