MalfunctionFOX
STATLOCK PICC PLUS CRESCENT SLIDING POST
Received May 12, 2021 · Event occurred Apr 21, 2021
Report 3006260740-2021-01798 · MDR key 11813421
Device
Generic name
Stand, Infusion
Manufacturer
C.r. Bard, Inc. (basd) -3006260740Catalog number
PIC0220
Lot number
JUEW3276
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 JUEW3276 SHOWED SEVEN OTHER SIMILAR PRODUCT COMPLAINT(S) FROM THIS LOT NUMBER.
Description of Event or Problem
IT WAS REPORTED THAT SEVEN STATLOCK SECUREMENT CLIPS DIDN'T CLOSE PROPERLY. NO OTHER INFORMATION WAS PROVIDED. THIS REPORT ADDRESSES THE SEVENTH OF SEVEN DEVICES.