inforMED
MalfunctionFOX

STATLOCK PICC PLUS CRESCENT SLIDING POST

Received May 12, 2021 · Event occurred Apr 13, 2021

Report 3006260740-2021-01819 · MDR key 11814178

Device

Generic name

Stand, Infusion

Catalog number

PIC0220

Lot number

JUEX1695

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 JUEX1695 SHOWED THREE OTHER SIMILAR PRODUCT COMPLAINT(S) FROM THIS LOT NUMBER. THE COMPLAINTS FOR THIS LOT NUMBER HAVE BEEN REPORTED FROM THE SAME FACILITY IN (B)(6).

Description of Event or Problem

IT WAS REPORTED THAT THE CLIPS THAT SECURE CATHETER IN PLACE ARE COMING UNCLIPPED. ADDITIONAL INFORMATION RECEIVED 04/26/2021 "THERE WAS NO PATIENT HARM WITH ANY OF THE COMPLAINTS. THE PLACEMENT WAS EXACTLY THE SAME FOR ALL PATIENTS. THE MOVEABLE POSTS WERE INSERTED IN THE WINGS AND THE STATLOCK WAS APPLIED TO THE CHEST AREA, BELOW THE EXIT SITE OF THE CATHETER. THIS STATLOCK HAS BEEN USED FOR YEARS IN THIS WAY AND NEVER HAVE THE GATES POPPED OPEN AS THEY DO NOW. NURSES HAVE TAKEN TO TAPING OVED THE GATES TO KEEP IT SECURE."