MalfunctionFOX
STATLOCK PICC PLUS CRESCENT SLIDING POST
Received May 14, 2021 · Event occurred Apr 21, 2021
Report 3006260740-2021-01855 · MDR key 11824969
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Product code (FOX)
Model (UNK)
Device
Generic name
Stand, Infusion
Manufacturer
C.r. Bard, Inc. (basd) -3006260740Model number
UNKCatalog number
PIC0220
Lot number
JUEY1044
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 JUEY1044 SHOWED FIVE SIMILAR PRODUCT COMPLAINT(S) FROM THIS LOT NUMBER. THE COMPLAINTS FOR THIS LOT NUMBER (JUEY1044) HAVE BEEN REPORTED FROM THE SAME FACILITY.
Description of Event or Problem
IT WAS REPORTED CLIPS THAT SECURE CATHETER IN PLACE ARE COMING UNCLIPPED. NO OTHER INFORMATION WAS PROVIDED.