D
Patient 1
THE RISK MANAGER AT (B)(6) REPORTED THAT THERE WERE REPORTS OF DIFFICULTY IN REMOVING THE ANCHOR FROM PATIENT'S WITH TISSUE SCAR ADHESION AROUND THE DEVICE. THE NURSE(S) WERE TRYING TO REMOVE THE ANCHOR GENTLY TO AVOID HURTING THE PATIENT RESULTING IN DIFFICULTY REMOVING THE ANCHOR AND DISCOMFORT FOR THE PATIENT. THERE WERE NO DEVICE MALFUNCTION AN NO ADVERSE EVENT. THIS INCIDENT OCCURRED DURING THE EARLY IMPLEMENTATION PHASE OF THE DEVICE, WHEN MANY CLINICIANS WERE JUST BEGINNING TO USE THE DEVICE. THE COMPANY HAS FOUND THE REMOVAL PROCESS BECOMES EASIER ONCE EXPERIENCE HAS BEEN OBTAINED. ON SOME PATIENTS, ESPECIALLY WITH LONGER DWELL TIMES, THE ANCHORS BECOME MORE EMBEDDED IN THE TISSUE. FOR THESE CASES, THE ANCHOR NEEDS TO BE PULLED OUT USING A SWIFT, DELIBERATE TUG. THE SMALL, BLUNT ANCHORS STRAIGHTEN WHEN PULLED OUT WITHOUT DAMAGING THE SKIN. THE REMOVAL OF SECURACATH, WHEN DONE CORRECTLY, CAN BE EQUATED TO THE REMOVAL OF A HUBER NEEDLE FROM AN IMPLANTED PORT IN THAT SOME PATIENTS MAY EXPERIENCE MOMENTARY PAIN IF ANY UPON REMOVAL WHICH QUICKLY SUBSIDES UPON COMPLETION OF THE REMOVAL PROCEDURE.