SECURACATH SCR-01 400140

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2018-12-01 for SECURACATH SCR-01 400140 manufactured by Interrad Medical.

Event Text Entries

[129050052] A 4f dual lumen bard powerpicc sv and 4f securacath was saved and was being sent to interrad medical for evaluation but has yet to be received and reporting account has been unresponsive to follow up communications. The reporting account did provide the securacath device lot number and an investigation of component and process history of the securacath device revealed no concerns. At this time there is no information to indicate that securacath device failed to meet its product specifications. Extensive engineering evaluations have shown that the securacath device is effective at holding a bard power picc catheter in place while not negatively impacting catheter performance. Testing on this specific type catheter has been done and no concerns have been identified. Testing is done with the securacath positioned at the "0" mark on reverse tapered catheters to reflect the most challenging for flow restriction/catheter compression. Specific testing on bard powerpicc catheters attempted to force a catheter break by purposefully pinching the catheter with the body of the securacath device repeatedly, which would be a worst case scenario of incorrect use of a securacath device, with no catheter failures created. Based on previous testing this was most likely an extrusion/material issue with the catheter and the catheter could have failed without the use of securacath. A search of the maude database shows 11 bard powerpiccs of different sizes and types having reported leaks from (b)(6) 2018 to (b)(6) 2018 without the use of securacath. This demonstrates that damage is seen on bard powerpiccs on the reverse tapered portion from the hub to the 7cm without the use of a securacath device. If the securacath is placed per the ifu and dressed properly afterwards, a catheter leak during use is related to catheter construction and not caused by the securacath device. This represents all of the information that interrad medical was able to obtain at this time. If any new information comes to light in the future a follow up report will be submitted to update this report.
Patient Sequence No: 1, Text Type: N, H10


[129050053] While flushing the line, leaking noted under the dressing. Leak appeared to be coming from within the securacath device channel. When dressing was taken down and securacath lid was opened, the nurse could see there was a hole in the catheter. Catheter appeared to be aligned correctly with groove in securacath. No occlusion or difficulty flushing the catheter prior to the leakage starting. Picc line was replaced by rewiring.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007795799-2018-00004
MDR Report Key8123081
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2018-12-01
Date of Report2018-12-01
Date of Event2018-11-01
Date Mfgr Received2018-11-01
Device Manufacturer Date2018-08-03
Date Added to Maude2018-12-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactBRIAN BOSCH
Manufacturer Street181 CHESHIRE LANE SUITE 100
Manufacturer CityPLYMOUTH MN 55441
Manufacturer CountryUS
Manufacturer Postal55441
Manufacturer G1INTERRAD MEDICAL
Manufacturer Street181 CHESHIRE LANE SUITE 100
Manufacturer CityPLYMOUTH MN 55441
Manufacturer CountryUS
Manufacturer Postal Code55441
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSECURACATH
Generic NameSUBCUTANEOUS ENGINEERED STABILIZATION DEVICE
Product CodeOKC
Date Received2018-12-01
Model NumberSCR-01
Catalog Number400140
Lot NumberA1825
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerINTERRAD MEDICAL
Manufacturer Address181 CHESHIRE LANE SUITE 100 PLYMOUTH MN 55441 US 55441


Patients

Patient NumberTreatmentOutcomeDate
10 2018-12-01

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