SECURACATH SCR-01 UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2019-01-17 for SECURACATH SCR-01 UNKNOWN manufactured by Interrad Medical.

Event Text Entries

[133936812] No devices were returned and very minimal information is known about the events. No additional information has been received about the events to aid in determining what contributing factors were involved in the catheter failures. Based on what was reported, only one of the catheter failures occurred "near" the securacath, meaning the other catheter failure was away from the securacath and therefore not a contributing factor to the catheter failure. Extensive testing has been done on bard powerpiccs that shows that the securacath device does not cause leaks in catheters even when placed for extended length of time. Catheters are known to leak without the use of securacath and it is likely these catheters could have leaked without the use of securacath. Based on previous investigations, leaks occur because of extrusion/material defects in the catheter or gross misuse of the catheter. These catheter failures were likely unrelated to the use of securacath and most likely caused by extrusion/material defects in the catheter or misuse of the catheter. Multiple attempts have been made to collect more information without success. If relevant information is collected that allows for further investigation, a follow up report will be submitted.
Patient Sequence No: 1, Text Type: N, H10


[133936813] Picc line service lead informed manufacturer representative that "we have had 2 reportable picc lines with a hole in, with one near to the securacath location". The picc lines were bard powerpicc solo of unknown size.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007795799-2019-00001
MDR Report Key8259056
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2019-01-17
Date of Report2019-01-17
Date of Event2018-12-17
Date Mfgr Received2018-12-18
Date Added to Maude2019-01-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
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 Received2019-01-17
Model NumberSCR-01
Catalog NumberUNKNOWN
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device Availability*
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 2019-01-17

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