FDA Adverse Event Malfunction Summary report: N

PUREWICK URINE COLLECTION SYSTEM

MDR report key: 11983455 · Received June 11, 2021

Report

Report Number
1018233-2021-03422
Event Type
Malfunction
Date Received
June 11, 2021
Date of Event
May 17, 2021
Report Date
August 30, 2021
Manufacturer
C.R. BARD, INC. (COVINGTON) -1018233
Product Code
NZU
UDI-DI
00801741185359
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THE REPORTED EVENT WAS INCONCLUSIVE. IT WAS UNKNOWN WHETHER THE DEVICE HAD MET SPECIFICATIONS. THE PRODUCT WAS USED FOR TREATMENT PURPOSES. IT WAS UNKNOWN WHETHER THE PRODUCT HAD CAUSED THE REPORTED FAILURE. NO SAMPLE WAS RETURNED FOR EVALUATION. A POTENTIAL ROOT CAUSE FOR THIS FAILURE COULD BE DUE TO "MISSING INSTRUCTIONS; VENDOR/PRINTER ERROR ". THE DEVICE WAS NOT RETURNED FOR EVALUATION. THE LOT NUMBER IS UNKNOWN; THEREFORE, THE DEVICE HISTORY RECORD COULD NOT BE REVIEWED. THE INSTRUCTIONS FOR USE WERE FOUND ADEQUATE AND STATE THE FOLLOWING: "INTENDED USERS THE PUREWICK¿ URINE COLLECTION SYSTEM IS INTENDED TO BE OPERATED BY: ¿ USER/PATIENT ¿ CAREGIVER/HEALTHCARE PROFESSIONAL ALL FUNCTIONS CAN BE SAFELY PERFORMED BY THE INDIVIDUALS ABOVE. INDICATIONS FOR USE THE PUREWICK¿ URINE COLLECTION SYSTEM IS TO BE USED WITH PUREWICK¿ EXTERNAL CATHETERS WHICH ARE INTENDED FOR NON-INVASIVE URINE OUTPUT MANAGEMENT. CONTRAINDICATIONS FOR USE DO NOT USE THE PUREWICK¿ URINE COLLECTION SYSTEM WITH PUREWICK¿ EXTERNAL CATHETERS ON INDIVIDUALS WITH URINARY RETENTION. SAFETY AND WARNINGS ALWAYS UNPLUG PUREWICK¿ URINE COLLECTION SYSTEM BEFORE CLEANING OR WHEN NOT IN USE. DO NOT IMMERSE THE PUREWICK¿ URINE COLLECTION SYSTEM IN WATER. AS WITH MOST ELECTRICAL DEVICES, ELECTRICAL PARTS IN THIS SYSTEM ARE ELECTRICALLY LIVE EVEN WHEN THE POWER IS OFF. TO REDUCE THE RISK OF ELECTRIC SHOCK, IF THE PUREWICK¿ URINE COLLECTION SYSTEM FALLS INTO WATER, UNPLUG IMMEDIATELY. DO NOT REACH INTO THE WATER TO RETRIEVE IT. WARNING: CONTAINS SMALL PARTS THAT MAY CAUSE CHOKING. KEEP OUT OF REACH OF CHILDREN. KEEP CORDS AND TUBING OUT OF THE REACH OF CHILDREN TO AVOID THE RISK OF STRANGULATION. DISCONTINUE USE IF AN ALLERGIC REACTION OCCURS. NOT RECOMMENDED FOR USERS WHO ARE EXPERIENCING SKIN IRRITATION OR SKIN BREAKDOWN IN DEVICE CONTACT AREAS. WARNING: THIS DEVICE SHOULD NOT BE USED IN OXYGEN RICH ENVIRONMENTS OR IN CONJUNCTION WITH FLAMMABLE ANESTHETICS." H11: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BARD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BARD. H3 OTHER TEXT : THE DEVICE WAS NOT RETURNED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE CHARGING LIGHT OF THE PUREWICK URINE COLLECTION SYSTEM STOPPED BLINKING AFTER 8 HOURS BUT IT WAS BLINKING AGAIN SO PATIENT DID NOT KNOW WHETHER THE BATTERY WAS FULLY CHARGED. PER FOLLOW UP ON (B)(6) 2021, CUSTOMER DID NOT HAVE A PROBLEM WITH THE PUREWICK URINE COLLECTION SYSTEM. LATER STATED THE BLINKING LIGHT ISSUE RESOLVED ITSELF. ALSO STATED THE INSTRUCTIONS FOR SETTING UP THE PUREWICK WERE NOT AS CLEAR AS THEY COULD BE. CUSTOMER WANTED THE SYSTEM ON THE NIGHTSTAND NEXT TO THE BED SO COULD REACH IT, BUT THE INSTRUCTIONS HAD INDICATED THAT IT WOULD WORK BETTER ON THE FLOOR. THE HOSE WAS VERY LONG SO YOU COULD NOT PUT IT ON THE NIGHTSTAND AND STATED THE COMMERCIALS SHOWED IT ON A TABLE NEXT TO THE BED.

Additional Manufacturer Narrative · 1

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CHARGING LIGHT OF THE PUREWICK URINE COLLECTION SYSTEM STOPPED BLINKING AFTER 8 HOURS BUT IT WAS BLINKING AGAIN SO PATIENT DID NOT KNOW WHETHER THE BATTERY WAS FULLY CHARGED. PER FOLLOW UP ON 17MAY2021, CUSTOMER DID NOT HAVE A PROBLEM WITH THE PUREWICK URINE COLLECTION SYSTEM. LATER STATED THE BLINKING LIGHT ISSUE RESOLVED ITSELF. ALSO STATED THE INSTRUCTIONS FOR SETTING UP THE PUREWICK WERE NOT AS CLEAR AS THEY COULD BE. CUSTOMER WANTED THE SYSTEM ON THE NIGHTSTAND NEXT TO THE BED SO COULD REACH IT, BUT THE INSTRUCTIONS HAD INDICATED THAT IT WOULD WORK BETTER ON THE FLOOR. THE HOSE WAS VERY LONG SO YOU COULD NOT PUT IT ON THE NIGHTSTAND AND STATED THE COMMERCIALS SHOWED IT ON A TABLE NEXT TO THE BED. HOWEVER, CUSTOMER HAD A LENGTHY COMPLAINT ABOUT CUSTOMER SERVICE FROM LIBERATOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
878637 PUREWICK URINE COLLECTION SYSTEM PUREWICK URINE COLLECTION SYSTEM NZU C.R. BARD, INC. (COVINGTON) -1018233 PW200 NA 00801741185359

Patients

Seq Age Sex Outcome Treatment
1 Other