PUREWICK FEMALE EXTERNAL CATHETER
Report
- Report Number
- 1018233-2023-08813
- Event Type
- Death
- Date Received
- December 8, 2023
- Date of Event
- November 14, 2023
- Report Date
- May 28, 2024
- Manufacturer
- C.R. BARD, INC. (COVINGTON) -1018233
- Product Code
- NZU
- UDI-DI
- 00801741189050
- PMA / PMN Number
- EXEMPT
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KS, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. H11: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD REPRESENTS ALL 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 BD.
THE REPORTED EVENT WAS INCONCLUSIVE BECAUSE NO SAMPLE WAS AVAILABLE FOR EVALUATION AND FURTHER INVESTIGATION DID NOT RESULT IN ANY ADDITIONAL FINDINGS. ALTHOUGH A ROOT CAUSE COULD NOT BE DEFINITIVELY IDENTIFIED, BASED ON THE RISK DOCUMENTATION REVIEW, A POTENTIAL ROOT CAUSE FOR THIS TYPE OF FAILURE COULD BE ¿INADEQUATE MATERIAL SELECTION¿. HOWEVER, THERE WAS INSUFFICIENT INFORMATION TO CONFIRM THIS POTENTIAL ROOT CAUSE. A POTENTIAL ROOT CAUSE FOR THIS TYPE OF FAILURE COULD BE "USER AWARE OF NEED TO REPLACE OR WANTS TO EXTEND LIFE OF SINGLE DEVICE." 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: "WARNINGS: ¿ DO NOT USE THE PUREWICK¿ FEMALE EXTERNAL CATHETER WITH BEDPAN OR ANY MATERIAL THAT DOES NOT ALLOW FOR SUFFICIENT AIRFLOW. ¿ TO AVOID POTENTIAL SKIN INJURY, NEVER PUSH OR PULL THE PUREWICK¿ FEMALE EXTERNAL CATHETER AGAINST THE SKIN DURING PLACEMENT OR REMOVAL. ¿ NEVER INSERT THE PUREWICK¿ FEMALE EXTERNAL CATHETER INTO VAGINA, ANAL CANAL, OR OTHER BODY CAVITIES. ¿ DISCONTINUE USE IF AN ALLERGIC REACTION OCCURS. ¿ AFTER USE, THIS PRODUCT MAY BE A POTENTIAL BIOHAZARD. DISPOSE OF IN ACCORDANCE WITH APPLICABLE LOCAL, STATE AND FEDERAL LAWS AND REGULATIONS. PRECAUTIONS: ¿ NOT RECOMMENDED FOR PATIENTS WHO ARE: - AGITATED, COMBATIVE, OR UNCOOPERATIVE AND MIGHT REMOVE THE PUREWICK¿ FEMALE EXTERNAL CATHETER - HAVING FREQUENT EPISODES OF BOWEL INCONTINENCE WITHOUT A FECAL MANAGEMENT SYSTEM IN PLACE - EXPERIENCING SKIN IRRITATION OR BREAKDOWN AT THE SITE - EXPERIENCING MODERATE/HEAVY MENSTRUATION AND CANNOT USE A TAMPON ¿ DO NOT USE BARRIER CREAM ON THE PERINEUM WHEN USING THE PUREWICK¿ FEMALE EXTERNAL CATHETER. BARRIER CREAM MAY IMPEDE SUCTION. ¿ PROCEED WITH CAUTION IN PATIENTS WHO HAVE UNDERGONE RECENT SURGERY OF THE EXTERNAL UROGENITAL TRACT. ¿ ALWAYS ASSESS SKIN FOR COMPROMISE AND PERFORM PERINEAL CARE PRIOR TO PLACEMENT OF A NEW PUREWICK¿ FEMALE EXTERNAL CATHETER. ¿ MAINTAIN SUCTION UNTIL THE PUREWICK¿ FEMALE EXTERNAL CATHETER IS FULLY REMOVED FROM THE PATIENT TO AVOID URINE BACKFLOW. RECOMMENDATIONS: ¿ PERFORM EACH STEP WITH CLEAN TECHNIQUE. IN THE HOME SETTING, WASH HANDS THOROUGHLY BEFORE DEVICE PLACEMENT. ¿ PRIOR TO CONNECTING THE PUREWICK¿ FEMALE EXTERNAL CATHETER TO HOSPITAL WALL SUCTION TUBING, VERIFY SUCTION FUNCTION BY COVERING THE OPEN END OF THE SUCTION TUBING WITH ONE HAND AND OBSERVING THE PRESSURE DIAL. IF THE PRESSURE DOES NOT INCREASE WHEN THE LINE IS COVERED, VERIFY THAT THE TUBING IS SECURED, CONNECTED, AND NOT KINKED. ¿ ENSURE THE PUREWICK¿ FEMALE EXTERNAL CATHETER REMAINS IN THE CORRECT POSITION AFTER TURNING THE PATIENT. REMOVE THE PUREWICK¿ FEMALE EXTERNAL CATHETER PRIOR TO AMBULATION. ¿ PROPERLY PLACING THE PUREWICK¿ FEMALE EXTERNAL CATHETER SNUGLY BETWEEN THE LABIA AND GLUTEUS HOLDS THE PUREWICK¿ FEMALE EXTERNAL CATHETER IN PLACE FOR MOST PATIENTS. MESH UNDERWEAR MAY BE USEFUL FOR SECURING THE PUREWICK¿ FEMALE EXTERNAL CATHETER FOR SOME PATIENTS. ¿ ASSESS DEVICE PLACEMENT AND PATIENT¿S SKIN AT LEAST EVERY 2 HOURS. ¿ REPLACE THE PUREWICK¿ FEMALE EXTERNAL CATHETER EVERY 8-12 HOURS OR WHEN SOILED WITH FECES OR BLOOD. ¿ CHANGE SUCTION TUBING PER HOSPITAL PROTOCOL OR AT LEAST EVERY THIRTY (30) DAYS" CORRECTIONS: A, D H11: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD REPRESENTS ALL 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 BD.
THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. H11: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD REPRESENTS ALL 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 BD. H3 OTHER TEXT : THE DEVICE WAS NOT RETURNED.
IT WAS REPORTED THAT THE PUREWICK FEMALE EXTERNAL CATHETER CAUSED A URINARY TRACT INFECTION (UTI) WHICH LED TO HOSPITALIZATION, AND THE PATIENT ENDED UP PASSING AWAY. NO ADDITIONAL INFORMATION WAS PROVIDED. CLINICAL FOLLOW UPS VIA PHONE WERE ATTEMPTED ON (B)(6) 2023 WITH NO RESPONSE RECEIVED. PER VOICEMAIL RECEIVED ON (B)(6) 2024, THE PATIENT¿S DAUGHTER STATED SHE HAD THE PATIENT¿S PHONE TURNED OFF BUT OCCASIONALLY LISTENED TO THE VOICEMAILS, AND SHE WAS RETURNING THE PHONE CALLS. SHE REPORTED THE PATIENT USED THE PUREWICK DEVICE EIGHT (8) TIMES, DEVELOPED A URINARY TRACT INFECTION (UTI), AND ULTIMATELY PASSED AWAY FROM COMPLICATIONS FROM THE UTI. NO ADDITIONAL INFORMATION WAS PROVIDED, AND SHE REQUESTED NO ADDITIONAL CALLS UNLESS IT WAS RELATED TO AN ACCOUNT REFUND.
IT WAS REPORTED THAT THE PUREWICK FEMALE EXTERNAL CATHETER CAUSED A URINARY TRACT INFECTION (UTI) WHICH LED TO HOSPITALIZATION, AND THE PATIENT ENDED UP PASSING AWAY. NO ADDITIONAL INFORMATION WAS PROVIDED. PER VOICEMAIL RECEIVED ON 08-JAN-2024, THE PATIENT¿S DAUGHTER STATED SHE HAD THE PATIENT¿S PHONE TURNED OFF BUT OCCASIONALLY LISTENED TO THE VOICEMAILS, AND SHE WAS RETURNING THE PHONE CALLS. SHE REPORTED THE PATIENT USED THE PUREWICK DEVICE EIGHT (8) TIMES, DEVELOPED A URINARY TRACT INFECTION (UTI), AND ULTIMATELY PASSED AWAY FROM COMPLICATIONS FROM THE UTI. NO ADDITIONAL INFORMATION WAS PROVIDED, AND SHE REQUESTED NO ADDITIONAL CALLS UNLESS IT WAS RELATED TO AN ACCOUNT REFUND.
IT WAS REPORTED THAT THE PUREWICK FEMALE EXTERNAL CATHETER CAUSED A URINARY TRACT INFECTION (UTI) WHICH LED TO HOSPITALIZATION, AND THE PATIENT ENDED UP PASSING AWAY. NO ADDITIONAL INFORMATION WAS PROVIDED. CLINICAL FOLLOW UPS VIA PHONE WERE ATTEMPTED ON (B)(6) 2023 WITH NO RESPONSE RECEIVED. DESPITE GOOD FAITH EFFORTS, NO ADDITIONAL INFORMATION IS AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 222384 | PUREWICK FEMALE EXTERNAL CATHETER | PUREWICK FEMALE EXTERNAL CATHETER | NZU | C.R. BARD, INC. (COVINGTON) -1018233 | UNK | 00801741189050 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Death| H |