FDA Adverse Event Malfunction Summary report: N

PUREWICK URINE COLLECTION SYSTEM

MDR report key: 23008306 · Received September 9, 2025

Report

Report Number
1018233-2025-07711
Event Type
Malfunction
Date Received
September 9, 2025
Date of Event
September 2, 2025
Report Date
September 5, 2025
Manufacturer
C.R. BARD INC. (COVINGTON) -1018233
Product Code
NZU
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. UDI FORMAT UPDATED WITH AVAILABLE PRODUCT INFORMATION PER GUDID. 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.

Description of Event or Problem · 0

PATIENT STATES SUCTION ISSUES, KIT WAS REPLACED WITHIN 60 DAYS- TRANSFER TO (B)(6). SERIAL#: (B)(6). CUSTOMER JUST RECENTLY RECEIVED THE KIT -AFTER WATER CUP TEST FAILED. PATIENT WILL NEED TO BE SHIPPED OUT A BRAND-NEW PW DEVICE UNDER 3 WARRANTIES. NEW SO 212239- CREATED. PRODUCT COMPLAINT CASE CREATED: (B)(4). USED WITH FLEX WICKS. NO ADDITIONAL INFORMATION PROVIDED. TROUBLESHOOTING DID NOT RESOLVE ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2831584 PUREWICK URINE COLLECTION SYSTEM PUREWICK URINE COLLECTION SYSTEM NZU C.R. BARD INC. (COVINGTON) -1018233 NA

Patients

Seq Age Sex Outcome Treatment
1 NA Female Other