PUREWICK URINE COLLECTION SYSTEM
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
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.
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 |