FDA Adverse Event Injury Summary report: N

PUREWICK FEMALE EXTERNAL

MDR report key: 8562253 · Received April 29, 2019

Report

Report Number
1018233-2019-02218
Event Type
Injury
Date Received
April 29, 2019
Report Date
June 27, 2019
Manufacturer
PUREWICK CORPORATION ¿ 3012224959
Product Code
NZU
UDI-DI
00801741151781
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS NOT RETURNED FOR EVALUATION. A POTENTIAL ROOT CAUSE COULD BE DUE TO "MECHANICAL MALFUNCTION". 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: "CHECK PATIENT TUBING FOR BLOCKAGE OR FLOW RESTRICTION SUCH AS PINCHED OR KINKED TUBING", WHICH CAN HELP PREVENT URINE BUILDUP IN THE PUREWICK CATHETER THAT COULD POTENTIALLY LEAD TO A UTI. THE DEVICE WAS NOT RETURNED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED REPEATED URINARY TRACT INFECTIONS FROM USE OF THE DRYDOC STATION. THE PATIENT WAS TREATED WITH ANTIBIOTICS.

Additional Manufacturer Narrative · 1

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. THE DEVICE WAS NOT RETURNED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT EXPERIENCED REPEATED URINARY TRACT INFECTIONS FROM USE OF THE DRYDOC STATION. THE PATIENT WAS TREATED WITH ANTIBIOTICS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
356194 PUREWICK FEMALE EXTERNAL DRYDOC STATION NZU PUREWICK CORPORATION ¿ 3012224959 UNK 00801741151781

Patients

Seq Age Sex Outcome Treatment
1 Other