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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD, INC. (COVINGTON) -1018233 PUREWICK FEMALE EXTERNAL CATHETER; UNKNOWN PUREWICK FEMALE EXTERNAL CATHETER

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C.R. BARD, INC. (COVINGTON) -1018233 PUREWICK FEMALE EXTERNAL CATHETER; UNKNOWN PUREWICK FEMALE EXTERNAL CATHETER Back to Search Results
Catalog Number UNKNOWN
Device Problem Fluid/Blood Leak (1250)
Patient Problems Pressure Sores (2326); Skin Inflammation/ Irritation (4545)
Event Date 12/20/2022
Event Type  Injury  
Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.
 
Event Description
It was reported that the purewick female external catheter broke them out last time, so refused to use.Per additional information received via mail on 29dec2022, it was reported that the patient had developed a stage 2 pressure injury on the sacrococcygeal area.It was stated that the patient had a pure wick catheter which was leaking.It was also stated that the moisture on the skin had put the patient at higher risk of developing pressure injury.The medical intervention status was unknown.
 
Event Description
It was reported that the purewick female external catheter broke them out last time, so refused to use.Per additional information received via mail on 29dec2022, it was reported that the patient had developed a stage 2 pressure injury on the sacrococcygeal area.It was stated that the patient had a pure wick catheter which was leaking.It was also stated that the moisture on the skin had put the patient at higher risk of developing pressure injury.Medical intervention status was unknown.
 
Manufacturer Narrative
The reported event was inconclusive because no sample was returned.A potential root cause for this failure could be ¿dimensions not specified correctly and/or improper materials used, assembly collapses under vacuum¿.It is unknown whether the device had met relevant specifications.The product was used for treatment purposes.It was unknown whether the product had caused the reported failure.The dhr review could not be performed without a lot number.The product catalog number and the lot number for this device are unknown.Therefore, bd is unable to determine the associated labeling to review.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.
 
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Brand Name
PUREWICK FEMALE EXTERNAL CATHETER
Type of Device
UNKNOWN PUREWICK FEMALE EXTERNAL CATHETER
Manufacturer (Section D)
C.R. BARD, INC. (COVINGTON) -1018233
8195 industrial blvd
covington 30014
Manufacturer (Section G)
C.R. BARD, INC. (COVINGTON) -1018233
8195 industrial blvd
covington 30014
Manufacturer Contact
xeeroy rada
8195 industrial blvd
covington 30014
7707846100
MDR Report Key16102055
MDR Text Key306694545
Report Number1018233-2023-00007
Device Sequence Number1
Product Code NZU
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Health Professional,User Facility,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 05/03/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/05/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received05/03/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other;
Patient SexFemale
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