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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PUREWICK CORPORATION ¿ 3012224959 : PUREWICK FEMALE EXTERNAL

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PUREWICK CORPORATION ¿ 3012224959 : PUREWICK FEMALE EXTERNAL Back to Search Results
Catalog Number PWF030
Device Problems Increase in Suction (1604); Improper or Incorrect Procedure or Method (2017); Patient-Device Incompatibility (2682)
Patient Problems Bruise/Contusion (1754); Hematoma (1884); Hemorrhage/Bleeding (1888)
Event Type  Injury  
Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.The information provided by bard represents all of 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 bard.The device was not returned.
 
Event Description
It was reported that the purewick device was placed by the day shift nurse and at around 1930, the patient requested to use the bedside commode.The purewick was removed and replaced with a new one once the patient got back in the bed.The nurse stated that it was possible that the wick was not placed correctly between the labia and was placed resting on top of the labia.The nurse noted the suction on the device was set at "low continuous".Around 0300 the patient requested to use the bedside commode again, the purewick was removed and the nurse's aid noticed blood on the patient's legs and on the white absorbent pad portion of the purewick.The nurse's assessment allegedly found bleeding coming from a hematoma (presumably from being suctioned) and bruising along both sides of the patient's labia.The device was discontinued.Per the nurse, the total length of placement was approximately 14 hours, intermittently, due to removal for commode use.Nurse (b)(6) stated she felt that due to the patient's age with thinning skin that the device may not have been an appropriate choice.The device was used due to the patient having a lasix drip.The patient stated that she did not experience any pain.No medical intervention was reported.It was later reported by the complainant via email on (b)(6) 2018, that the patient reportedly did not have a latex allergy and the reported bleeding stopped on its own.The hematoma was reported to be approximately 5mm in diameter.
 
Event Description
It was reported that the purewick device was placed by the dayshift nurse and at around 1930, the patient requested to use the bedside commode.The purewick was removed and replaced with a new one once the patient got back in the bed.The nurse stated that it was possible that the wick was not placed correctly between the labia and was placed resting on top of the labia.The nurse noted the suction on the device was set at "low continuous".Around 0300 the patient requested to use the bedside commode again, the purewick was removed and the nurse's aid noticed blood on the patient's legs and on the white absorbent pad portion of the purewick.The nurse's assessment allegedly found bleeding coming from a hematoma (presumably from being suctioned) and bruising along both sides of the patient's labia.The device was discontinued.Per the nurse, the total length of placement was approximately 14 hours, intermittently, due to removal for commode use.Nurse(b)(6) stated she felt that due to the patient's age with thinning skin that the device may not have been an appropriate choice.The device was used due to the patient having a lasix drip.The patient stated that she did not experience any pain.No medical intervention was reported.It was later reported by the complainant via email on (b)(6)2018 f, that the patient reportedly did not have a latex allergy and the reported bleeding stopped on its own.The hematoma was reported to be approximately 5mm in diameter.
 
Manufacturer Narrative
The device was not returned for evaluation.The lot number is unknown; therefore, the device history record could not be reviewed.The instructions for use state the following: "purewicktm female external catheter instructions for use setup: 1.Connect the canister to wall suction and set to a minimum of 40mmhg continuous suction.Always use the minimum amount of suction necessary.If using the drydoctm vacuum station, connect the canister to the unit and turn the unit on.Please consult the drydoctm vacuum station user guide for further information.2.Using standard suction tubing, connect the purewicktm female external catheter to the collection canister.Peri-care and placement: 3.Perform perineal care and assess skin integrity (document per hospital protocol).Separate legs, gluteus muscles, and labia.Palpate pubic bone as anatomical marker.4.With soft gauze side facing patient, align distal end of the purewicktm female external catheter at gluteal cleft.Gently tuck soft gauze side between separated gluteus and labia.Ensure that the top of the gauze is aligned with the pubic bone.Slowly place legs back together once the purewicktm female external catheter is positioned.Note: patient can be positioned on back, side lying, frog legged, or lying on back with knees bent and thighs apart (lithotomy position) prior to device placement.Removal: 5.To remove the purewicktm female external catheter, fully separate the legs, gluteus, and labia.To avoid potential skin injury upon removal, gently pull the purewicktm female external catheter directly outward.Ensure suction is maintained while removing the purewicktm female external catheter.After use, this product may be a potential biohazard.Dispose of in accordance with applicable local, state and federal laws and regulations.Maintenance: 6.Replace the purewicktm female external catheter at least every 8-12 hours or if soiled with feces or blood.Always assess skin for compromise and perform perineal care prior to placement of a new purewicktm female external catheter.Indication for use: the purewicktm female external catheter is intended for non-invasive urine output management in female patients.Caution: this product contains dry natural rubber contraindications: ¿ patients with urinary retention warnings: ¿ do not use the purewicktm 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 purewicktm female external catheter against the skin during placement or removal.¿ never insert the purewicktm 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 purewicktm 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 purewicktm female external catheter.Barrier cream may impede suction.¿ not recommended for use on patients with a known latex allergy.¿ 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 purewicktm female external catheter.¿ maintain suction until the purewicktm 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 purewicktm 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 purewicktm female external catheter remains in the correct position after turning the patient.Remove the purewicktm female external catheter prior to ambulation.¿ properly placing the purewicktm female external catheter snugly between the labia and gluteus holds the purewicktm female external catheter in place for most patients.Mesh underwear may be useful for securing the purewicktm female external catheter for some patients.¿ assess device placement and patient¿s skin at least every 2 hours.¿ replace the purewicktm 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.".
 
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Brand Name
: PUREWICK FEMALE EXTERNAL
Type of Device
PUREWICK FEMALE EXTERNAL
Manufacturer (Section D)
PUREWICK CORPORATION ¿ 3012224959
203 gillespie way
el cajon CA 92020
MDR Report Key7740256
MDR Text Key115727191
Report Number1018233-2018-03208
Device Sequence Number1
Product Code NZU
UDI-Device Identifier00801741143083
UDI-Public(01)00801741143083
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type other,user facility
Type of Report Initial,Followup
Report Date 09/19/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Device Operator Health Professional
Device Catalogue NumberPWF030
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 07/09/2018
Initial Date FDA Received08/01/2018
Supplement Dates Manufacturer Received08/30/2018
Supplement Dates FDA Received09/19/2018
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number0
Patient Outcome(s) Other;
Patient Age93 YR
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