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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD, INC. (COVINGTON) -1018233 PUREWICK URINE COLLECTION SYSTEM

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C.R. BARD, INC. (COVINGTON) -1018233 PUREWICK URINE COLLECTION SYSTEM Back to Search Results
Catalog Number PW200
Medical Device Problem Codes Decrease in Suction (1146); Fluid/Blood Leak (1250)
Health Effect - Clinical Code Pressure Sores (2326)
Date of Event 10/31/2024
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
The 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.
 
Event or Problem Description
It was reported that the purewick urine collection system caused leakage and caused pressure sore on patient.Customer advised replacing the kit did not help.Liberator medical supply representative performed troubleshooting and unit suctioned slow.Per follow up via phone on 14nov2024, it was reported that the purewick urine collection system caused a pressure sore on the patient from the leakage.The patient had to seek medical attention and was prescribed medication to apply to the sore and was no longer using the product.Customer stated that they has pictures of the pressure sores and would like to speak with a clinical team member.
 
Additional Manufacturer Narrative
The reported event was inconclusive because no sample was available for evaluation and further investigation did not result in any additional findings.No actions can be taken at this time since a root cause was not identified.The device history record was reviewed and found nothing that could have caused or contributed to the reported event.The instructions for use were found adequate and state the following: intended users the purewick¿ urine collection system is intended to be operated by: ¿ user/patient.¿ caregiver/healthcare professional.All functions can be safely performed by the individuals above.Indications for use.The purewick¿ urine collection system is to be used with purewick¿ external catheters which are intended for non-invasive urine output management.Contraindications for use do not use the purewick¿ urine collection system with purewick¿ external catheters on individuals with urinary retention.Safety and warnings: always unplug purewick¿ urine collection system before cleaning or when not in use.Do not immerse the purewick¿ urine collection system in water.As with most electrical devices, electrical parts in this system are electrically live even when the power is off.To reduce the risk of electric shock, if the purewick¿ urine collection system falls into water, unplug immediately.Do not reach into the water to retrieve it.Warning: contains small parts that may cause choking.Keep out of reach of children.Keep cords and tubing out of the reach of children to avoid the risk of strangulation.Discontinue use if an allergic reaction occurs.Not recommended for users who are experiencing skin irritation or skin breakdown in device contact areas.Warning: this device should not be used in oxygen rich environments or in conjunction with flammable anesthetics.If the purewick¿ urine collection system is dropped or tipped over spilling urine, unplug the unit and carefully inspect for loose or damaged parts before resuming use.Contact customer support at 1-888-201-1586 if any damage is observed.The pump tubing connecting the purewick¿ urine collection system to the collection canister may experience light condensation inside the tube.This is not unusual and does not affect function.However, if urine or water has streamed into the pump, discontinue use and contact customer support at 1-888-201-1586.Although the canister can hold up to 2000cc (ml), the urine should be emptied regularly from the collection canister before volume reaches 1800cc (ml).Failure to empty canister before urine overflow may cause damage to the purewick¿ urine collection system and is not covered under the warranty.It is important that the port connections be connected correctly for proper operation of the purewick¿ urine collection system.Use of this equipment next to or stacked with other equipment should be avoided because it could result in improper operation.If such use is necessary, this equipment and the other equipment should be observed to verify that they are operating normally.Portable radio frequency (rf) communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 12 inches (30cm) to any part of the purewick¿ urine collection system, including cables specified by the manufacturer.Otherwise, degradation of the performance of this equipment could result.Use only purewick¿ urine collection system accessories with this device.Incompatible parts or accessories can result in degraded performance and will void the warranty.Do not use accessories past expiration date indicated on package labeling.Use only the purewick¿ urine collection system a/c power cord with the device.Use of an alternate consumer style a/c power adapter or an extension cord may cause damage to device and electrical shock or injury and will void the warranty.Do not place purewick¿ urine collection system or its cord across walkways creating a tripping hazard.For pw200: the battery cells used in this device may present a fire or chemical hazard.To minimize the risk of damaging the battery inside the purewick¿ urine collection system, do not use the device outside the indicated operating temperature range of 41°f - 104°f (5°c - 40°c).The battery is not intended to be replaced; replacement could result in a hazard.Initial setup.1.Inspect the package for damage.If any damage is noticed, contact customer support at 1-888-201-1586 immediately.2.Carefully remove all contents from the package, including the packing material and inspect prior to use.If any damage is noticed, contact customer support at 1-888-201-1586 immediately.3.Place the purewick¿ urine collection system (a) next to the bed or chair where it will be used.It must be close enough for the collector tubing with elbow connector (g) to easily reach the user and should be placed on a stable, even surface.For optimal results, position the purewick¿ urine collection system either on the floor or as close to the floor as your facility¿s protocol will allow.Note: the purewick¿ urine collection system should be stationary while in use.Device is not designed to be used while in transport.Caution: avoid creating a tripping hazard with the collector tubing or power cord.4.Plug the purewick¿ urine collection system power cord into device outlet (b) and into an a/c power outlet.Note: the device should be positioned for easy access to the a/c inlet and power cord.Note: make sure the power switch is turned off before connecting the power cord.¿ battery power operation (pw200 only) the built-in battery recharges any time the device is plugged into an outlet.To fully charge the battery, the system must be plugged in for 12 hours.The battery will supply 8 hours of backup power before requiring recharging.The purewick¿ urine collection system remains fully functional while the device is recharging.5.Place the collection canister (c) in the purewick¿ urine collection system base and press down firmly on the lid making sure the lid is sealed.Optional (prior to sealing canister lid): while operating the purewick¿ urine collection system, ammonia odor for up to 1800 ml of urine can be eliminated by adding 2 teaspoons (10 grams) of vitamin c (ascorbic acid) powder into the collection canister before use.At least 99.93% of pure vitamin c (ascorbic acid) is recommended.If using the privacy cover (j), slip privacy cover onto canister (similar to a coffee cup sleeve) prior to placing canister into the base.Attach the pump tubing (d) to the purewick¿ urine collection system connector port (f) and the connector port (e) on the collection canister lid.6.Attach the collector tubing (g) to the connector port (h) on the collection canister lid.Connect the other end of the collector tubing securely to a purewick¿ external catheter (i).Caution: it is important that the port connections be connected correctly and securely for proper operation of the purewick¿ urine collection system.7.Turn on the purewick¿ urine collection system by pressing the on/off switch.The purewick¿ urine collection system is working when the switch lights up green and the device makes a soft humming sound.The system is now ready for use.Operating instructions 1.After the purewick¿ urine collection system has been set up, place the purewick¿ external catheter according to the purewick¿ external catheter¿s instructions for use.2.When the canister is ready to be emptied, remove the purewick¿ external catheter according to the purewick¿ external catheter¿s instructions for use and throw away.Note: keep the purewick¿ urine collection system on to make sure all urine has been drawn out of the collector tubing and into the collection canister before removing the purewick¿ external catheter.Note: although the canister can hold up to 2000cc (ml), to prevent overflow empty urine from the collection canister regularly or before volume reaches 1800cc (ml).3.Turn off the purewick¿ urine collection system by pressing the on/off switch.Disconnect the a/c power cord from the power outlet and from the device.Disconnect collector tubing and pump tubing from the canister.4.Lift collection canister from purewick¿ urine collection system.Do not lift canister by the lid.Take canister into an area appropriate for disposal e.G.A bathroom, carefully remove the lid, and dispose of urine in a proper receptacle e.G.A toilet or according to facility protocol.If using a privacy cover and it gets wet, remove and discard.5.Clean collector tubing, pump tubing, canister, purewick¿ urine collection system, and power cord according to cleaning instructions in the cleaning and maintenance section.6.Reassemble the purewick¿ urine collection system according to the initial setup instructions when the system is ready to be reused.When the purewick¿ urine collection system is not in use, unplug the power cord from its outlet.Make sure the unit is cleaned and disinfected prior to storage.Do not store when parts are wet or damp.Cleaning and maintenance: inspect the purewick¿ urine collection system and accessories for damage or wear prior to use and replace as necessary.Do not attempt to open or dismantle the purewick¿ urine collection system.This may affect performance, create a potential safety hazard, cause personal injury, and will void the warranty.Always turn off the device and disconnect from power source prior to cleaning.The privacy cover components are single use only and should not be cleaned or disinfected.Collection canister and lid collector point of use cleaning: after the completion of each use, the collection canister, canister lid, collector tubing, and pump tubing should be rinsed with cool tap water to remove any residual debris or dirt.The purewick¿ urine collection system base should be wiped with a clean low lint cloth dampened with cool tap water.The collection canister, canister lid, collector tubing, pump tubing, and purewick¿ urine collection system base should be cleaned and disinfected at the time of each use, or at a minimum, daily.The power cord should be cleaned and disinfected at the time of each use, or at a minimum daily.Note: gloves should be worn when handling soiled or dirty accessories.Canister and canister lid ¿ initial rinse: rinse the canister and lid thoroughly with cool tap water.While rinsing, remove any excess dirt by wiping the canister and lid with disposable low lint wipes.Manual cleaning instructions for single user (home care): 6 cleaning: prepare a soapy solution by mixing 1 teaspoon (approximately 5 ml) of dish soap with 1 gallon (approximately 4 l) of cool tap water.Fully submerge canister and lid in the solution.Allow it to sit for a minimum of ten (10) minutes.While submerged, use a soft brush (e.G.Toothbrush) to brush all accessible areas of the canister and lid for a minimum of one (1) minute to remove any visible signs of debris or dirt.¿ rinse: rinse the canister and the lid thoroughly with cool tap water until there is no visible sign of the cleaning solution.¿ visual inspection: inspect the canister and the lid to ensure that all debris and dirt have been removed.If there is any sign of debris or dirt, repeat steps above until there is no sign of debris or dirt remaining on the canister and lid.¿ disinfection: fully submerge the canister and lid in 70% isopropyl alcohol (ipa).Allow it to sit for a minimum of ten (10) minutes.¿ rinse: rinse the canister and the lid thoroughly with cool tap water.¿ drying: dry the canister and lid with a clean low lint towel or cloth.Collector tubing (with elbow connector) and pump tubing ¿ initial rinse: disconnect the collector tubing from the elbow connector and disconnect the elbow connector from the lid.Rinse the disconnected tubing thoroughly by running cool tap water through the inside of the tubing.While rinsing, remove any excess dirt by wiping the outside of the tubing and elbow connector with low lint disposable wipes.While rinsing, flush the tubing with cool tap water to remove any excess dirt.¿ cleaning: prepare a soapy solution by mixing 1 teaspoon (approximately 5 ml) of dish soap with 1 gallon (approximately 4 l) of cool tap water.Completely submerge the tubing and elbow connector in the solution and allow it to soak for a minimum of ten (10) minutes.At the beginning of the soak time, flush the inside of the tubing with the prepared solution.While submerged, use a soft brush (e.G.Toothbrush) to brush all accessible areas of the tubing and elbow connector for a minimum of one (1) minute to remove any visible signs of debris or dirt.¿ rinse: rinse the tubing and elbow connector thoroughly with cool tap water until there is no visible sign of the soap cleaning solution.While rinsing, flush the inside of the tubing with the tap water.¿ visual inspection: inspect the tubing to ensure that all debris and dirt have been removed.If there is any sign of debris or dirt, repeat the steps above until there is no sign of debris or dirt remaining on or inside the tubing.¿ disinfection: fully submerge the tubing and elbow connector in 70% isopropyl alcohol (ipa).Allow it to soak for a minimum of ten (10) minutes.Flush the ipa through the tubing, prior to starting the ten (10) minute time.¿ rinse: rinse the tubing and elbow connector thoroughly with cool tap water, ensuring that the inside of the tubing is flushed with water.¿ drying: dry the tubing and elbow connector outer surface with a clean low lint towel or cloth and allow the inside of the tubing to air dry for a minimum of thirty (30) minutes at room temperature.7 purewick¿ urine collection system base with power cord ¿ initial wipe: wipe the purewicktm urine collection system base and power cord thoroughly with a clean low lint cloth dampened with cool tap water.Remove any excess dirt by wiping the device with disposable low lint wipes.¿ cleaning: prepare a soapy solution by mixing 1 teaspoon (approximately 5 ml) of dish soap with 1 gallon (approximately 4 l) of cool tap water.Completely wet a clean low lint cloth with the solution and wipe down the purewicktm urine collection system base and power cord.Allow the cleaning solution to remain on the device and power cord for a minimum of ten (10) minutes, ensuring that the device and power cord remains wet for the ten (10) minutes.Using a soft brush (e.G.Toothbrush), brush all accessible areas of the purewicktm urine collection system base and power cord for a minimum of one (1) minute to remove any visible signs of debris or dirt.¿ rinse: using a new clean low lint cloth, wipe the purewicktm urine collection system base and power cord thoroughly with cool tap water to remove the soap cleaning solution.Perform this step until there is no visible sign of the soap cleaning solution.¿ visual inspection: inspect the purewicktm urine collection system base and power cord to ensure that all debris and dirt have been removed.If there is any sign of debris or dirt, repeat the steps above until there is no sign of debris or dirt remaining on the purewicktm urine collection system base and power cord.¿ disinfection: use 70% isopropyl alcohol (ipa) to completely wet a clean low lint cloth and wipe down the purewicktm urine collection system base and power cord.Allow the disinfecting solution to remain on the device and power cord for a minimum of ten (10) minutes, ensuring the unit is visibly wet with ipa for ten (10) minutes.¿ rinse: using a new clean low lint cloth, wipe the purewicktm urine collection system base and power cord thoroughly with cool tap water to remove the disinfecting solution.¿ drying: dry the purewicktm urine collection system base and power cord with a clean low lint towel or cloth.Contamination should be assumed prior to use with a new user; therefore, the purewick¿ urine collection system base and power cord must be fully cleaned with a disinfectant before reuse.The collection canister and tubing are not suitable for reuse in a multiple user environment.A new collection canister and new tubing must be used for each new user.Canister and canister lid (single user).¿ initial rinse: rinse the canister and lid thoroughly with cool tap water.While rinsing, remove any excess dirt by wiping the canister and lid with disposable low lint wipes.¿ cleaning: prepare enzymatic cleaner solution (e.G.Enzol enzymatic cleaner or equivalent) following the manufacturer¿s recommendation of 1 oz.(approximately 29 ml) per gallon (approximately 4 l) of warm tap water (ratio and water temperature per manufacturer's recommendation if applicable).Manual cleaning instructions for hospitals and long-term care facilities: completely submerge the canister and lid in the solution and allow it to soak for a minimum of ten (10) minutes.While the canister and lid are submerged, use a soft bristle brush (e.G.Toothbrush) to brush all accessible areas of the canister and lid for a minimum of one (1) minute to remove any visible signs of debris or dirt.¿ rinse: rinse the canister and the lid thoroughly with cool tap water until there is no visible sign of the enzymatic cleaning solution.¿ visual inspection: inspect the canister and the lid to ensure that all debris and dirt have been removed.If there is any sign of debris or dirt, repeat the steps above until there is no sign of debris or dirt remaining on the canister and lid.¿ drying: dry the canister and lid with a clean low lint towel or cloth.¿ disinfection: fully submerge the canister and lid in 70% isopropyl alcohol (ipa).Allow it to sit for a minimum of ten (10) minutes.¿ rinse: rinse the canister and the lid thoroughly with cool tap water.¿ drying: dry the canister and lid with a clean low lint towel or cloth.Collector tubing (with elbow connector) and pump tubing (single user) ¿ initial rinse: disconnect the collector tubing from the elbow connector and disconnect the elbow connector from the lid.Rinse the disconnected tubing thoroughly by running cool tap water through the inside of the tubing.While rinising, remove any excess dirt by wiping the outside of the tubing and elbow connector with low lint disposable wipes.While rinsing, flush the tubing with cool tap water to remove any excess dirt.¿ cleaning: prepare enzymatic cleaner solution (e.G.Enzol enzymatic cleaner or equivalent) following the manufacturer¿s recommendation of 1 oz.(approximately 29 ml) per gallon (approximately 4 l) of warm tap water (ratio and water temperature per manufacturer's recommendation if applicable).Completely submerge the tubing and elbow connector in the solution and allow it to soak for a minimum of ten (10) minutes.At the beginning of the soak time, flush the inside of the tubing with the prepared solution.While the tubing is submerged, use a soft bristle brush (e.G.Toothbrush) to brush all accessible areas of the tubing and elbow connector for a minimum of one (1) minute to remove any visible signs of debris or dirt.¿ rinse: rinse the tubing and elbow connector thoroughly with cool tap water until there is no visible sign of the enzymatic cleaning solution.While rinsing, flush the inside of the tubing with the cool tap water.¿ visual inspection: inspect the tubing to ensure that all debris and dirt have been removed.If there is any sign of debris or dirt, repeat the steps above until there is no sign of debris or dirt remaining on or inside the tubing.¿ disinfection: fully submerge the tubing and elbow connector in 70% isopropyl alcohol (ipa).Allow it to sit for a minimum of ten (10) minutes.Flush the ipa through the tubing, prior to starting the ten (10) minute time.¿rinse: rinse the tubing and elbow connector thoroughly with cool tap water, ensuring that the inside of the tubing is flushed with water.¿ drying: dry the tubing and elbow connector outer surface with a clean low lint towel or cloth and allow the inside of the tubing to air dry for a minimum of thirty (30) minutes at room temperature.9 purewick¿ urine collection system base with power cord (multiple users) ¿initial wipe: wipe the purewick¿ urine collection system base and power cord thoroughly with a clean low lint cloth dampened with cool tap water.Remove any excess dirt by wiping the unit with disposable low lint wipes.¿cleaning: prepare enzymatic cleaner solution (e.G.Enzol enzymatic cleaner or equivalent) following the manufacturer¿s recommendation of 1 oz.(approximately 29 ml) per gallon (approximately 4 l) of warm tap water (ratio and water temperature per manufacturer's recommendation if applicable).Wipe the device and power cord with a low lint cloth dampened with the solution.Allow the device and power cord to remain wet for a minimum of ten (10) minutes, ensuring that the device and power cord are visibly wet for the ten (10) minutes.Using a soft bristle brush (e.G.Toothbrush), brush all accessible areas of the purewick¿ urine collection system base and power cord for a minimum of one (1) minute to remove any visible signs of debris or dirt.¿rinse: using a new clean low lint cloth, wipe the purewick¿ urine collection system base and power cord thoroughly with cool tap water to remove the enzymatic cleaning solution.Perform this step until there is no visible sign of the cleaning solution.¿visual inspection: inspect the purewick¿ urine collection system base and power cord to ensure that all debris and dirt have been removed.If there is any sign of debris or dirt, repeat the steps above until there is no sign of debris or dirt remaining on the purewick¿ urine collection system base and power cord.¿disinfection: use 70% isopropyl alcohol (ipa) to completely wet a clean low lint cloth and wipe down the device and power cord.Allow the disinfecting solution to remain on the purewick¿ urine collection system base and power cord for a minimum of ten (10) minutes, ensuring the unit is visibly wet with ipa for ten (10) minutes.¿ rinse: using a new clean low lint cloth, wipe the purewick¿ urine collection system base and power cord thoroughly with cool tap water to remove the disinfecting solution.¿ drying: dry the purewick¿ urine collection system base and power cord with a clean low lint towel or cloth.Replacing canister and tubing replace the canister and tubing for each patient per facility protocol or at least every 60 days, whichever is sooner.If you notice any of the following, replace immediately: ¿ canister or tubing has residual urine build-up.¿canister or tubing appear cloudy.¿canister or tubing appear discolored.¿canister becomes cracked.¿tubing becomes torn.¿purewick¿ external catheter no longer securely connects to collector tubing failure to clean and/or replace accessories may affect the performance of the system.The useful life of the collection canister and tubing is 60 days.10 troubleshooting symptom.Check the following: ¿the device does not turn on when external power is used ¿the power switch does not glow when turned on 1.Check that the power cord is plugged into the purewick¿ urine collection system and to an electrical outlet.2.Ensure the electrical outlet is functioning by plugging in another electrical device.¿the device is on but is not suctioning properly 1.Ensure tubing connections are connected properly.2.Check collector tubing for blockage or flow restriction such as pinched or kinked tubing.3.Ensure overflow stop valve in collection canister lid is open.The valve floats to the top when the collection canister is full.The stop valve may close if the lid or canister is tipped sideways or upside down.Disconnect tubing and gently shake the lid to reset the valve down to the open position.4.Ensure collection canister is sealed with the lid tightly closed.5.Verify suction by disconnecting purewick¿ external catheter from the collector tubing and placing the end of the collector tubing into a cup of water.If water easily flows into the collection canister replace the purewick¿ external catheter.There are no serviceable parts in the purewick¿ urine collection system.Adjustments or modifications made by anyone other than an authorized representative of bd will void the warranty.If the purewick¿ urine collection system is not functioning properly after performing the troubleshooting steps, the device may have reached the end of its useful life.With normal use, this device shall remain safe for the useful life.Do not use the device if it is damaged or defective, including, but not limited to the following: ¿ cracks.¿ separated housing.¿ not suctioning properly or no suction.¿ damaged power cord.Correction: d, f, h.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.
 
Event or Problem Description
It was reported that the purewick urine collection system caused leakage and caused pressure sore on patient.Customer advised replacing the kit did not help.Liberator medical supply representative performed troubleshooting and unit suctioned slow.Per follow up via phone on 14nov2024, it was reported that the purewick urine collection system caused a pressure sore on the patient from the leakage.The patient had to seek medical attention and was prescribed medication to apply to the sore and was no longer using the product.Customer stated that they have pictures of the pressure sores and would like to speak with a clinical team member.A clinical follow up was attempted via phone on 19-nov-2024.The patient's daughter stated she was unable to talk on the phone and requested an email follow up.A follow up email was attempted on 19-nov-2024, but the patient's daughter did not provide any additional event details.
 
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Brand Name
PUREWICK URINE COLLECTION SYSTEM
Common Device Name
PUREWICK URINE COLLECTION SYSTEM
Manufacturer (Section D)
C.R. BARD, INC. (COVINGTON) -1018233
8195 industrial blvd
covington GA 30014
Manufacturer (Section G)
C.R. BARD INC. (COVINGTON) -1018233
8195 industrial blvd
covington GA 30014
Manufacturer Contact
xeeroy rada
8195 industrial blvd
covington 30014
7707846100
MDR Report Key20832496
Report Number1018233-2024-07718
Device Sequence Number10522631
Product Code NZU
UDI-Device Identifier00801741185359
UDI-Public(01)00801741185359(11)220727(17)250918(10)BMGPPX08
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Consumer
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 12/18/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Lay User/Patient
Device Expiration Date09/18/2025
Device Catalogue NumberPW200
Device Lot NumberBMGPPX08
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/14/2024
Supplement Date Received by Manufacturer12/19/2024
Initial Report FDA Received Date12/03/2024
Supplement Report FDA Received Date01/10/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/27/2022
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention;
Patient SexFemale
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