inforMED
InjuryLIO

BD URINE COMPLETE CUP SET, BD VACUTAINER

Received Jul 25, 2012 · Event occurred Jun 29, 2012

Report MW5026274 · MDR key 2674181

Device

Generic name

Urine Complete Cup Set, Bd Vacutainer Ref 364957

Model number

UNK

Catalog number

364957

Product problems

  • Difficult to Open or Close
  • Inadequate Instructions for Non-Healthcare Professional
  • Material Integrity Problem

Patient

76 YR

  • Hemorrhage/Blood Loss/Bleeding
  • Laceration(s)

Narrative

Description of Event or Problem

RECENTLY, MY WIFE PRESENTED AT THE (B)(6) HOSPITAL EMERGENCY DEPARTMENT WITH CLASSIC SYMPTOMS OF URETERAL COLIC. THE INITIAL EVALUATING NURSE APPROPRIATELY ASKED FOR A CLEAN CATCH URINE SAMPLE AND HANDED MY WIFE A COLLECTION SET AFTER TEARING THE PLASTIC WRAP FOR HER. HAVING DIFFICULTY WITH CLOTHES, ETC. IN THE BATHROOM, MY WIFE FOUND THE CUP DIFFICULT TO OPEN. SINCE THE CUP APPEARED TO BE THE SAME TYPE WE HAVE USED FOR YEARS, SHE TRIED PRESSING DOWN ON THE TOP WHILE TWISTING TO OPEN IT. UNEXPECTEDLY, SOMETHING IN THE CUP PIERCED HER FINGER CAUSING BLEEDING. EXAMINATION OF THE CUP SET REVEALED ONLY TINY GRAPHIC INSTRUCTIONS ON THE WRAPPER THAT WE COULD NOT DECIPHER EVEN WITH A MAGNIFIER. I WAS LATER TOLD THAT THIS CUP INCLUDED A DEVICE FOR HANDLING THE SPECIMEN DIFFERENTLY FROM THOSE PLAIN CUPS USED IN THE PAST. MY WIFE'S EXPERIENCE INDICATES THIS DEVICE REPRESENTS A RISK TO UNSUSPECTING PTS. THIS "URINE COMPLETE CUP SET" IS LABELED AS A "BD VACUTAINER" (B)(4).