inforMED
InjuryEXB

PREMIER SOFT CONVEX CERAPLUS UROSTOMY POUCH CUT-TO-FIT

Received Feb 2, 2021 · Event occurred Jan 8, 2021

Report 9616668-2021-00002 · MDR key 11265431

Device

Generic name

Premier Soft Convex Ceraplus Urostomy Pouch Cut-to-fit

Catalog number

84134

Lot number

UNKNOWN

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

76 YR

  • Urinary Tract Infection
  • Urinary Tract Infection

Narrative

Additional Manufacturer Narrative

A REVIEW OF THIS SKU OVER THE LAST 3 YEARS SHOW NO OTHER REPORTS OF SUCTION OR URINE BACKUP. DEVICE HISTORY REVIEW COULD NOT BE CONDUCTED BECAUSE THE LOT NUMBER WAS NOT PROVIDED. THE AFFECTED POUCHES WERE NOT RETURNED SO SAMPLE EVALUATION IS NOT POSSIBLE. END USER'S WEIGHT IS NOT KNOWN SO AN ESTIMATION WAS USED. THE ROOT CAUSE OF THE SUCTION NOT ALLOWING THE URINE TO FLOW INTO THE TUBING COULD NOT BE DETERMINED. HOLLISTER IS SENDING A SAMPLE OF A DIFFERENT TYPE OF POUCH TO SEE IF THIS WORKS BETTER FOR THE END USER. IT IS NOT KNOWN IF THE POUCH SUCTION CAUSED OR CONTRIBUTED TO THE REPORTED INFECTION.

Description of Event or Problem

AN END USER REPORTED THAT HIS HOLLISTER UROSTOMY POUCH DEVELOPED A SUCTION AFTER 2 - 3 DAYS OF USE AND DIDN'T ALLOW URINE TO FLOW DOWN INTO THE TUBING. HE THEN EXPERIENCED ABDOMINAL DISCOMFORT AND WAS DIAGNOSED WITH A URINARY TRACT INFECTION REQUIRING ANTIBIOTICS. THE END USER BELIEVES THAT THE SUCTION IN THE UROSTOMY POUCH CAUSED A BACKFLOW OF URINE INTO HIS KIDNEYS RESULTING IN THIS INFECTION.