NEW IMAGE FLEXTEND TAPE BORDERED CUT TO FIT OSTOMY BARRIER
Received Nov 29, 2022 · Event occurred Sep 4, 2022
Report 1119193-2022-00038 · MDR key 15879799
Device
Generic name
New Image Flextend Tape Bordered Cut To Fit Ostomy Barrier
Manufacturer
Hollister IncroporatedModel number
14604Catalog number
14604
Lot number
UNKNOWN
Product problems
- Adverse Event Without Identified Device or Use Problem
- Adverse Event Without Identified Device or Use Problem
Patient
53 YR · Female
- Skin Inflammation/ Irritation
- Skin Inflammation/ Irritation
Narrative
Additional Manufacturer Narrative
TREND ANALYSIS CONDUCTED AND NO ADVERSE TRENDS OBSERVED. LOT NUMBER NOT PROVIDED SO DEVICE HISTORY RECORDS COULD NOT BE REVIEWED. SAMPLE NOT RETURNED SO SAMPLE EVALUATION NOT POSSIBLE. ROOT CAUSE OF REPORTED GENERALIZED REACTION TO THE BARRIER OF THE OSTOMY APPLIANCE CANNOT BE DETERMINED.
Description of Event or Problem
IT WAS REPORTED THAT AN END USER, WHO HAD ILEOSTOMY SURGERY WAS PUT IN THE HOLLISTER 14604 OSTOMY BARRIER IN THE HOSPITAL. THE END USER REPORTED THAT SHE STARTED TO HAVE A SKIN REACTION, SO THEY GAVE HER IV BENADRYL. SHE SAID SHE ASKED IF THEY COULD SWITCH HER TO A DIFFERENT BARRIER AND THEY SAID NO BECAUSE THAT WAS THE ONLY BARRIER THEY HAD; AND WAS CONSEQUENTLY SENT HOME IN THAT BARRIER. SHE REPORTED SHE HAD MORE OF A REACTION TO THE BARRIER AT HOME INCLUDING VERY RED SKIN UNDER THE FOOTPRINT OF THE BARRIER AND GENERALIZED HIVES. SHE SAID SHE NOTICED HER TONGUE WAS SWELLING SO SHE WENT TO THE ER WHERE SHE REPORTED THEY GAVE HER TWO DOSES OF HER EPIPEN FOR THE REACTION TO SUBSIDE. SHE SAID THEY THEN SWITCHED HER TO A DIFFERENT BRAND OF OSTOMY BARRIER, AND SHE IS NO LONGER HAVING A REACTION TO THE BARRIER.