NEW IMAGE
Received Feb 26, 2024 · Event occurred Feb 2, 2024
Report 1119193-2024-00005 · MDR key 18776818
Device
Generic name
2-piece Ostomy Skin Barrier, Soft Convex, Ceraplus
Manufacturer
Hollister IncorporatedModel number
11906Catalog number
11906
Lot number
3K072
Product problems
- Unintended Movement
- Unintended Movement
Patient
78 YR · Female
- Abrasion
- Skin Infection
- Abrasion
- Skin Infection
Narrative
Description of Event or Problem
IT WAS REPORTED THAT THE NEW IMAGE OSTOMY BARRIER DID NOT ADHERE WELL TO THE SKIN. IT WAS REPORTED THAT THE LACK OF ADHESION ALLOWED THE SKIN BARRIER TO BUNCH UP UNDER THE ABDOMINAL HERNIA BINDER AND ABRADED THE STOMA RESULTING IN SOME BLEEDING AND A LOCAL INFECTION WITH PUSS. IT WAS FURTHER REPORTED THAT THE END USER WAS TAKEN TO THE ER AND TREATED WITH ANTIBIOTICS TO PREVENT IT FROM GETTING WORSE.
Additional Manufacturer Narrative
THE BARRIER WAS NOT SAVED; THEREFORE, A DEVICE EVALUATION COULD NOT TAKE PLACE. A COMPLAINT HISTORY TREND ANALYSIS WAS CONDUCTED FOR SIMILAR COMPLAINTS AND NO ADVERSE TRENDS OBSERVED. A DEVICE HISTORY RECORDS (DHR) REVIEW WAS COMPLETED BASED ON THE PRODUCT AND LOT NUMBER AND NO ISSUES WERE IDENTIFIED. BASED ON THE INFORMATION PROVIDED, A ROOT CAUSE COULD NOT BE DETERMINED. HOLLISTER WILL CONTINUE TO MONITOR THIS REPORTED ISSUE.