NEW IMAGE
Received Jul 3, 2024 · Event occurred Jun 30, 2024
Report 1119193-2024-00012 · MDR key 19665720
Device
Generic name
2-piece Ostomy Skin Barrier, Ceraplus
Manufacturer
Hollister IncorporatedModel number
11203Catalog number
11203
Lot number
UNKNOWN
Product problems
- Fluid/Blood Leak
- Fluid/Blood Leak
Patient
78 YR · Male
- Caustic/Chemical Burns
- Skin Inflammation/ Irritation
- Caustic/Chemical Burns
- Skin Inflammation/ Irritation
Narrative
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 COULD NOT BE CONDUCTED BECAUSE A LOT NUMBER WAS NOT PROVIDED. BASED ON THE INFORMATION PROVIDED, A ROOT CAUSE OF THE EVENT COULD NOT BE DETERMINED. HOLLISTER WILL CONTINUE TO MONITOR THIS REPORTED ISSUE.
Description of Event or Problem
IT WAS REPORTED THAT THE END USER HAS BEEN RECEIVING CHEMO FOR THE LAST 4 YEARS. IT WAS REPORTED THAT DURING THIS WHOLE TIME, URINE HAS BEEN LEAKING UNDER THE UROSTOMY BARRIER AND BURNING HIS SKIN FROM THE CHEMOTHERAPY IN THE URINE. IT WAS REPORTED THAT THE SKIN LOOKS LIKE A 3RD DEGREE BURN, IRRITATED, AND WAS NOT GETTING ANY BETTER. IT WAS FURTHER REPORTED THAT THE DOCTOR PRESCRIBED ORAL PREDNISONE 3 DAYS AGO FOR A 5-DAY TAPERING SCHEDULE. IT WAS REPORTED THAT THE SKIN IS ALREADY FEELING BETTER. HOLLISTER IS SENDING OUT SAMPLES OF OTHER PRODUCTS TO TRY.