inforMED
InjuryEXB

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

Model number

11203

Catalog 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.