inforMED
InjuryEZS

SUR-FIT NATURA 2 PC - DISPOSABLE CONVEX INSERT

Received Jun 4, 2014 · Event occurred Feb 7, 2014

Report 1049092-2014-00168 · MDR key 3888033

Device

Generic name

Appliance, Colostomy, Disposable

Manufacturer

Convatec Inc

Model number

404009

Catalog number

404009

Lot number

UNK

Product problems

  • Increased Sensitivity

Patient

Not reported

  • Unspecified Infection
  • Viral Infection

Narrative

Additional Manufacturer Narrative

BASED ON THE AVAILABLE INFO, THIS EVENT IS DEEMED TO BE A SERIOUS INJURY. AN ALTERNATE PRODUCT SAMPLE HAS BEEN SENT, AND THE USE OF OSTOMY APPLIANCE BELT WAS DISCUSSED WITH END-USER. NO ADD'L PT/EVENT DETAILS HAVE BEEN PROVIDED TO DATE. A RETURN SAMPLE FOR EVAL IS NOT EXPECTED. SHOULD ADD'L INFO BECOME AVAILABLE, A FOLLOW UP REPORT WILL BE SUBMITTED. (B)(4) CONVATEX WILL CONTINUE TO TRACK AND MONITOR SUCH COMPLAINTS ACCORDING TO CONVATEC INC'S. COMPLAINT HANDLING AND CAPA PROCEDURES.

Description of Event or Problem

IT IS REPORTED THAT THE END-USER WAS HOSPITALIZED ON (B)(6) 2014 FOR A DURATION OF THREE (3) WEEKS AND RECEIVING INTRAVENOUS ANTIBIOTICS VIA PIC LINE FOR A STOMACH INFECTION RELATED TO REPEATED USE OF THE SAME CONVEX INSERT. THE PT WAS INSTRUCTED, BY THE INFECTIOUS DISEASE DOCTOR, TO USE A NEW CONVEX INSERT EACH TIME THAT THE WAFER IS CHANGED. THE END-USER WAS USING "SUR-FIT NATURA DISPOSABLE CONVEX INSERTS" WITH "SUR-FIT NATURA DURAHESIVE SKIN BARRIER W/FLANGE". THE "SUR-FIT NATURA DURAHESIVE SKIN BARRIER W/FLANGE" WAS CHANGED EVERY THREE (3) DAYS, AND END-USER WAS REUSING EACH CONVEX INSERT FOR EIGHTEEN (18) DAYS. THE AREA WAS WASHED WITH SOAP AND WATER PRIOR TO INSERTING A NEW WAFER. IT IS ALSO REPORTED THAT END-USER USED A NON-CONVATEC BRAND ADHESIVE REMOVER THEN APPLIED TURBO CEMENT, AND ALSO USED EAKIN COHESIVE SEALS BEFORE APPLYING WAFER. THE PRODUCT WAS IN USE FOR EIGHTEEN DAYS (18) BEFORE THE ISSUE OCCURRED. LASTLY, IT IS REPORTED THAT END-USER HAS BEEN DISCHARGED TO HOME NOW AND IS AFEBRILE AND STATES THAT HE IS DOING GOOD AND "I FEEL BETTER THAN I HAVE EVER FELT".