inforMED
MalfunctionEZS

ESTEEM SYNERGY

Received Jun 8, 2018

Report 9618003-2018-00386 · MDR key 7584267

Device

Generic name

Appliance, Colostomy, Disposable

Model number

403986

Product problems

  • Malposition of Device
  • Malposition of Device

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

(B)(6). BASED ON THE AVAILABLE INFORMATION, THIS EVENT IS DEEMED TO BE A REPORTABLE MALFUNCTION. NO LOT NUMBER IS AVAILABLE. A DETAILED INVESTIGATION OR BATCH REVIEW CANNOT BE CONDUCTED. THEREFORE, THIS EVALUATION WILL BE CLOSED. THIS ISSUE WILL BE MONITORED THROUGH THE POST MARKET PRODUCT MONITORING REVIEW PROCESS. TO DATE NO ADDITIONAL INFORMATION HAS BEEN RECEIVED. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, A FOLLOW-UP REPORT WILL BE SUBMITTED. (B)(4).

Description of Event or Problem

THE DISTRIBUTOR REPORTED THE SKIN BARRIER STARTER HOLE WAS DEFECTIVE (OFF CENTER). THE DEVICE WAS NOT USED. NO FURTHER INFORMATION OR PHOTOGRAPH WAS PROVIDED.