ADAPT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-05-03 for ADAPT manufactured by Hollister Incorporated Consumer Programs Teams.

Event Text Entries

[19906269] I have an ostomy bag which i have worn for approximately 18 years. In the (b)(6) 2010, i started to get red dots on my skin which i attributed to the heat. As time went on, the skin got redder and the tissue began to seep fluid to the point in 2011, i could not wear the bag due to excessive seeping. I contacted my ostomy nurse who tried different products to the point she was at a loss. At that point, i went to a surgeon who initially thought it was my crohn's attacking my skin. He put me on a dose of prednisone and that helped the skin start to clear. Once i tapered of the prednisone, the weeping skin and ulcerations started up again. He then put me on a long regimen of prednisone and had me slowly taper and notify him if the skin started to get worse. At 30mg of prednisone, the skin started to redden and weep again. He then said, i needed to see a dermatologist. Dates of use: (b)(6) 1990 - (b)(6) 2011.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5020505
MDR Report Key2081824
Date Received2011-05-03
Date of Report2011-05-03
Date of Event2010-07-30
Date Added to Maude2011-05-12
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameADAPT
Generic NamePASTE
Product CodeEZR
Date Received2011-05-03
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerHOLLISTER INCORPORATED CONSUMER PROGRAMS TEAMS
Manufacturer Address2000 HOLLISTER DR LIBERTYVILLE IL 60048 US 60048


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2011-05-03

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