ULTRALITE OSTOMY BAG

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-09-12 for ULTRALITE OSTOMY BAG manufactured by Marlen Manufacturing.

Event Text Entries

[4714607] I was driving home from work and had emptied my bag before i left. It was less than half full. As i was driving home i heard a popping noise and felt something wet on my legs. I then noticed that my bag had torn at the seams and stool was leaking onto my new car seats. There was a quarter size rip in the seam of the bag. I have reported this to the company on 3 occasions and reported it again today. The woman i talked to was very invalidating and said they could send a new box but then didn't ask for my name or address to file a complaint. She said she couldn't help me. This is the 8th time it has happened since the type of plastic was changed.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5038202
MDR Report Key4096488
Date Received2014-09-12
Date of Report2014-08-27
Date of Event2014-08-26
Date Added to Maude2014-09-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameULTRALITE OSTOMY BAG
Generic NameOSTOMY BAG
Product CodeEXD
Date Received2014-09-12
OperatorLAY USER/PATIENT
Device Sequence No1
Device Event Key0
ManufacturerMARLEN MANUFACTURING


Patients

Patient NumberTreatmentOutcomeDate
10 2014-09-12

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