GENERIC HOLLISTER ADAPT OSTOMY PASTE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-06-30 for GENERIC HOLLISTER ADAPT OSTOMY PASTE manufactured by Hollister.

Event Text Entries

[18028231] Here are two products (hollister adapt ostomy paste and ilex skin protectant paste) that i see mixed up in my practice. The results can lead to major skin breakdown. Medication administered to or used by the pt: no. (b)(6).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5043603
MDR Report Key4895224
Date Received2015-06-30
Date of Report2015-04-23
Date Added to Maude2015-07-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameGENERIC HOLLISTER ADAPT OSTOMY PASTE
Generic NameGENERIC HOLLISTER ADAPT OSTOMY PASTE
Product CodeEXE
Date Received2015-06-30
Device Sequence No1
Device Event Key0
ManufacturerHOLLISTER

Device Sequence Number: 2

Brand NameGENERIC ILEX SKIN PROTECTANT PASTE
Generic NameGENERIC ILEX SKIN PROTECTANT PASTE
Product CodeNEC
Date Received2015-06-30
Device Sequence No2
Device Event Key0
ManufacturerILEX


Patients

Patient NumberTreatmentOutcomeDate
10 2015-06-30

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