CONVATEC NATURA DURAHESIVE WAFER REF 413183 413183

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-03-03 for CONVATEC NATURA DURAHESIVE WAFER REF 413183 413183 manufactured by Convatec.

Event Text Entries

[17374357] Wafer adhesive frequently fails permitting intestinal material access to skin and clothing. This seemingly minor problem can limit one's travel even short distances. The interval between application and leakage varies from hours to weeks. I suspect the problem stems from one or both of the following because as used this product for many years, it has occurred only in the last several months: 1-change in formulation - greater percentage of water-soluble material in the adhesvie or an unevenness of adhesive application.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1038206
MDR Report Key691850
Date Received2006-03-03
Date of Report2006-03-03
Date of Event2005-11-01
Date Added to Maude2006-03-28
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameCONVATEC NATURA DURAHESIVE WAFER
Generic NameILEOSTOMY WAFER 32MM X 15MN
Product CodeFON
Date Received2006-03-03
Model NumberREF 413183
Catalog Number413183
Lot NumberSH06807
ID Number*
OperatorLAY USER/PATIENT
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key680989
ManufacturerCONVATEC
Manufacturer Address* PRINCETON NJ 08543 US


Patients

Patient NumberTreatmentOutcomeDate
10 2006-03-03

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