ILEOSTOMY BAG 2883 UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-08-14 for ILEOSTOMY BAG 2883 UNK manufactured by .

Event Text Entries

[679331] Patient had ileostomy procedure done. The ileostomy bags the patient has been using do not work. The bags do not stick and feces leak everywhere in the house. Medicare does not supply enough bags and takes forever, before i can get any supplies. I desperately need some help.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5003385
MDR Report Key897114
Date Received2007-08-14
Date of Report2007-08-14
Date Added to Maude2007-08-21
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 NameILEOSTOMY BAG
Generic NameNONE
Product CodeFON
Date Received2007-08-14
Model Number2883
Catalog NumberUNK
Lot Number15976
ID NumberUNK
OperatorLAY USER/PATIENT
Device AvailabilityY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key874868


Patients

Patient NumberTreatmentOutcomeDate
10 2007-08-14

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