FDA Adverse Event
Other
Summary report: N
HOLISTER
MDR report key: 1639105
·
Received March 16, 2010
Report
- Report Number
- MW5015242
- Event Type
- Other
- Date Received
- March 16, 2010
- Manufacturer
- HOLLISTER
- Product Code
- EXB
- Report Source
- Voluntary report
- Reporter Location
- WV, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
OSTOMY POUCH COMES OFF OF OSTOMY FACEPLATE UNEXPECTEDLY WHEN NOT INTENDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HOLISTER | OSTOMY APPLIANCE | EXB | HOLLISTER | 3804 | 7L132 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |