FDA Adverse Event Malfunction Summary report: N

ACTIVELIFE 1-PIECE UROSTOMY POUCH PRECUT 5/8" WITH DURAHESIVE BARRIER

MDR report key: 17964669 · Received October 18, 2023

Report

Report Number
MW5147072
Event Type
Malfunction
Date Received
October 18, 2023
Report Date
October 15, 2023
Manufacturer
CONVATEC, INC.
Product Code
EXH
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
HI, US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

I HAVE WORN A UROSTOMY POUCH FOR THE LAST 50+ YEARS; FOR THE LAST 15 YEARS, I HAVE WORN CONVATEC ACTIVELIFE 1-PIECE UROSTOMY PRECUT 5/8" POUCHES. FOR THE PAST 2 YEARS, I HAVE HAD REPEATED PROBLEMS WITH POUCH LEAKS DUE TO PRODUCT FAILURE. WHAT BEGAN AS SOMETHING THAT OCCURRED WITH 1 IN 10 POUCHES IS NOW HAPPENING AT THE RATE OF 3 OUT OF 4 POUCHES. I AM CURRENTLY USING POUCHES FROM A BOX OF TEN; OF THE FIRST FOUR, THREE HAVE FAILED. THE POUCHES STAY ON WITHOUT LEAKAGE FOR AN AVERAGE OF 24 HOURS. HISTORICALLY, POUCHES WOULD NOT REQUIRE CHANGING FOR 7 TO 10 DAYS. OVER THE LAST 2 YEARS, PRODUCT FAILURE HAS OCCURRED VARIOUSLY (FAILURE AT THE EDGE SEAM; PINPOINT HOLES IN THE BAG SURFACE; OR MOST COMMONLY, AT THE POINT WHERE THE BASEPLATE MEETS THE FLANGE). THE MOST RECENT SERIES OF POUCH FAILURES (OVER THE PAST 3 MONTHS) HAVE BEEN IN THE AREA OF THE BASEPLATE/FLANGE. I HAVE CONTACTED BOTH THE PRODUCT DISTRIBUTOR AND THE MANUFACTURER ABOUT THIS ISSUE. BOTH HAVE PROVIDED ME WITH REPLACEMENT PRODUCTS: I HAVE EXPERIENCED IDENTICAL FAILURES IN THE REPLACEMENT PRODUCTS. IT HAS BEEN SUGGESTED THAT THE ISSUE MAY BE MY IMPROPER APPLICATION OF THE PRODUCT, BUT GIVEN THAT I HAVE BEEN USING THE SAME POUCH FOR THE LAST 15 YEARS (WITHOUT ISSUE UNTIL RECENTLY) AND THE FACT THE PRODUCT FAILURE DOES NOT OCCUR AT THE STOMA SITE (I.E., SUGGESTING LEAKAGE DUE TO PROLONGED WEARING OR IMPROPER APPLICATION) BUT RATHER AT THE MECHANICAL POINT WHERE FLANGE MEETS BASEPLATE, I AM CERTAIN THAT THE FAILURE IS DUE TO THE PRODUCT. REFERENCE REPORTS: MW5147073, MW5147074.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
985783 ACTIVELIFE 1-PIECE UROSTOMY POUCH PRECUT 5/8" WITH DURAHESIVE BARRIER BAG, URINARY, ILEOSTOMY EXH CONVATEC, INC. 125362 2K02257

Patients

Seq Age Sex Outcome Treatment
1 62 YR Female