FDA Adverse Event
Injury
Summary report: N
ADAPT LUBRICATING DEODORANT
MDR report key: 18845053
·
Received March 5, 2024
Report
- Report Number
- MW5152321
- Event Type
- Injury
- Date Received
- March 5, 2024
- Date of Event
- January 1, 2022
- Report Date
- March 5, 2024
- Manufacturer
- HOLLISTER INCORPORATED
- Product Code
- PQE
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- AZ, US
- Reporter Occupation
- PATIENT
- Health Professional
- N
Narratives
Description of Event or Problem · 0
PRODUCT AND PACKAGING HAS BEEN TAMPERED WITH. REF REPORTS: MW5152316, MW5152317, MW5152318, MW5152319, AND MW5152320.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 196596 | ADAPT LUBRICATING DEODORANT | OSTOMY CARE KIT | PQE | HOLLISTER INCORPORATED |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Required Intervention |