FDA Adverse Event Death Summary report: N

FLEXI-SEAL FECAL MANAGEMENT SYSTEM

MDR report key: 22105514 · Received May 29, 2025

Report

Report Number
MW5170864
Event Type
Death
Date Received
May 29, 2025
Date of Event
June 18, 2022
Report Date
May 28, 2025
Manufacturer
CONVATEC, INC.
Product Code
KNT
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
PATIENT FAMILY MEMBER OR FRIEND
Health Professional
N

Narratives

Description of Event or Problem · 0

THE REPORTER RESPONDED TO CALL TO MAKE COMPLAIN REGARDING DEVICE FLEXI-SEAL FECAL MANAGEMENT SYSTEM. THE REPORTER SAID HER HUSBAND WAS IN INTENSIVE CARE UNIT FOR TREATMENT OF HEART ATTACK. SHE ALSO MENTIONED HE WAS ON BLOOD THINNER AND ANTIBIOTICS WHICH WAS INFORMED TO THE HEALTH CARE SERVICE PROVIDERS IN THE INTENSIVE CARE UNIT. DURING THE TIME IN ICU, HE HAD DIARRHEA AND FLEXI-SEAL FECAL MANAGEMENT SYSTEM WAS INSERTED ON (B)(6) 2025. THE CALLER STATED, "THE DEVICE WAS USED ON MY HUSBAND WITHOUT CONSENT AND WITHOUT RECORDS OR DOCUMENTATIONS." HE EXPERIENCED VOMITING, ABDOMINAL DISTENTION AND RECTAL BLEEDING. THE TUBE WAS REMOVED ON (B)(6) 2025. HE PASSED AWAY ON (B)(6) 2025.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
746325 FLEXI-SEAL FECAL MANAGEMENT SYSTEM TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT CONVATEC, INC. 0272

Patients

Seq Age Sex Outcome Treatment
1 89 YR Male Death TAB WARFARIN