Model Number 422545 |
Device Problem
Malposition of Device (2616)
|
Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
|
Event Type
malfunction
|
Event Description
|
It was reported that, the wafer was not cut enough.The product was not used.No photo is available at this time.
|
|
Manufacturer Narrative
|
Common device name: pouch, colostomy.Product code: ezq.Complainant state/province: kanagawa event country: japan.Pma /510(k) #: exempt.Based on the available information, this event is deemed to be a reportable malfunction.To date no additional information has been received.Should additional information become available, a follow-up report will be submitted.Fda registration number: reporting site: 1049092.Manufacturing site: 1049092.
|
|
Manufacturer Narrative
|
E1: complainant state/province:(b)(6).Based on the available information, this event is deemed to be a reportable malfunction.To date no additional information has been received.Should additional information become available, a follow-up report will be submitted.Fda registration number: reporting site: 1049092.Third party manufacturing site (for life): 3003759552.
|
|
Event Description
|
To date no additional patient or event details have been received.
|
|
Manufacturer Narrative
|
An investigation was completed for this complaint by the assigned manufacturing site investigation team.The complaint summary of this investigation required rework.A corrective actions/preventive actions (capa) was raised, and an updated/corrected investigation summary has been completed in accordance with assigned capa.A supplemental mdr is being submitted to document the completion of investigation rework and final investigation; the complaint record will proceed to closure.Lot 0000620231 was manufactured on 01/01/2022 and this was the only complaint found in database.Hence, no full cause investigation was carried out.This lot was not related to field safety notice (fsn) issued in 2019.No return samples were provided.No additional action is required, and this complaint will be closed.This issue will be monitored through the post market product monitoring review process.To date no additional information has been received.Should additional information become available, a follow-up report will be submitted.Fda registration number: reporting site: 1049092.Third party manufacturing site (for life): 3003759552.
|
|
Event Description
|
To date no additional patient or event details have been received.
|
|
Search Alerts/Recalls
|