FDA Adverse Event Malfunction Summary report: N

FREESTYLE FLEX BREAST PUMP EN FR ES

MDR report key: 10547975 · Received September 17, 2020

Report

Report Number
1419937-2020-00101
Event Type
Malfunction
Date Received
September 17, 2020
Date of Event
August 24, 2020
Manufacturer
MEDELA AG
Product Code
HGX
UDI-DI
00020451379807
PMA / PMN Number
K191653
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CUSTOMER SERVICE HAD THE CUSTOMER RESET HER PUMP, REQUESTED SHE CHARGE IT FOR 2 HOURS, AND ASKED HER TO CALL BACK IF SHE HAD FURTHER ISSUES. ON (B)(6) 2020, THE CUSTOMER CALLED IN AND ALLEGED THAT HER FREESTYLE FLEX HAD A MELTED CHARGING PORT AND POWER CORD. CUSTOMER SERVICE SENT THE CUSTOMER A REPLACEMENT DEVICE AND RETURN OF HER ORIGINAL DEVICE WAS REQUESTED FOR TESTING/EVALUATION. IN FURTHER FOLLOW UP WITH A COMPLAINT HANDLER ON (B)(6) 2020, THE CUSTOMER INDICATED THAT THE DEVICE AND POWER ADAPTOR HAD BEEN PLUGGED INTO A WALL OUTLET WITH A NON-MEDELA CHARGING WHEN SHE NOTICED AFTER AN HOUR AND A HALF OF CHARGING THAT THE DEVICE'S CHARGING PORT AND THE NON-MEDELA POWER CORD WERE MELTED. SHE ADDITIONALLY INDICATED THAT SHE HAD PURCHASED THE NON-MEDELA CHARGING CORD BECAUSE HER PUMP HAD NOT BEEN CHARGING WITH THE CORD THAT CAME WITH THE PUMP, BUT SHE KNEW THE POWER ADAPTOR WAS WORKING SINCE SHE HAD TESTED IT WITH HER PHONE. THIS ISSUE IS CURRENTLY UNDER INVESTIGATION BY MEDELA AG, THE LEGAL MANUFACTURER IN (B)(4).

Description of Event or Problem · 1

ON (B)(6) 2020, THE CUSTOMER ALLEGED TO MEDELA LLC THAT HER FREESTYLE FLEX BREAST PUMP WAS NOT CHARGING PAST SIXTY THREE PERCENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1016036 FREESTYLE FLEX BREAST PUMP EN FR ES PUMP, BREAST, POWERED HGX MEDELA AG 101037980 162128 00020451379807

Patients

Seq Age Sex Outcome Treatment
1