FDA Adverse Event
Injury
Summary report: N
ELVIE DOUBLE BREAST PUMP
MDR report key: 13446276
·
Received February 2, 2022
Report
- Report Number
- MW5107192
- Event Type
- Injury
- Date Received
- February 2, 2022
- Date of Event
- January 29, 2022
- Report Date
- February 1, 2022
- Manufacturer
- CHIARO TECHNOLOGY LIMITED
- Product Code
- HGX
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- VA, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
IT'S THE ELVIE DOUBLE ELECTRIC BREAST PUMP. IT GOT HOT TO THE POINT IT BURNED ME AND LEFT MARKS/BRUISES ON MY BREASTS. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1550982 | ELVIE DOUBLE BREAST PUMP | PUMP, BREAST, POWERED | HGX | CHIARO TECHNOLOGY LIMITED |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 25 YR | Female | Hospitalization| R |