BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SIMILAC INFANT NIPPLE AND RING

    MDR report key: 14085338 · Received April 11, 2022

    Report

    Report Number
    MW5108920
    Event Type
    Malfunction
    Date Received
    April 11, 2022
    Date of Event
    April 3, 2022
    Report Date
    April 7, 2022
    Manufacturer
    UNK
    Product Code
    FNN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    A BROWN SUBSTANCE WAS NOTED ON THE INSIDE AND BASE OF THE NIPPLE. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    901565 SIMILAC INFANT NIPPLE AND RING NIPPLE, LAMBS FEEDING FNN UNK 380323L00

    Patients

    Seq Age Sex Outcome Treatment
    1 1 MO Female