FDA Adverse Event
Malfunction
Summary report: N
WILLOW 3.0 BREAST PUMP
MDR report key: 17755537
·
Received September 14, 2023
Report
- Report Number
- MW5145672
- Event Type
- Malfunction
- Date Received
- September 14, 2023
- Date of Event
- September 4, 2023
- Report Date
- September 12, 2023
- Manufacturer
- WILLOW INNOVATIONS INC.
- Product Code
- HGX
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- LA, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
WILLOW BREAST PUMP HAVE INCORRECT OUTPUT OF DATA AS TO THE AMOUNT PUMPED. NOT ADEQUATE SUCTION DESPITE DIFFERENT SIZES, CAUSING PUMP TO NOT WORK CORRECTLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 294141 | WILLOW 3.0 BREAST PUMP | PUMP, BREAST, POWERED | HGX | WILLOW INNOVATIONS INC. | WILLOW 3.0 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 34 YR | Female | Other |