BEUDAMED
    FDA Adverse Event Other Summary report: N

    SIMPLISSE

    MDR report key: 2900269 · Received December 28, 2012

    Report

    Report Number
    3008138005-2012-00005
    Event Type
    Other
    Date Received
    December 28, 2012
    Date of Event
    December 17, 2012
    Report Date
    December 27, 2012
    Manufacturer
    HANDI-CRAFT COMPANY
    Product Code
    HGY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2012, (B)(6) REPORTED THAT SHE HAD BEEN DIAGNOSED BY PHYSICIAN WITH MASTITIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIMPLISSE DOUBLE ELECTRIC BREAST PUMP HGY HANDI-CRAFT COMPANY S1005 SP010131

    Patients

    Seq Age Sex Outcome Treatment
    1 28 YR Other