FDA Adverse Event Injury Summary report: N

PUMP IN STYLE ADVANCED BREAST PUMP BACKPACK

MDR report key: 3883558 · Received June 9, 2014

Report

Report Number
1419937-2014-00473
Event Type
Injury
Date Received
June 9, 2014
Date of Event
May 13, 2014
Report Date
May 13, 2014
Manufacturer
MEDELA, INC.
Product Code
HGX
PMA / PMN Number
K031614
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER REPORTED MASTITIS. A CLINICIAN FROM MEDELA HAD ATTEMPTED TO CONTACT THE CUSTOMER ON THREE DIFFERENT OCCASIONS BUT WAS UNSUCCESSFUL. THE PRODUCT INVOLVED IN THE COMPLAINT WAS NOT RETURNED FOR EVALUATION/INVESTIGATION AT THIS TIME. THEREFORE, NO CONCLUSIONS CAN BE MADE AS TO THE CAUSE OF THE EVENT. SHOULD ADDITIONAL INFO OR THE ORIGINAL PRODUCT BE RECEIVED, RESULTING IN NEW, CHANGED, OR CORRECTED INFO, A FOLLOW UP REPORT WILL BE FILED AT THAT TIME. IT CANNOT BE DEFINITIVELY CONCLUDED THAT THE PUMP CAUSED OR CONTRIBUTED TO THE CUSTOMER'S MASTITIS. REPORTED ISSUES OF MASTITIS ARE UNDER INVESTIGATION IN (B)(4). MASTITIS IS USUALLY A BENIGN, SELF-LIMITING INFECTION WITH FEW CONSEQUENCES FOR THE SUCKLING INFANT. THE RISK OF MASTITIS IS HIGHER AMONG WOMEN WHO HAVE BREASTFED PREVIOUSLY, ESPECIALLY THOSE WITH A HISTORY OR MASTITIS". RIORDAN & WAMBACH, 4TH ED. P. 294: BREASTFEEDING AND HUMAN LACTATION. MASTITIS REQUIRES PROMPT MEDICAL ATTENTION FOR THE MOTHER FOR PAIN RELIEF AND PRESCRIPTION ANTIBIOTICS TO AVOID PROGRESSION TO OVERWHELMING SEPSIS.

Description of Event or Problem · 1

THE CUSTOMER REPORTED TO CUSTOMER SERVICE THAT HER PUMP IN STYLE BREAST PUMP HAD LOW SUCTION WHICH MAY HAVE CONTRIBUTED TO MASTITIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
334024 PUMP IN STYLE ADVANCED BREAST PUMP BACKPACK HGX MEDELA, INC. 57062 UNK

Patients

Seq Age Sex Outcome Treatment
1