FDA Adverse Event
Malfunction
Summary report: N
PLAYTEX NURSER DELUXE DOUBLE ELECTRIC BREAST PUMP
MDR report key: 3901846
·
Received June 23, 2014
Report
- Report Number
- MW5036880
- Event Type
- Malfunction
- Date Received
- June 23, 2014
- Date of Event
- June 21, 2014
- Report Date
- June 21, 2014
- Manufacturer
- ENERGIZER PERSONAL CARE
- Product Code
- HGX
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE BREAST PUMP POWER ADAPTER HAS SEPARATE WIRES HANGING LOOSE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 366785 | PLAYTEX NURSER DELUXE DOUBLE ELECTRIC BREAST PUMP | BREAST PUMP | HGX | ENERGIZER PERSONAL CARE | SY-12120 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 22 YR |