FDA Adverse Event Injury Summary report: N

PUMP IN STYLE ADVANCED BREAST PUMP BACKPACK

MDR report key: 3950984 · Received July 14, 2014

Report

Report Number
1419937-2014-00550
Event Type
Injury
Date Received
July 14, 2014
Date of Event
June 30, 2014
Report Date
July 2, 2014
Manufacturer
MEDELA, INC.
Product Code
HGX
PMA / PMN Number
K031614
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER VISITED A LACTATION CONSULTANT WHO DETERMINED THAT THE BREAST SHIELDS WERE NOT THE ISSUE, SO THE CUSTOMER WAS SENT A REPLACEMENT PUMP. THE PRODUCT INVOLVED IN THE COMPLAINT WAS NOT RETURNED FOR EVALUATION/ INVESTIGATION AT THIS TIME. THEREFORE, NO CONCLUSION CAN BE MADE AS TO THE CAUSE OF THE EVENT. SHOULD ADDITIONAL INFORMATION OR THE ORIGINAL PRODUCT BE RECEIVED, RESULTING IN NEW, CHANGED, OR CORRECTED INFORMATION, 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 A 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 AND 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 T OVERWHELMING SEPSIS. THE CAUSE OF A YEAST INFECTION WHILE USING A PUMP IN STYLE BREAST PUMP HAS NOT BEEN DETERMINED AT THIS TIME. IT IS CURRENTLY BEING INVESTIGATED UNDER (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED TO CUSTOMER SERVICE THAT SHE THOUGHT SHE HAD A FIT ISSUE WITH HER BREAST SHIELDS FOR HER PUMP IN STYLE ADVANCED BREAST PUMP. SHE ALSO REPORTED THAT SHE HAD CONTRACTED MASTITIS AND A YEAST INFECTION, FOR WHICH SHE SAW A PHYSICIAN WHO TREATED HER WITH ANTIBIOTICS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
410116 PUMP IN STYLE ADVANCED BREAST PUMP BACKPACK HGX MEDELA, INC. 57062

Patients

Seq Age Sex Outcome Treatment
1 Other