BEUDAMED
    FDA Adverse Event Other Summary report: N

    BREAST PUMP

    MDR report key: 4080790 · Received September 6, 2014

    Report

    Report Number
    MW5038103
    Event Type
    Other
    Date Received
    September 6, 2014
    Date of Event
    July 31, 2013
    Report Date
    September 6, 2014
    Manufacturer
    PLAYTEX
    Product Code
    HGX
    Report Source
    Voluntary report
    Reporter Location
    IA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    THIS WAS PURCHASED (B)(6) 2013 AND HAS SINCE BEEN RECALLED. S/N: (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    546983 BREAST PUMP BREAST PUMP HGX PLAYTEX

    Patients

    Seq Age Sex Outcome Treatment
    1 33 YR