BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SIMILAC INFANT NIPPLE AND RING

    MDR report key: 7178835 · Received January 9, 2018

    Report

    Report Number
    MW5074486
    Event Type
    Malfunction
    Date Received
    January 9, 2018
    Date of Event
    January 6, 2018
    Report Date
    January 8, 2018
    Manufacturer
    ABBOTT NUTRITION
    Product Code
    FNN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    MOM WAS FEEDING NEWBORN WITH A BOTTLE AND PRIOR TO FEEDING SHE NOTED A SMALL METALLIC SHARD EMBEDDED IN THE NIPPLE PART OF THE BOTTLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    20828 SIMILAC INFANT NIPPLE AND RING NIPPLE, LAMBS FEEDING FNN ABBOTT NUTRITION 82142SG00

    Patients

    Seq Age Sex Outcome Treatment
    1 2 DA