FDA Adverse Event
Malfunction
Summary report: N
SIMILAC SLOW FLOW NIPPLE AND RING
MDR report key: 8543519
·
Received April 24, 2019
Report
- Report Number
- 8543519
- Event Type
- Malfunction
- Date Received
- April 24, 2019
- Date of Event
- April 5, 2019
- Report Date
- April 9, 2019
- Manufacturer
- ABBOTT NUTRITION
- Product Code
- FNN
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CT
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
MOTHER FED BABY WITH BRAND NEW, SIMILAC, SLOW FLOW NIPPLE. MOTHER NOTICED BABY STRUGGLING WITH FEED. MOTHER NOTED VERY LARGE, OFF CENTER HOLE IN NIPPLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 337369 | SIMILAC SLOW FLOW NIPPLE AND RING | FNN | ABBOTT NUTRITION | 95194SG00 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |