SOFT SHELLS FOR INVERTED NIPPLES 80220

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2012-08-01 for SOFT SHELLS FOR INVERTED NIPPLES 80220 manufactured by Medela, Inc..

Event Text Entries

[2781311] The customer contacted customer service to inquire about what the soft shells are made of, as she had developed a rash after using them.
Patient Sequence No: 1, Text Type: D, B5


[10109224] The customer was advised that the soft shells are made of silicone. In follow up with the customer, she indicated that after using the soft shells for one day, she developed a rash that looked like little blisters which were extremely itchy. The rash was on both breast where the software shells made contact with her skin. She was prescribed a 2. 5% strength cortisone cream. She discontinued use of the soft shells and used the cortisone cream for a short time, both after which the rash and itching started to subside. She also indicated that she recently discovered that she has an adhesive allergy after a reaction to take that was used during her c-section. The customer confirmed that she would return the soft shells for testing/analysis; however, as of the date of this report, they have not been received. The customer appears to have experienced an allergic reaction to the soft shells. Should additional info or the product be received, resulting in new, changed, or corrected info, a follow up report will be filed. We will monitor complaints for similar issues.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1419937-2012-00244
MDR Report Key2680650
Report Source04
Date Received2012-08-01
Date of Report2012-07-06
Date of Event2012-07-06
Date Mfgr Received2012-07-06
Date Added to Maude2012-08-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactDON ALEXANDER
Manufacturer Street1101 CORPORATE DR.
Manufacturer CityMCHENRY IL 60050
Manufacturer CountryUS
Manufacturer Postal60050
Manufacturer Phone8004358316
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSOFT SHELLS FOR INVERTED NIPPLES
Product CodeHFS
Date Received2012-08-01
Model Number80220
Catalog Number80220
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDELA, INC.
Manufacturer AddressMCHENRY IL 60050 US 60050


Patients

Patient NumberTreatmentOutcomeDate
10 2012-08-01

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