BREASTSHIELD, PERSONALFIT STANDARD 8107084 / 87073

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 2013-07-02 for BREASTSHIELD, PERSONALFIT STANDARD 8107084 / 87073 manufactured by Medela, Inc.

Event Text Entries

[18056703] The customer reported to customer service that her breast shields did not fit and resulted in mastitis.
Patient Sequence No: 1, Text Type: D, B5


[18409646] A larger set of breast shields have been sent to the customer. In a f/u with customer, the customer stated that she was diagnosed with mastitis by a nurse practioner with the women's health care specialist. She was prescribed keflex antibiotic to treat the issue. The mastitis began on sunday (b)(6) 2013, due to the breastshields she was using were too small. As of (b)(6) 2013, she was fitted for the correct size breastshields, the fever was gone, but she was still feeling a decreased amount of pain. On (b)(6) 2013, the clinical department spoke with the customer and reported that the customer purchased larger breastshield and she feels that it was a good fit. She was still taking antibiotics, but is feeling much better and her issues are resolving. Clinical department found no indication of an adverse event effect or need for clinical f/u. "mastitis is usually a benign, self-limiting infection with 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 wamback, 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 to overwhelming sepsis. Customer sought medical care and is being treated with antibiotics and is now recovering. Reported issues of mastitis are under investigation in (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1419937-2013-00343
MDR Report Key3207251
Report Source04
Date Received2013-07-02
Date of Report2013-06-05
Date of Event2013-06-05
Date Facility Aware2013-06-05
Report Date2013-06-05
Date Mfgr Received2013-06-05
Date Added to Maude2013-07-08
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 DRIVE
Manufacturer CityMCHENRY IL 60050
Manufacturer CountryUS
Manufacturer Postal60050
Manufacturer Phone8004358316
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBREASTSHIELD, PERSONALFIT STANDARD
Product CodeHFS
Date Received2013-07-02
Model Number8107084 / 87073
Catalog Number8107084 / 87073
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDELA, INC
Manufacturer AddressMCHENRY IL US


Patients

Patient NumberTreatmentOutcomeDate
10 2013-07-02

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