PUMP IN STYLE ADVANCED BREAST PUMP GO TOTE 8107084-57063 8107084/57063

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 2014-04-09 for PUMP IN STYLE ADVANCED BREAST PUMP GO TOTE 8107084-57063 8107084/57063 manufactured by Medela, Inc..

Event Text Entries

[4465028] The customer reported to customer service that the 24mm breastshields were causing her pain. F/u with the customer confirmed she had mastitis.
Patient Sequence No: 1, Text Type: D, B5


[11866918] Customer service sent replacement breastshields to the customer. In f/u with the customer, she stated that she had mastitis. She also indicated that her baby was having trouble latching onto her breast. She was diagnosed and treated for mastitis. She confirmed that the new breast shields were much better. It cannot be definitively concluded that the pump caused or contributed to the customer's mastitis. Reported issues of mastitis are under investigation in (b)(4). 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 & wambach, 4th ed. P. 294: breastfeeding and human lactation. Mastitis requires prompt medical attention for the mother for pain relief and prescription to avoid progression to overwhelming sepsis.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1419937-2014-00345
MDR Report Key3760978
Report Source04
Date Received2014-04-09
Date of Report2014-03-10
Date of Event2014-03-10
Date Facility Aware2014-03-10
Report Date2014-03-10
Date Mfgr Received2014-03-10
Date Added to Maude2014-04-22
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 NamePUMP IN STYLE ADVANCED BREAST PUMP GO TOTE
Product CodeHFS
Date Received2014-04-09
Model Number8107084-57063
Catalog Number8107084/57063
Lot NumberUNK
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerMEDELA, INC.
Manufacturer AddressMCHENRY IL US


Patients

Patient NumberTreatmentOutcomeDate
10 2014-04-09

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