PNSA STARTER BP EN ES USA 101035077

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2020-02-28 for PNSA STARTER BP EN ES USA 101035077 manufactured by Medela Llc.

Event Text Entries

[181479834] Customer service verified breast shield fit with the customer and determined that the 27mm breast shields fit better than the 24mm breast shields. The customer could not complete all troubleshooting steps and stated that she would call back when she was able to. She contacted customer service again the same day and asked if she could try a larger breast shield size before completing additional troubleshooting. The customer was sent 27mm personal fit flex breast shields. In additional follow up with a complaint handler on (b)(6) 2020, the customer indicated she had seen a doctor and was prescribed a topical ointment for a bump on her nipple, which was a result of her engorgement that had started a week before contacting medela. Additionally, she indicated that the 27mm personal fit flex breast shields were more comfortable, having made a difference in her pumping experience, and the engorgement was resolved. The complaint handler asked the customer if she would like to return her 24mm breast shields for testing/evaluation, but the customer refused. Medela is filing this report, which is considered a serious injury as it required medical attention (medication was prescribed). The instructions for use provides instructions for breast shield sizing, including reference to medelabreastshields. Com and referral to a lactation consultant for assistance in choosing the correct size breast shield.
Patient Sequence No: 1, Text Type: N, H10


[181479835] On (b)(6) 2020, the customer alleged to medela llc that her pump in style breast pump had low suction and she was engorged.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1419937-2020-00014
MDR Report Key9770118
Report SourceCONSUMER
Date Received2020-02-28
Date of Event2020-01-15
Date Mfgr Received2020-03-04
Date Added to Maude2020-02-28
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 FDA3
Event Location3
Manufacturer ContactJAN KLOIBER
Manufacturer Street1101 CORPORATE DRIVE
Manufacturer CityMCHENRY, IL
Manufacturer CountryUS
Manufacturer Phone4358316
Manufacturer G1MEDELA LLC
Manufacturer Street1101 CORPORATE DRIVE
Manufacturer CityMCHENRY, IL
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePNSA STARTER BP EN ES USA
Generic NamePUMP, BREAST, POWERED
Product CodeHGX
Date Received2020-02-28
Model Number101035077
Catalog Number101035077
Lot NumberNI
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDELA LLC
Manufacturer Address1101 CORPORATE DRIVE MCHENRY, IL US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-02-28

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