MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2020-03-26 for WILLOW WEARABLE BREAST PUMP PDW29 manufactured by Exploramed Nc7, Inc..
| Report Number | 3012759464-2020-00002 |
| MDR Report Key | 9887172 |
| Report Source | CONSUMER |
| Date Received | 2020-03-26 |
| Date of Report | 2020-03-26 |
| Date of Event | 2020-03-04 |
| Date Mfgr Received | 2020-03-12 |
| Device Manufacturer Date | 2019-12-27 |
| Date Added to Maude | 2020-03-26 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. NELSON LAM |
| Manufacturer Street | 1975 W. EL CAMINO REAL SUITE 306 |
| Manufacturer City | MOUNTAIN VIEW, CA |
| Manufacturer Country | US |
| Manufacturer Phone | 9898681 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | WILLOW WEARABLE BREAST PUMP |
| Generic Name | POWERED BREAST PUMP |
| Product Code | HGX |
| Date Received | 2020-03-26 |
| Model Number | PDW29 |
| Catalog Number | PDW29 |
| Device Availability | N |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | EXPLORAMED NC7, INC. |
| Manufacturer Address | 1975 W. EL CAMINO REAL SUITE 306 MOUNTAIN VIEW, CA US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2020-03-26 |