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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CHIARO TECHNOLOGY LIMITED ELVIE DOUBLE BREAST PUMP; PUMP, BREAST, POWERED

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CHIARO TECHNOLOGY LIMITED ELVIE DOUBLE BREAST PUMP; PUMP, BREAST, POWERED Back to Search Results
Device Problem Overheating of Device (1437)
Patient Problems Bruise/Contusion (1754); Superficial (First Degree) Burn (2685)
Event Date 01/29/2022
Event Type  Injury  
Event Description
It's the elvie double electric breast pump.It got hot to the point it burned me and left marks/bruises on my breasts.Fda safety report id # (b)(4).
 
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Brand Name
ELVIE DOUBLE BREAST PUMP
Type of Device
PUMP, BREAST, POWERED
Manufacturer (Section D)
CHIARO TECHNOLOGY LIMITED
MDR Report Key13446276
MDR Text Key285096479
Report NumberMW5107192
Device Sequence Number1
Product Code HGX
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 02/01/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/02/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Was Device Available for Evaluation? Yes
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Required Intervention;
Patient Age25 YR
Patient SexFemale
Patient Weight68 KG
Patient EthnicityNon Hispanic
Patient RaceAsian
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