Customer service conducted troubleshooting including; verifying the user was using correct kit components; verifying the user was washing parts according to the instructions for use; verifying the user was using dry parts when pumping; verifying user was not washing or drying tubing on pump; and verifying there was no milk backup that occurred.The customer was sent a replacement pump and return of her original pump was requested for testing/evaluation.In follow up with a complaint handler on (b)(6) 2022, the customer indicated that she developed mastitis when her pump broke.She has one more day of antibiotics, but her mastitis has cleared up.She indicated that the replacement pump was working properly.The device was returned with the customer's parts and accessories and was evaluated on 06/07/2022.The device was evaluated with a medela lab kit and the customer's parts.It was identified in the product evaluation the pump had high suction with the lab kit and the customer's kit.Human milk residue was found on the pump aggregate (pump motor and pump assembly), chassis, manifold and solenoid.Based on the results of our internal investigation (reference number (b)(4)),it cannot be definitively concluded that the pump caused or contributed to the customer¿s mastitis.The estimated incidence of mastitis in lactating women, whether using a breast pump or not, according to published clinical literature can be as high as 33%.In fact, clinical guidelines suggest the use of a breast pump to facilitate withdrawal of breast milk during bouts of mastitis.The complaint rate of mastitis across all reported failures, across all medela breast pumps, is (b)(4) for the period of january 2013 to august 2017.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 of mastitis.Riordan & wambach, 4th ed.P.294: breastfeeding and human lactation.However in this case, the mother¿s mastitis required prompt medical attention for pain relief and prescription antibiotics to avoid progression to overwhelming sepsis.
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