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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDELA, AG HARMONY MANUAL BREASTPUMP; PUMP, BREAST, NON-POWERED

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MEDELA, AG HARMONY MANUAL BREASTPUMP; PUMP, BREAST, NON-POWERED Back to Search Results
Model Number 67186
Device Problem Decrease in Suction (1146)
Patient Problems Abscess (1690); Unspecified Infection (1930)
Event Date 09/22/2016
Event Type  Injury  
Manufacturer Narrative
A replacement pump was sent to the customer.In follow up with a medela clinician on (b)(6) 2016, the customer stated that she had an abscess drained in the emergency room and has been diagnosed with mastitis 3 times for which she was prescribed dicloxacillin and bactrim.The customer also stated that she is abscess free and that her mastitis is resolved at this time.The product involved in the complaint was not returned for evaluation/investigation at this time.Therefore, no conclusions can be made as to the cause of the event.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 antibiotics to avoid progression to overwhelming sepsis.
 
Event Description
The customer reported to customer service on (b)(6) 2016, that her harmony breast pump had low suction.She also reported that she recently had mastitis and a breast abscess.
 
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Brand Name
HARMONY MANUAL BREASTPUMP
Type of Device
PUMP, BREAST, NON-POWERED
Manufacturer (Section D)
MEDELA, AG
lattichstrasse 4b
baar zug 6341
SZ  6341
Manufacturer (Section G)
MEDELA, AG
lattichstrasse 4b
baar zug 6341
SZ   6341
Manufacturer Contact
robert sokolowski
1101 corporate drive
mchenry, IL 60050
8155782220
MDR Report Key6043246
MDR Text Key57931789
Report Number1419937-2016-00267
Device Sequence Number1
Product Code HGY
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K823840
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Reporter Occupation Other
Type of Report Initial
Report Date 10/09/2016
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Model Number67186
Device Catalogue Number67186
Was Device Available for Evaluation? No
Distributor Facility Aware Date10/09/2016
Initial Date Manufacturer Received 10/09/2016
Initial Date FDA Received10/20/2016
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
Patient Outcome(s) Other;
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