inforMED
MalfunctionLQX

CHILDREN'S MEDICAL VENTURES

Received May 6, 2015 · Event occurred May 5, 2015

Report 4755195 · MDR key 4755195

Device

Generic name

Soothie Newborn Pacifier

Model number

*

Catalog number

96004-N

Lot number

*

Product problems

  • Device Dislodged or Dislocated

Patient

*

  • No Information

Narrative

Description of Event or Problem

CONCERN FOR POTENTIAL HARM TO INFANT WHEN MEMBRANE ON PACIFIER COMES OUT (SMALL HOLE LOCATED IN MIDDLE OF PACIFIER DISLODGES). POTENTIAL FOR ASPIRATION.======================MANUFACTURER RESPONSE FOR SOOTHIE NEWBORN PACIFIER, CHILDREN'S MEDICAL VENTURES (PER SITE REPORTER).======================CONTACTED REP AND ORDER NUMBER WAS GIVEN.