BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    COVIDIEN/KENDALL

    MDR report key: 1002830 · Received February 21, 2008

    Report

    Report Number
    MW5005640
    Event Type
    Malfunction
    Date Received
    February 21, 2008
    Date of Event
    January 17, 2006
    Report Date
    February 21, 2008
    Manufacturer
    COVIDIEN
    Product Code
    LZH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ENTERAL FORMULA ORDERED TO INFUSE VIA ENTERAL FEEDING PUMP OVER 4 HRS. FORMULA INFUSED OVER 2 HRS 45 MINUTES RESULTING IN PT COMPLAINTS OF GAGGING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COVIDIEN/KENDALL JOEY ENTERAL FEEDING PUMP LZH COVIDIEN JOEY

    Patients

    Seq Age Sex Outcome Treatment
    1 YR Other