BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    COVIDIEN/KENDALL

    MDR report key: 1002831 · Received February 21, 2008

    Report

    Report Number
    MW5005641
    Event Type
    Malfunction
    Date Received
    February 21, 2008
    Date of Event
    October 3, 2007
    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

    PATIENT TO RECEIVE ENTERAL FORMULA OF 875ML VIA PUMP TO INFUSE OVER 8 HRS. FORMULA INFUSED OVER 6 1/2 HOURS RESULTING IN PT COMPLAINTS OF EMESIS. PATIENT UTILIZING PUMP VIA MFR'S GUIDELINES.

    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