BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KANGAROO JOEY ENPLUS SPIKE WITH FLUSH BAG

    MDR report key: 12180452 · Received July 15, 2021

    Report

    Report Number
    MW5102569
    Event Type
    Malfunction
    Date Received
    July 15, 2021
    Date of Event
    June 25, 2021
    Report Date
    July 13, 2021
    Manufacturer
    COVIDIEN
    Product Code
    LZH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE SPIKE OF THE JOEY TUBE FEEDING FLUSH BAG WAS LEAKING AFTER SPIKING TUBE FEED. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1075043 KANGAROO JOEY ENPLUS SPIKE WITH FLUSH BAG PUMP, INFUSION, ENTERAL LZH COVIDIEN 211020120

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR