BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KANGAROO

    MDR report key: 15094026 · Received July 25, 2022

    Report

    Report Number
    15094026
    Event Type
    Malfunction
    Date Received
    July 25, 2022
    Date of Event
    April 7, 2022
    Report Date
    April 14, 2022
    Manufacturer
    CARDINAL HEALTH, INC.
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OR
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    AT APPROXIMATELY 2200, THIS RN WAS FLUSHING THE FEEDING TUBE, THAT IS ATTACHED TO PATIENT, WITH STERILE WATER. THE NAME OF THE FEEDING TUBE IS PRESUMABLY KANGAROO FEEDING TUBE WITH IRIS TECHNOLOGY 12 FR. BY Y-SITE LOCATION, AT THE PORT THAT HAS A TAG ATTACHED "FOR ENTERAL FLUIDS ONLY", THE HARD PLASTIC PART CAME APART FROM THE RUBBER PIECE. NO DETECTABLE DAMAGE, LOOSE PARTS OR BROKEN PIECES WERE OBSERVED, BUT THE PLASTIC AND RUBBER PIECES WOULD NOT STAY SEALED WHEN ATTEMPTING TO PUT TOGETHER. TAPE WAS USED TO HOLD TWO PIECES TOGETHER SINCE THE TWO PIECES APPEARED TO EASILY COME APART. NO LEAKING AT THE SITE OBSERVED AFTERWARDS. RAPID RESPONSE NURSE AND CHARGE NURSE WERE NOTIFIED AND ASSESSED TUBING AT BEDSIDE; RECOMMENDING TO LEAVE FEEDING TUBE IN, AS LONG AS THERE IS NO LEAKAGE, AND REASSESS THE NEED FOR REPLACEMENT IN THE DAY TIME. THE KANGAROO FEEDING TUBE WITH IRIS TECHNOLOGY WAS NOT USED, DUE TO PATIENT REFUSAL AND WAS REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    718863 KANGAROO TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT CARDINAL HEALTH, INC. 461255

    Patients

    Seq Age Sex Outcome Treatment
    1 25915 DA Male