BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ENTERAL FEEDING DEVICE (EFD)

    MDR report key: 17423665 · Received July 31, 2023

    Report

    Report Number
    17423665
    Event Type
    Malfunction
    Date Received
    July 31, 2023
    Date of Event
    June 27, 2023
    Report Date
    July 5, 2023
    Manufacturer
    COVIDIEN
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MT
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    WHEN ASSESSING AND ADMINISTERING NIGHT MEDICATIONS FOR PATIENT, I SAW THE KANGAROO PUMP SHOWED A "ROTATOR ERROR" AND RED LIGHT. I OPENED THE TUBE CONNECTOR AND THE FEEDING TUBE WAS BROKEN. AFTER GETTING NEW TUBING, THE PUMP SHOWED THE PATIENT STILL NEEDED 245 ML OF 250 ML OF HIS 1800 BOLUS TUBE FEED. I CONTINUED THE 1800 FEED AT 2130.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    644477 ENTERAL FEEDING DEVICE (EFD) TUBES, GASTROINTESTINAL KNT COVIDIEN C1356203 03 2013

    Patients

    Seq Age Sex Outcome Treatment
    1 24820 DA Male