BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KANGAROO EPUMP - RFB

    MDR report key: 2003052 · Received February 8, 2011

    Report

    Report Number
    1310379-2011-00015
    Event Type
    Malfunction
    Date Received
    February 8, 2011
    Report Date
    November 29, 2010
    Manufacturer
    COVIDIEN
    Product Code
    LZH
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.

    Description of Event or Problem · 1

    THE PUMP WAS RECEIVED AT A COVIDIEN SERVICE CENTER. UPON THE EVALUATION OF THE PUMP, IT WAS FOUND THAT THE BATTERY WIRING IS BURNT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KANGAROO EPUMP - RFB FEEDING PUMP LZH COVIDIEN 382401 C0919853

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK