FDA Adverse Event Malfunction Summary report: N

KANGAROO

MDR report key: 2250882 · Received August 28, 2011

Report

Report Number
2250882
Event Type
Malfunction
Date Received
August 28, 2011
Date of Event
August 6, 2011
Report Date
August 28, 2011
Manufacturer
KENDALL (COVIDIEN)
Product Code
LZH
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MI, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

FIRST NEW KANGAROO PUMP (B)(6) HAD BEEN BEEPING HOLD ERROR ON AND OFF. ALSO IT WOULD NOT LET USER PRIME PUMP. HAD TO TURN PUMP ON AND OFF A FEW TIMES TO PRIME BAG. FINALLY WE SWITCHED TO A NEW KANGAROO PUMP ((B)(6), STILL ONE OF OUR NEW PUMPS). PUMP SWITCHED ON ITS OWN FROM RUNNING AT 32CC/HR TO RUNNING 260CC/HR. FOUND OUT ABOUT THIS B/C BAG WAS EMPTY AND PUMP BEEPING. LOOKING BACK AT PUMP IT APPEARS PATIENT RECEIVED 63ML BOLUS. NURSE HELD FEEDS X1 HOUR. NOTIFIED MD OF WHAT HAD HAPPENED. PATIENT TOLERATED FEEDING WELL WITH NO EMESIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KANGAROO INFUSION PUMP, ENTERAL LZH KENDALL (COVIDIEN) EPUMP *

Patients

Seq Age Sex Outcome Treatment
1 1 MO