FDA Adverse Event Malfunction Summary report: N

KANGAROO

MDR report key: 24203389 · Received January 28, 2026

Report

Report Number
1423537-2026-00022
Event Type
Malfunction
Date Received
January 28, 2026
Date of Event
January 9, 2026
Report Date
March 13, 2026
Manufacturer
CARDINAL HEALTH 200, LLC
Product Code
KNT
UDI-DI
10192253011562
PMA / PMN Number
K180622
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL PRODUCT CODE: PIF, ADDITIONAL 510K NUMBER: K180622. AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION THE RESULTS WILL BE FORWARDED.

Additional Manufacturer Narrative · 0

A DEVICE WAS NOT RECEIVED FOR INVESTIGATION, BUT A PHOTO WAS PROVIDED. THE PHOTO WAS EVALUATED AND THE REPORTED CONDITION WAS OBSERVED. THE DEVICE HISTORY RECORD (DHR) WAS REVIEWED, AND NO ABNORMAL PROCESS CONDITIONS WERE PRESENT DURING THE MANUFACTURING OF THE PRODUCT THAT COULD HAVE LED TO THE OBSERVED CONDITION. THE DHR REVIEW SHOWED THAT ALL ACCEPTANCE CRITERIA INSPECTIONS PER ESTABLISHED SAMPLING LEVELS WERE WITHIN ACCEPTABLE LIMITS DURING THE PRODUCTION PROCESS. ADDITIONALLY, NO NONCONFORMANCES WERE OPENED DURING THE MANUFACTURING PROCESS. THE INVESTIGATION WAS CONDUCTED WITH THE INTERDISCIPLINARY TEAM. ALL PROCESSES WERE REVIEWED AND VERIFIED TO BE FUNCTIONING CORRECTLY. NO ABNORMAL CONDITIONS WERE FOUND THAT COULD TRIGGER THE REPORTED CONDITION. A SUPPLIER CORRECTIVE ACTION REQUEST HAS BEEN SENT TO THE SUPPLIER TO CONDUCT A MORE IN-DEPTH INVESTIGATION RELATED TO THIS TYPE OF FAILURE. ¿WE WILL CONTINUE TO MONITOR RELATED REPORTS TO DETERMINE IF ADDITIONAL ACTIONS ARE NECESSARY.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THEY RECEIVED A CALL FROM THE PERSON IN CHARGE STATING THAT THE PROBE HAD BURST AND WAS LEAKING. IT WAS THEN REPLACED WITH A TEMPORARY PROBE.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THEY RECEIVED A CALL FROM THE PERSON IN CHARGE STATING THAT THE PROBE HAD BURST AND WAS LEAKING. IT WAS THEN REPLACED WITH A TEMPORARY PROBE. PER ADDITIONAL INFORMATION PROVIDED, THE LEAK STARTED THROUGH THE PIPE, AND AFTER THAT, THE BALLOON BURST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
260154 KANGAROO TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT CARDINAL HEALTH 200, LLC 8884720247 2401208764 10192253011562

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown