BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KANGAROO EPUMP - INTERNATIONAL

    MDR report key: 2910694 · Received December 4, 2012

    Report

    Report Number
    1717344-2012-01199
    Event Type
    Malfunction
    Date Received
    December 4, 2012
    Report Date
    November 15, 2012
    Manufacturer
    COVIDIEN
    Product Code
    JOW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    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

    IT WAS REPORTED TO COVIDIEN ON (B)(4) 2012 THAT A CUSTOMER HAD AN ISSUE WITH THE POWER CORD OF A KANGAROO E-PUMP. THE CUSTOMER REPORTED THAT THE E-PUMP POWERPACK HAD ARCING. IT WAS NOTED THAT THERE WAS MELTING ON BOTH SIDES OF THE ADAPTER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KANGAROO EPUMP - INTERNATIONAL POWER CORD JOW COVIDIEN 482400S NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK