BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KANGAROO EPUMP

    MDR report key: 2931734 · Received January 3, 2013

    Report

    Report Number
    2931734
    Event Type
    Malfunction
    Date Received
    January 3, 2013
    Date of Event
    December 20, 2012
    Report Date
    January 3, 2013
    Manufacturer
    COVIDIEN
    Product Code
    LZH
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US

    Narratives

    Description of Event or Problem · 1

    KANGAROO PUMP WAS STATING THAT IT WAS INFUSING AND FLUSHING BUT UPON INVESTIGATION IT WAS INCREASING THE VOLUME AND STATING DELIVERED BUT NOT GOING THROUGH THE TUBE TO DOBHOFF INTO PATIENT. UNABLE TO FLUSH, PULL BACK. MD MADE AWARE AND EVALUATED. ORDER TO PULL DOBHOFF AND DON'T REINSERT. CLOTTING OBSERVED 1/4 WAY FROM WEIGHT. MD AT BEDSIDE. CHARGE NURSE, NURSE MANAGER AWAY AND PUMP TAGGED WITH ORANGE TAG FOR REPAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1944 KANGAROO EPUMP PUMP, ENTERAL FEEDING LZH COVIDIEN EPUMP *

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR