BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KANGAROO

    MDR report key: 3131156 · Received May 15, 2013

    Report

    Report Number
    MW5030278
    Event Type
    Malfunction
    Date Received
    May 15, 2013
    Report Date
    April 30, 2013
    Product Code
    LZH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    JOEY KANGAROO PUMP WAS NOT DELIVERING CORRECT AMOUNT OF FLUID/HR. THIS IN TURN CAUSED CLIENT TO LOSE 1 1/2 LBS IN 1 MO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    216165 KANGAROO JOEY LZH

    Patients

    Seq Age Sex Outcome Treatment
    1 2 YR