FDA Adverse Event Other Summary report: N

KANGAROO EPUMP - NEW

MDR report key: 3844691 · Received May 15, 2014

Report

Report Number
3009247326-2014-00007
Event Type
Other
Date Received
May 15, 2014
Date of Event
April 21, 2014
Report Date
April 28, 2014
Manufacturer
JABIL SINGAPORE
Product Code
LZH
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

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) 2014 THAT A CUSTOMER HAD AN ISSUE WITH A FEEDING PUMP. THE CUSTOMER REPORTS THAT THE PUMP HAS A BAD VALVE SELECTOR THAT JUST SPINS IN CIRCLES RATHER THAN SELECTING THE FLUSH OR FEED LINE AND THERE IS NO ALARM WHEN THIS OCCURS, THE PUMP CONTINUES TO OPERATE. THE CUSTOMER STATES THAT AFTER THE SET AMOUNT OF FLUID IS DELIVERED ON A FEED ONLY SETTING, THE PUMP TELLS THE USER THAT IT DELIVERED THE CORRECT AMOUNT. THE CUSTOMER ALSO STATES THAT THE VOLUME THE PUMP DELIVERS IS CORRECT BUT WHEN THEY MEASURE THE OUTPUT FROM THE FEED AND FLUSH SEPARATELY, THEY FIND THAT EVEN THOUGH THE PUMP WAS SET TO FEED, IF THE VALVE IS BAD, IT DELIVERS ALMOST EXACTLY HALF THE VOLUME FROM THE FEED AND THE FLUSH WITHOUT EVER ALERTING THE USER THAT THERE IS AN ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
291497 KANGAROO EPUMP - NEW FEEDING PUMP LZH JABIL SINGAPORE 382400 NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN