BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KANGAROO ENTERAL FEEDING PUMP SET 1000ML

    MDR report key: 4222465 · Received October 6, 2014

    Report

    Report Number
    4222465
    Event Type
    Malfunction
    Date Received
    October 6, 2014
    Date of Event
    May 22, 2014
    Report Date
    October 2, 2014
    Manufacturer
    COVIDIEN
    Product Code
    LZH
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Narratives

    Description of Event or Problem · 1

    FEEDBAG TUBING SNAPPED; FEEDS WENT ALL OVER FLOOR; RN HAD TO HANG NEW BAG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    622252 KANGAROO ENTERAL FEEDING PUMP SET 1000ML PUMP, INFUSION, ENTERAL LZH COVIDIEN UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 13 YR