BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KANGAROO

    MDR report key: 5642884 · Received May 10, 2016

    Report

    Report Number
    5642884
    Event Type
    Malfunction
    Date Received
    May 10, 2016
    Date of Event
    February 14, 2016
    Report Date
    May 6, 2016
    Manufacturer
    MEDTRONIC (FORMERLY COVIDIEN)
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHEN THE NURSE ATTEMPTED TO REMOVE THE GUIDE WIRE FROM DOBHOFF TUBE, THE WIRE WOULD NOT COME OUT. MULTIPLE ATTEMPTS WERE MADE BY THE NURSING SUPERVISOR TO REMOVE THE WIRE. THE ENTIRE TUBE WAS REMOVED AND REPLACED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    300005 KANGAROO TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT MEDTRONIC (FORMERLY COVIDIEN) 521681564X

    Patients

    Seq Age Sex Outcome Treatment
    1 93 YR