Brand Name | KANGAROO JOEYPUMP W/POLE CLMP |
Type of Device | PUMP, INFUSION, ENTERAL |
Manufacturer (Section D) |
COVIDIEN |
15 hampshire street |
mansfield MA 02048 |
|
Manufacturer (Section G) |
COVIDIEN |
15 hampshire street |
|
mansfield MA 02048 |
|
Manufacturer Contact |
jill
saraiva
|
777 west street |
mansfield, MA 02048
|
5086183640
|
|
MDR Report Key | 12454129 |
MDR Text Key | 270851223 |
Report Number | 1282497-2021-10603 |
Device Sequence Number | 1 |
Product Code |
LZH
|
UDI-Device Identifier | 10884521006645 |
UDI-Public | 10884521006645 |
Combination Product (y/n) | N |
Reporter Country Code | IT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,foreig |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
09/10/2021 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
No Information
|
Device Model Number | 383400 |
Device Catalogue Number | 383400 |
Was Device Available for Evaluation? |
Yes
|
Initial Date Manufacturer Received |
09/08/2021 |
Initial Date FDA Received | 09/10/2021 |
Is the Device Single Use? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|