MAUDE Adverse Event Report: CARDINAL HEALTH KANGAROO; PUMP, INFUSION, ENTERAL

Model Number 773662

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 10/09/2023

Event Type  malfunction  

Event Description

While administering medications via patient's keofeed, nurse was attempting to flush keofeed and heard snapping noise, nurse then noticed tube feeds and water dripping from kangaroo pump.Upon opening kangaroo pump epump tube feeding set was completely broken in half.New tube feed set mixed and running.

• Brand Name: KANGAROO
• Type of Device: PUMP, INFUSION, ENTERAL
• Manufacturer (Section D): CARDINAL HEALTH; 3651 birchwood drive; waukegan IL 60085
• MDR Report Key: 18621546
• MDR Text Key: 334310212
• Report Number: 18621546
• Device Sequence Number: 1
• Product Code: LZH
• Combination Product (y/n): N
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: User Facility
• Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date: 10/13/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 02/01/2024
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: 773662
• Device Catalogue Number: 773662
• Device Lot Number: 2236201864
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: Yes
• Date Report Sent to FDA: 10/13/2023
• Event Location: Hospital
• Date Report to Manufacturer: 02/01/2024
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Unknown
• Patient Sequence Number: 1
• Patient Age: 23725 DA
• Patient Sex: Male