MAUDE Adverse Event Report: COVIDIEN KANGAROO FEEDING PUMP

Device Problem Display or Visual Feedback Problem (1184)

Patient Problem No Known Impact Or Consequence To Patient (2692)

Event Date 08/12/2014

Event Type  malfunction  

Event Description

Feeding pump is not correctly registering the amount of feeding delivered.A 1000ml bag of tube feeding was given and the reading on the pump was 1233.A bag of 1000 ml was hung and read 1237 when it finished.The bag was hung correctly at 18 in on the iv pole.The nurse correctly programmed the pump.The pump has passed calibration and testing.The pump has been sequestered for testing at the company.

• Brand Name: KANGAROO FEEDING PUMP
• Type of Device: KANGAROO FEEDING PUMP
• Manufacturer (Section D): COVIDIEN; mansfield 02048
• MDR Report Key: 4031389
• MDR Text Key: 21720865
• Report Number: MW5037861
• Device Sequence Number: 1
• Product Code: LZH
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date: 08/18/2014

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: Health Professional
• Is the Reporter a Health Professional?: Yes
• Initial Date Manufacturer Received: Not provided
• Initial Date FDA Received: 08/19/2014
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Patient Age: 42 YR
• Patient Weight: 78