Brand Name | KANGAROO EPUMP - INTL |
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 |
edward
almeida
|
15 hampshire street |
mansfield, MA 02048
|
|
MDR Report Key | 7855579 |
MDR Text Key | 119535327 |
Report Number | 1282497-2018-08046 |
Device Sequence Number | 1 |
Product Code |
LZH
|
Combination Product (y/n) | N |
Reporter Country Code | CA |
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,Followup |
Report Date |
06/28/2019 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 09/07/2018 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
No Information
|
Device Model Number | 482400J |
Device Catalogue Number | 482400J |
Is the Reporter a Health Professional? |
No
|
Date Manufacturer Received | 08/21/2018 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is the Device Single Use? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|