Brand Name | KANGAROO EPUMP ENTERAL FEED AND FLUSH PUMP |
Type of Device | PUMP, INFUSION, ENTERAL |
Manufacturer (Section D) |
CARDINAL HEALTH, INC. |
15 hampshire street |
building 5 |
mansfield MA 02048 |
|
MDR Report Key | 12638544 |
MDR Text Key | 276589399 |
Report Number | 12638544 |
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
|
Type of Report
| Initial,Followup |
Report Date |
09/16/2021 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 10/15/2021 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
No Information
|
Device Model Number | 382400 |
Device Catalogue Number | 382400 |
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 09/16/2021 |
Date Report to Manufacturer | 10/15/2021 |
Patient Sequence Number | 1 |
Patient Age | 1825 DA |
|
|