MAUDE Adverse Event Report: COVIDIEN KANGAROO JOEY FEEDING PUMP

Device Problem Electro-Static Discharge (2149)

Patient Problems Pain (1994); Tingling (2171); Electric Shock (2554)

Event Date 04/25/2014

Event Type  malfunction  

Event Description

Electrical shock when removing plug from kangaroo joey pump, while it was charging.Pump was clamped to iv pole.Plug was gripped from proper position.Strong electrical shock to right hand, tingling and soreness to hand remains present 24 hrs after incident.

• Brand Name: KANGAROO JOEY FEEDING PUMP
• Type of Device: KANGAROO JOEY FEEDING PUMP
• Manufacturer (Section D): COVIDIEN; mansfield MA 02048
• MDR Report Key: 3788337
• MDR Text Key: 4444662
• Report Number: MW5035867
• 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: Nurse
• Type of Report: Initial
• Report Date: 04/26/2014

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 04/28/2014
• 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
• Patient Sequence Number: 1
• Patient Outcome(s): Other
• Patient Age: 30 YR
• Patient Weight: 68