MAUDE Adverse Event Report: COVIDIEN KANGAROO JOEY,PUMP W/CLMP,REFB; ENTERAL FEEDING PUMP

Model Number 383401

Device Problem Inaccurate Delivery (2339)

Patient Problem Feeding Problem (1850)

Event Type  malfunction  

Manufacturer Narrative

Submit date: 11/07/2016.An investigation is currently underway.Upon completion, the results will be forwarded.

Event Description

It was reported to covidien on (b)(6) 2016 that a customer had an issue with an enteral feeding pump.The customer states the unit is not feeding the total amount.

Manufacturer Narrative

Submit date: 03/10/2017.An evaluation of the kangaroo joey pump was performed for the reported condition of the unit not feeding the total amount.The unit was triaged and the reported issue could not be confirmed.No faults were observed during testing.All device history records are reviewed for quality inspections and parameter compliance prior to releasing the product for shipment.

• Brand Name: KANGAROO JOEY,PUMP W/CLMP,REFB
• Type of Device: ENTERAL FEEDING PUMP
• Manufacturer (Section D): COVIDIEN; building # 10, 789 puxing road; shanghai ; CH
• Manufacturer (Section G): COVIDIEN; building # 10, 789 puxing road; shanghai ; CH
• Manufacturer Contact: edward almeida ; 15 hampshire street; mansfield, MA 02048 ; 5084524151
• MDR Report Key: 6081405
• MDR Text Key: 59610951
• Report Number: 3006451981-2016-00561
• Device Sequence Number: 1
• Product Code: LZH
• Combination Product (y/n): N
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: company representative,user f
• Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date: 10/08/2016

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 11/07/2016
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: 383401
• Device Catalogue Number: 383401
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: No
• Date Manufacturer Received: 03/10/2017
• Was Device Evaluated by Manufacturer?: Yes
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Unknown
• Patient Sequence Number: 1