| Brand Name | KANGAROO |
| Common Device Name | PUMP, INFUSION, ENTERAL |
| Manufacturer (Section D) |
| CARDINAL HEALTH 200, LLC |
| 3651 birchwood drive |
| waukegan IL 60085 |
|
| Manufacturer (Section G) |
| CARDINAL HEALTH |
| 3651 birchwood drive |
|
| waudegan IL 60085 |
|
| Manufacturer Contact |
|
jill
saraiva
|
| 3651 birchwood drive |
| waukegan, IL 60085
|
|
5086183640
|
|
| MDR Report Key | 24567731 |
| Report Number | 1423537-2026-00064 |
| Device Sequence Number | 20974544 |
| Product Code |
LZH
|
| UDI-Device Identifier | 10192253065701 |
| UDI-Public | 10192253065701 |
| Combination Product (Y/N) | N |
| Initial Reporter State | MO |
| Initial Reporter Country | US |
| PMA/510(K) Number | K221603 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
User Facility,Company Representative |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
07/22/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
Yes
|
| Device Model Number | 385400 |
| Device Catalogue Number | 385400 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 03/02/2026 |
| Supplement Date Received by Manufacturer | Not provided
|
| Initial Report FDA Received Date | 03/11/2026 |
| Supplement Report FDA Received Date | 07/22/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Device Not Returned to Manufacturer
|
| Is the Device Labeled for Single Use? (Y/N) |
No
|
| Usage of Device |
A
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |
|
|