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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CARDINAL HEALTH 200, LLC KANGAROO; PUMP, INFUSION, ENTERAL

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CARDINAL HEALTH 200, LLC KANGAROO; PUMP, INFUSION, ENTERAL Back to Search Results
Model Number 773662
Medical Device Problem Code Air/Gas in Device (4062)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/06/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
An investigation is currently underway.Upon completion, the results will be forwarded.
 
Event or Problem Description
The customer reported during testing the pump kept alarming and air was observed in the line.
 
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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
edificio b20 calle #2 zona fra
alajuela
CS  
Manufacturer Contact
jill saraiva
3651 birchwood drive
waukegan, IL 60085
5086183640
MDR Report Key24625954
Report Number1423537-2026-00074
Device Sequence Number18409009
Product Code LZH
UDI-Device Identifier10192253009958
UDI-Public(01)10192253009958(17)281231(10)2502400279
Combination Product (Y/N)N
Initial Reporter StateIL
Initial Reporter CountryUS
PMA/510(K) Number
K040196
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source User Facility,Company Representative,Distributor
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 03/18/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Model Number773662
Device Catalogue Number773662
Device Lot Number2502400279
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/06/2026
Initial Report FDA Received Date03/18/2026
Is the Device Labeled for Single Use? (Y/N) No
Usage of Device A
Patient Sequence Number1
Patient SexUnknown
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