Brand Name | KANGAROO |
Type of Device | PUMP, INFUSION, ENTERAL |
Manufacturer (Section D) |
COVIDIEN |
37 blvd. insurgentes libriamen |
a la p, la mesa |
tijuana,mx |
MX |
|
Manufacturer (Section G) |
COVIDIEN |
37 blvd. insurgentes libriamen |
a la p, la mesa |
tijuana,mx |
MX
|
|
Manufacturer Contact |
edward
almeida
|
15 hampshire street |
mansfield, MA 02048
|
5084524151
|
|
MDR Report Key | 6329915 |
MDR Text Key | 67589731 |
Report Number | 2024500-2017-05000 |
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 |
04/13/2018 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 02/14/2017 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 11/30/2019 |
Device Model Number | 762055 |
Device Catalogue Number | 762055 |
Device Lot Number | 163350022 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
No
|
Date Manufacturer Received | 02/01/2017 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 11/30/2016 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
|
|