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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: COVIDIEN KANGAROO; PUMP, INFUSION, ENTERAL

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COVIDIEN KANGAROO; PUMP, INFUSION, ENTERAL Back to Search Results
Model Number 383400
Device Problems Device Alarm System (1012); Device Sensing Problem (2917); Device Dislodged or Dislocated (2923)
Patient Problem No Patient Involvement (2645)
Event Date 07/09/2018
Event Type  malfunction  
Manufacturer Narrative
If information is provided in the future, a supplemental report will be issued.
 
Event Description
The customer states that the enteral feeding pump is not sensing when the pump set is dislodged.The event occurred during testing.No patient was involved.
 
Manufacturer Narrative
If information is provided in the future, a supplemental report will be issued.
 
Manufacturer Narrative
The unit was triaged and the customer¿s reported condition was confirmed.Root cause of this failure has been isolated to a faulty ultrasonic sensor.During the investigation slight corrosion was also found on the pcba.Liquid ingress caused the pcba to corrode, and is the result of customer misuse.All device history records are reviewed for quality inspections and parameter compliance prior to releasing the product for shipment.Complaint trending information is being reviewed on a monthly basis and if a trend is observed, actions will be taken as necessary.If information is provided in the future, a supplemental report will be issued.
 
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Brand Name
KANGAROO
Type of Device
PUMP, INFUSION, ENTERAL
Manufacturer (Section D)
COVIDIEN
building 10- no 789 puxing roa
shanghai 20111 4
CN  201114
MDR Report Key7746575
MDR Text Key116224480
Report Number3006451981-2018-00542
Device Sequence Number1
Product Code LZH
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,distri
Type of Report Initial,Followup,Followup
Report Date 10/08/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/03/2018
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number383400
Device Catalogue Number383400
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/17/2018
Date Manufacturer Received08/08/2018
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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