BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PYXIS ANESTHESIA SYSTEM (PAS)

    MDR report key: 1911475 · Received November 18, 2010

    Report

    Report Number
    2016493-2010-00085
    Event Type
    Malfunction
    Date Received
    November 18, 2010
    Date of Event
    October 26, 2010
    Report Date
    October 26, 2010
    Manufacturer
    CAREFUSION
    Product Code
    BRY
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). ADDITIONAL DATA/FAILURE INVESTIGATION: FIELD SERVICE TECHNICIAN INVESTIGATION DISCOVERED PHYSICAL ITEM OBSTRUCTION CAUSING DRAWER FAILURE.

    Description of Event or Problem · 1

    CUSTOMER REPORTS DRAWER ON PYXIS ANESTHESIA SYSTEM FAILED. NO PT HARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PYXIS ANESTHESIA SYSTEM (PAS) AUTOMATED DISPENSING CABINET (ADC'S) BRY CAREFUSION 3500 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK