BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PYXIS ANESTHESIA SYSTEM (PAS)

    MDR report key: 2123539 · Received June 9, 2011

    Report

    Report Number
    2016493-2011-00067
    Event Type
    Malfunction
    Date Received
    June 9, 2011
    Date of Event
    May 20, 2011
    Report Date
    May 20, 2011
    Manufacturer
    CAREFUSION
    Product Code
    BRY
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    MFR'S INITIAL REPORT DATE: (B)(4) 2011. (B)(4). ADD'L DATA / FAILURE INVESTIGATION: FIELD SERVICE TECH INVESTIGATION DISCOVERED PHYSICAL ITEM OBSTRUCTION CAUSING DRAWER FAILURE.

    Description of Event or Problem · 1

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

    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