PYXIS ANESTHESIA SYSTEM (PAS) 4000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-08-18 for PYXIS ANESTHESIA SYSTEM (PAS) 4000 manufactured by Carefusion.

Event Text Entries

[24592837] (b)(4). Field service technician serviced device and found evidence of fluid ingression which caused all the controller boards and smart cables in the within the device to short out. All affected parts were replaced and the device tested normal.
Patient Sequence No: 1, Text Type: N, H10


[24592838] The customer reported an accidental spill of iv fluids into the back components of the pyxis anesthesia system (pas) device. The fluids ingressed and caused an electrical burn odor and smoke. The device was disconnected from power and removed from the room. Alternative measures were taken for medication administration. There was a case in progress at the time of the occurrence; however, there was no harm to the patient or user and there was no delay in medication access.
Patient Sequence No: 1, Text Type: D, B5


[45224295]
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2016493-2015-00596
MDR Report Key5011680
Date Received2015-08-18
Date of Report2015-07-23
Date of Event2015-07-23
Date Mfgr Received2016-04-22
Device Manufacturer Date2013-04-23
Date Added to Maude2015-08-18
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. SYLVIA VENTURA
Manufacturer Street10020 PACIFIC MESA BLVD
Manufacturer CitySAN DIEGO CA 921214386
Manufacturer CountryUS
Manufacturer Postal921214386
Manufacturer Phone8586172000
Manufacturer G1CAREFUSION
Manufacturer Street10020 PACIFIC MESA BLVD
Manufacturer CitySAN DIEGO CA 921214386
Manufacturer CountryUS
Manufacturer Postal Code921214386
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePYXIS ANESTHESIA SYSTEM (PAS)
Generic NameAUTOMATED DISPENSING CABINET (ADC'S)
Product CodeBRY
Date Received2015-08-18
Model Number4000
Catalog Number4000
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCAREFUSION
Manufacturer Address10020 PACIFIC MESA BLVD SAN DIEGO CA 921214386 US 921214386


Patients

Patient NumberTreatmentOutcomeDate
10 2015-08-18

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