MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2018-10-26 for PYXIS ANESTHESIA SYSTEM (PAS) PAS3500 manufactured by Carefusion.
[126358632]
(b)(4). Bd field service technician on site doing preventative maintenance work encountered sparking on the usb skateboard caused by a pinched cable. All affected parts were replaced and no further issues were identified.
Patient Sequence No: 1, Text Type: N, H10
[126358633]
Bd employee encountered sparking when repairing the pas-3500 device. No harm was caused to a patient or the technician.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2016493-2018-00004 |
| MDR Report Key | 8010142 |
| Report Source | COMPANY REPRESENTATIVE |
| Date Received | 2018-10-26 |
| Date of Report | 2018-10-04 |
| Date of Event | 2018-10-04 |
| Date Mfgr Received | 2018-10-04 |
| Device Manufacturer Date | 2009-01-01 |
| Date Added to Maude | 2018-10-26 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS. ALLISON SUAREZ |
| Manufacturer Street | 10020 PACIFIC MESA BLVD. |
| Manufacturer City | SAN DIEGO CA 92121 |
| Manufacturer Country | US |
| Manufacturer Postal | 92121 |
| Manufacturer Phone | 8586174995 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PYXIS ANESTHESIA SYSTEM (PAS) |
| Generic Name | AUTOMATED DISPENSING CABINET (ADC'S) |
| Product Code | BRY |
| Date Received | 2018-10-26 |
| Model Number | PAS3500 |
| Device Availability | Y |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CAREFUSION |
| Manufacturer Address | 10020 PACIFIC MESA BLVD. SAN DIEGO CA 92121 US 92121 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-10-26 |