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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CAREFUSION 303, INC. Alaris System; Analyzer, Gas, Carbon-Dioxide, Gaseous-Phase

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CAREFUSION 303, INC. Alaris System; Analyzer, Gas, Carbon-Dioxide, Gaseous-Phase Back to Search Results
Model Number 8300
Medical Device Problem Code Device Alarm System (1012)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/12/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported by customer their etco2 module is failing.There was an oridion board- failed- bit test error (error code 570.6200) and oridion board- comm failure error (error code 570.6500) on different dates.There was no patient involvement, as these codes were noted when the device was pulled from the floor and logs downloaded.
 
Additional Manufacturer Narrative
A follow up report will be submitted once the failure investigation has been completed.Per 803.52(f)(11)(iii) the information provided represents all of the known information at this time.The complainant or reporter was unable or unwilling to provide any further patient, product, or procedural details to the manufacturer.
 
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Brand Name
Alaris System
Common Device Name
Analyzer, Gas, Carbon-Dioxide, Gaseous-Phase
Manufacturer (Section D)
CAREFUSION 303, INC.
3750 torrey view ct
san diego CA 92130
Manufacturer (Section G)
Sistemas Medicos Alaris S.A de C.V.
parque sur, el realito
blvd. 2000
tijuana 22250
MX   22250
Manufacturer Contact
brett wilko
3750 torrey view ct
san diego, CA 92130
+1(858)617-2000
MDR Report Key50896554
Report Number2016493-2026-66408
Device Sequence Number18812509
Product Code CCK
UDI-Device Identifier10885403520761
UDI-Public(01)10885403520761
Combination Product (Y/N)N
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
K243855
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial
Report Date (Section B) 09/10/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model Number8300
Device Catalogue Number8300 Alaris EtCO2 Module
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer09/09/2026
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/03/2026
Initial Report FDA Received Date09/25/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/03/2025
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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