FDA Adverse Event Malfunction Summary report: N

PYXIS MEDSTATION ES SYSTEM

MDR report key: 21263271 · Received January 29, 2025

Report

Report Number
2016493-2025-02473
Event Type
Malfunction
Date Received
January 29, 2025
Date of Event
December 31, 2024
Report Date
January 29, 2025
Manufacturer
CAREFUSION 303
Product Code
BRY
UDI-DI
10885403512667
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHARMACIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UPON INVESTIGATION OF THE ACTUAL DEVICE USED IN THIS INCIDENT, IT WAS DETERMINED THAT (B)(6) FORMOTEROL FUMARATE 20 MCG / 2 ML NEB DID NOT GENERATE ON THE JIT INTERFACE TO BE FILLED. A TECHNICAL SUPPORT SPECIALIST CONFIRMED THAT RESENT MESSAGES FOR DEVICE WHICH RESOLVED THE ISSUE. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE TECHNICAL SUPPORT SPECIALIST TROUBLESHOOTED THE DEVICE.

Description of Event or Problem · 0

IT WAS REPORTED WHEN USING THE BD PYXIS MEDSTATION SYSTEM, (B)(6) FORMOTEROL FUMARATE 20 MCG / 2 ML NEB DID NOT GENERATE ON THE JIT INTERFACE TO BE FILLED. THE CUSTOMER STATED THAT THERE WAS A DELAY IN DISPENSING MEDICATION SINCE MEDICATIONS WERE DELIVERED FROM THE PHARMACY DIRECTLY. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1953445 PYXIS MEDSTATION ES SYSTEM AUTOMATED DISPENSING CABINET BRY CAREFUSION 303 323 10885403512667

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown