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 |