FDA Adverse Event Malfunction Summary report: N

BD PYXIS¿ MEDSTATION¿ ES AUXILIARY

MDR report key: 21772663 · Received April 4, 2025

Report

Report Number
2016493-2025-70709
Event Type
Malfunction
Date Received
April 4, 2025
Date of Event
March 7, 2025
Report Date
April 3, 2025
Manufacturer
CAREFUSION 303, INC.
Product Code
BRY
UDI-DI
10885403512681
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A REVIEW OF THE COMPLAINT HISTORY FOR SN (B)(6) WAS PERFORMED IN SALESFORCE WHICH DID NOT LOCATE SIMILAR COMPLAINTS WITH THE SAME FAILURE MODE FOR THIS SERIAL NUMBER. A REVIEW OF THE DEVICE HISTORY RECORD FOR SN (B)(6) WAS PERFORMED FROM THE DATE OF MANUFACTURE, 04-SEP-2023 AND CONFIRMED THAT THIS DEVICE WAS NOT PREVIOUSLY RETURNED FOR SERVICING AND THERE WERE NO PRODUCTION FAILURES WHICH CORRELATES TO THE CUSTOMER REPORTED ISSUE. UPON INVESTIGATION OF THE ACTUAL DEVICE USED IN THIS INCIDENT, IT WAS DETERMINED THAT THE DRAWER 7 ON THE AUXILIARY UNIT STICKS OUT AND GETS STUCK AT TIMES, AND TOWER DOOR 1 CONTINUES TO FAIL. A FIELD SERVICE ENGINEER REPLACED THE SLIDE RAILS ON MEDSTATION ES AUXILIARY MATRIX DRAWER 3. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE FIELD SERVICE ENGINEER REPAIRED THE DEVICE. INITIAL REPORTER FACILITY NAME: CHARLIE NORWOOD VA MEDICAL CENTER - AUGUSTA VA MEDICAL CENTER UPTOWN

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT A BD PYXIS¿ MEDSTATION¿ ES AUXILIARY HAD A DRAWER FAILURE. THE CUSTOMER REPORTED THAT THE DRAWER ON THE AUXILIARY STICKS OUT AND GETS STUCK AT TIMES, AND THE TOWER DOOR CONTINUED TO FAIL. THERE WAS A DELAY IN DISPENSING THE MEDICATION. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED AS A RESULT OF THIS INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
744191 BD PYXIS¿ MEDSTATION¿ ES AUXILIARY AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 324 10885403512681

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown