FDA Adverse Event Malfunction Summary report: N

BD PYXIS¿ MEDSTATION¿ ES AUXILIARY

MDR report key: 22091245 · Received May 27, 2025

Report

Report Number
2016493-2025-83199
Event Type
Malfunction
Date Received
May 27, 2025
Date of Event
May 2, 2025
Report Date
May 26, 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 COMPLAINT(S) 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, 18-NOV-2020 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 DRAWER 5 HAD FAILED. A FIELD SERVICE ENGINEER (FSE) REPLACED THE AUXILIARY FULL-HEIGHT CUBIE DRAWER 5 AND 6 INSEPARABLE. THE FSE TESTED THE DRAWER IN HARDWARE TEST APPLICATION TO RESOLVE THE ISSUE. THE CUSTOMER PERFORMED MULTIPLE DRAWER INVENTORIES. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE FIELD SERVICE ENGINEER REPAIRED THE DEVICE. INITIAL REPORTED FACILITY: CHARLIE NORWOOD VA MEDICAL CENTER - AUGUSTA VA MEDICAL CENTER UPTOWN

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES AUXILIARY, THE DRAWER 5, FULL HEIGHT CUBIE FAILED. THE CUSTOMER STATED THAT THIS MALFUNCTION CAUSED A DELAY IN DISPENSING MEDICATION TO PATIENTS. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
744100 BD PYXIS¿ MEDSTATION¿ ES AUXILIARY AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 327 10885403512681

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown