FDA Adverse Event Malfunction Summary report: N

BD PYXIS¿ MEDSTATION¿ ES

MDR report key: 22116278 · Received May 30, 2025

Report

Report Number
2016493-2025-84181
Event Type
Malfunction
Date Received
May 30, 2025
Date of Event
May 6, 2025
Report Date
May 29, 2025
Manufacturer
CAREFUSION 303, INC.
Product Code
BRY
UDI-DI
10885403512667
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
PHARMACIST
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, 12-JUL-2011 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 TWO PATIENTS WERE ADMITTED UNDER THE CJW MEDICAL CENTER INSTEAD OF THE CURRENT HOSPITAL ACCOUNT (JOHNSTON-WILLIS). A TECHNICAL SUPPORT SPECIALIST FOUND THAT THE DEVICES WERE STILL SYNCHRONIZED TO THE CJW MEDICAL CENTER AND NEEDED TO BE RE- SYNCHRONIZED TO THE CURRENT HOSPITAL ACCOUNT TO RESOLVE THE ISSUE. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE TECHNICAL SUPPORT SPECIALIST INVESTIGATED THE ISSUE.

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT A BD PYXIS¿ MEDSTATION¿ ES HAD A PATIENT THAT WAS NOT CROSSING OVER TO STATION. THE CUSTOMER STATED THAT THERE WAS A DELAY IN DISPENSING MEDICATION TO A PATIENT. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
12788 BD PYXIS¿ MEDSTATION¿ ES AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 323 10885403512667

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown