BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD PYXIS¿ MEDBANK TOWER

    MDR report key: 22332406 · Received June 25, 2025

    Report

    Report Number
    2016493-2025-90353
    Event Type
    Malfunction
    Date Received
    June 25, 2025
    Date of Event
    July 30, 2024
    Report Date
    June 24, 2025
    Manufacturer
    CAREFUSION 303, INC.
    Product Code
    BRY
    UDI-DI
    10885403512568
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    PHARMACIST
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    THIS MDR IS BEING SUBMITTED AS PART OF A RETROSPECTIVE REVIEW OF RECORDS DATING JANUARY 2022-DECEMBER 5, 2024, UNDER CAPA 10308384. THE LATE SUBMISSION OF THIS REPORT IS JUSTIFIED BY THE THOROUGH AND DETAILED NATURE OF THE RETROSPECTIVE REVIEW PROCESS. THIS PROCESS WAS ESSENTIAL TO ACCURATELY CAPTURE ALL RELEVANT DATA AND ENSURE THE INTEGRITY OF OUR REPORTING. WE HAVE INCLUDED THE CAPA REFERENCE FOR THE RETROSPECTIVE REVIEW IN THE ADDITIONAL MANUFACTURER NARRATIVE SECTION OF THE FDA FORM 3500A, AS RECOMMENDED. 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, 24-AUG-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 THERE HAD BEEN AN ISSUE WITH MATRIX DRAWER 5 FAILING. THE FIELD SERVICE ENGINEER REPLACED THE DEFECTIVE HARD STOP LATCH ASSEMBLY AND VERIFIED THE OPERATION WAS ALL OKAY. THE CUSTOMER CONFIRMED THE ISSUE HAD BEEN RESOLVED. THE SYSTEM FUNCTIONED AS INTENDED AFTER BEING TROUBLESHOT BY THE FIELD SERVICE ENGINEER.

    Description of Event or Problem · 0

    IT WAS REPORTED BY THE CUSTOMER THAT BD PYXIS¿ MEDBANK TOWER HAD A DRAWER FAILURE WHILE ISSUE AN DOXYCYCL HYC CAP 100MG, CIFROFLOXACN TAB 250MG MEDS. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1141865 BD PYXIS¿ MEDBANK TOWER AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 169-54 10885403512568

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown