FDA Adverse Event Malfunction Summary report: N

BD PYXIS¿ ES SERVER

MDR report key: 22644004 · Received July 29, 2025

Report

Report Number
2016493-2025-101069
Event Type
Malfunction
Date Received
July 29, 2025
Date of Event
July 8, 2025
Report Date
August 13, 2025
Manufacturer
CAREFUSION 303, INC.
Product Code
BRY
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
PHARMACIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A DEVICE EVALUATION IS ANTICIPATED BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED. D4 & H4: SERIAL NUMBER, UNIQUE DEVICE IDENTIFIER AND MANUFACTURER DATE NOT AVAILABLE.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: SECTION H IMDRF ANNEX CODES. CORRECTION: SECTION D CONCOMITANT MED PROD DATA SN'S (B)(6) ADDED. UPON INVESTIGATION OF THE ACTUAL DEVICE USED IN THIS INCIDENT, IT WAS DETERMINED THAT THE FOUND MESSAGE FAILED TO PROCESS DUE TO 'PRIORVISITNUMBER' WITHIN THE 'PATIENTMERGEINFO' WAS NOT POPULATED. A TECHNICAL SUPPORT SPECIALIST INSTRUCTED THE CUSTOMER THAT MRG.3 WAS THE ONLY POPULATED ITEM IN THE MRG SEGMENT, A42 REQUIRES MRG.1 AND MRG.5 FOR THE TAGS 'PRIORVISITNUMBER' AND 'PATIENTMERGEINFO' TO POPULATE IN CMS MESSAGE TO ES AND CUSTOMER AGREED AND ADJUSTED LOGIC ON HOST SIDE TO RESOLVE THE ISSUE. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE TECHNICAL SUPPORT SPECIALIST TROUBLESHOT THE DEVICE.

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT A BD PYXIS¿ ES SERVER BD PYXIS SYSTEM NOT PROCESSING MESSAGES CORRECTLY. 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.

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT A BD PYXIS¿ ES SERVER BD PYXIS SYSTEM NOT PROCESSING MESSAGES CORRECTLY. 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
1062239 BD PYXIS¿ ES SERVER AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC.

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown S/N: (B)(6), LOCATION: PHARMACY.