FDA Adverse Event Malfunction Summary report: N

BD PYXIS¿ MEDSTATION¿ ES

MDR report key: 22842305 · Received August 19, 2025

Report

Report Number
2016493-2025-106614
Event Type
Malfunction
Date Received
August 19, 2025
Date of Event
July 25, 2025
Report Date
September 26, 2025
Manufacturer
CAREFUSION 303, INC.
Product Code
BRY
UDI-DI
10885403512667
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
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.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: SECTION H IMDRF ANNEX CODES. 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, 27-NOV-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 T THE IT WAS ABLE TO CONNECT TO THE SERVER; HOWEVER, REPORTS WERE NOT GENERATING CORRECTLY. THE TECHNICAL SUPPORT SPECIALIST (TSS) INVESTIGATED AND THE FOUND THAT THE ACCOUNT WAS UNDER A CREDIT OVERALL BLOCK AND CALLED AND SPOKE WITH CUSTOMER, INFORMED HIM ABOUT THE ACCOUNT STATUS, AND EXPLAINED THAT WAS UNABLE TO PROCEED WITH CREATING A WORK ORDER AND THEN ADVISED CUSTOMER TO CONTACT 1-800-438-6789 FOR FURTHER INFORMATION REGARDING THEIR CURRENT ACCOUNT STATUS. CUSTOMER ACKNOWLEDGED THE INFORMATION AND AGREED TO PROCEED WITH CLOSING THE CASE.

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT A BD PYXIS¿ MEDSTATION¿ ES TOWER DOOR 4 HAD FAILED. THE CUSTOMER STATED THAT THIS MALFUNCTION OCCURRED WHILE DISPENSING THE MEDICATION. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES TOWER DOOR 4 HAD FAILED. THE CUSTOMER STATED THAT THIS MALFUNCTION OCCURRED WHILE DISPENSING THE MEDICATION. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1435913 BD PYXIS¿ MEDSTATION¿ ES AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 500001002500 10885403512667

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown