BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD PYXIS¿ MEDSTATION¿ ES

    MDR report key: 22950037 · Received September 3, 2025

    Report

    Report Number
    2016493-2025-110228
    Event Type
    Malfunction
    Date Received
    September 3, 2025
    Date of Event
    August 28, 2023
    Report Date
    September 1, 2025
    Manufacturer
    CAREFUSION 303, INC.
    Product Code
    BRY
    UDI-DI
    10885403512667
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    THIS MDR IS BEING SUBMITTED AS PART OF A RETROSPECTIVE REVIEW OF RECORDS DATING (B)(6) 2022 - (B)(6), 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, 13-APR-2021 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 THE DEVICE PATIENT INFORMATION WAS NOT CROSSING. A CUSTOMER INDICATED THAT THE USER EXPERIENCED A DELAY IN DISPENSING MEDICATION AS A RESULT OF A REPORTED MALFUNCTION. IT WAS A DUPLICATE CASE OF 03781272 AND IN THAT CASE A TECHNICAL SUPPORT SPECIALIST DIALED INTO THE SERVER, VERIFIED THAT THERE WERE ORDERS FOR THE PATIENT BUT NO ADMIT NOTICE, AND CONCLUDED THAT THE NOTICE WHICH SHOWED 'IF IT WAS EVER RECEIVED¿ HAD BEEN PURGED FROM THE INTERFACE, WITH THE PATIENT HAVING SINCE BEEN DISCHARGED TO RESOLVE THE ISSUE. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE TECHNICAL SUPPORT SPECIALIST ASSESSED THE DEVICE.

    Description of Event or Problem · 0

    IT WAS REPORTED BY THE CUSTOMER THAT BD PYXIS¿ MEDSTATION¿ ES PATIENT INFORMATION WAS NOT CROSSING AFTER PATIENT MOVED FROM L&D TO MBU PHYSICALLY. A CUSTOMER INDICATED THAT THE USER EXPERIENCED A DELAY IN DISPENSING PAIN MEDICATION AS A RESULT OF A REPORTED MALFUNCTION. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2255906 BD PYXIS¿ MEDSTATION¿ ES AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 323 10885403512667

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown