BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PYXISES REF 5CF, LHG-9 STD BINS

    MDR report key: 22983587 · Received September 5, 2025

    Report

    Report Number
    2016493-2025-111636
    Event Type
    Malfunction
    Date Received
    September 5, 2025
    Date of Event
    December 27, 2022
    Report Date
    September 4, 2025
    Manufacturer
    CAREFUSION 303, INC.
    Product Code
    BRY
    UDI-DI
    10885403510427
    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

    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, 18-JUN-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 REFRIGERATOR WAS LOST ON BUS WHILE OPEN. A FIELD SERVICE ENGINEER TURNED OFF THE BATTERY KEY, POWERED OFF THE REFRIGERATOR, SHUT DOWN AND POWERED OFF THE PYXIS MEDSTATION, POWERED UP THE REFRIGERATOR AND TURNED ON THE BATTERY KEY, AND WHEN FULLY BOOTED, POWERED UP THE MEDSTATION AND RECOVERED THE REFRIGERATOR STORAGE SPACES. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE FIELD SERVICE ENGINEER TROUBLESHOT THE DEVICE.

    Description of Event or Problem · 0

    IT WAS REPORTED BY THE CUSTOMER THAT A PYXISES REF 5CF, LHG-9 STD BINS SYSTEM REFRIGERATOR DID NOT LOCK, AND DRAWER WOULD NOT OPEN. ADDITIONALLY, ONE OF THE DRAWERS INSIDE THE REFRIGERATOR WOULD NOT POP OPEN WHEN TRYING TO DISPENSE MEDICATION. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2132195 PYXISES REF 5CF, LHG-9 STD BINS AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 137681-01 10885403510427

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown