BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD PYXIS¿ MEDSTATION¿ ES

    MDR report key: 23137012 · Received September 24, 2025

    Report

    Report Number
    2016493-2025-117469
    Event Type
    Malfunction
    Date Received
    September 24, 2025
    Date of Event
    November 16, 2022
    Report Date
    September 17, 2025
    Manufacturer
    CAREFUSION 303, INC.
    Product Code
    BRY
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, 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 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 LOCATE 3 SIMILAR COMPLAINTS WITH THE SAME FAILURE MODE FOR THIS SERIAL NUMBER. ¿ CASE: (B)(6) ¿ REOCURRING: NMH- SHUTTING DOWN UNEXPECTEDLY ¿ CASE: (B)(6) ¿ AC POWER FAILED. FORCED SHUTDOWN ¿ CASE: (B)(6) ¿ AC POWER HAS FAILED AFTER ATTEMPTS TO DISPENSE. A REVIEW OF THE DEVICE HISTORY RECORD FOR SN (B)(6) WAS PERFORMED FROM THE DATE OF MANUFACTURE, 07-JUL-2015 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 EXPERIENCED RANDOM SHUTDOWN WHILE DISPENSING. A FIELD SERVICE ENGINEER COMPLETED PREVENTATIVE MAINTENANCE PER THE CHECKLIST, REPLACED THE DRAWER BOARDS FOR THE MATRIX AND HH DRAWERS, CONFIGURED DRAWERS, AND VERIFIED PROPER OPERATION IN HTA. 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 BD PYXIS¿ MEDSTATION¿ ES SHUT DOWN UNEXPECTEDLY WHILE DISPENSING AND WOULDN¿T POWER BACK ON. THE NURSE HAD TO MOVE IT BETWEEN OUTLETS TO GET IT WORKING. ONLY THE OUTLET NEAR THE SINK POWERED IT. MAINTENANCE HAD PREVIOUSLY CONFIRMED THAT ALL OUTLETS IN THE MED ROOM WERE RECEIVING POWER. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1598824 BD PYXIS¿ MEDSTATION¿ ES AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 323

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown