BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD PYXIS¿ MEDSTATION¿ ES

    MDR report key: 23366195 · Received October 23, 2025

    Report

    Report Number
    2016493-2025-125573
    Event Type
    Malfunction
    Date Received
    October 23, 2025
    Date of Event
    September 18, 2024
    Report Date
    October 13, 2025
    Manufacturer
    CAREFUSION 303, INC.
    Product Code
    BRY
    UDI-DI
    10885403512667
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, 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)(4) ¿ PYXIS MEDSTATION ES: FBP-A: MAIN DRAWER 1.1 IS NOT OPENING AND FAILURE TO RECOVER ¿ CASE: (B)(4) ¿ MEDSTATION - FBP-A QB FAILED TO RELEASE ¿ CASE: (B)(4) ¿ MEDSTATION ES STATION - FAILED DRAWER PHONE A REVIEW OF THE DEVICE HISTORY RECORD FOR SN (B)(6) WAS PERFORMED FROM THE DATE OF MANUFACTURE, 11-APR-2022 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 DRAWER 6 AND CUBIES A1 AND B1 WERE FAILING. A FIELD SERVICE ENGINEER RESEATED THE ROW BOARD AND DRAWER/BUS CABLES AND CHECKED TRAYS FOR DEBRIS. 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 SYSTEM HAD A DRAWER FAILURE AND TWO CUBIE FAILURES. ONLY DRAWER 6 HAD CONTAINED NARCOTICS, AND A1 AND B1 CUBIES ARE CONSTANTLY FAILING. THAT CUBIES BOTH ARE ALSO IN THE DRAWER 6. THE USER HAD RESTARTED THE DEVICE, BUT THAT HAD ONLY CLEAR THE ERROR BUT WHEN TRIED TO PULL THE MEDS, IT FAILED AGAIN. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1835186 BD PYXIS¿ MEDSTATION¿ ES AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 323 10885403512667

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown