FDA Adverse Event Malfunction Summary report: N

BD PYXIS¿ MEDSTATION¿ 4000

MDR report key: 23388303 · Received October 27, 2025

Report

Report Number
2016493-2025-126286
Event Type
Malfunction
Date Received
October 27, 2025
Date of Event
September 14, 2022
Report Date
October 6, 2025
Manufacturer
CAREFUSION 303, INC.
Product Code
BRY
UDI-DI
10885403512629
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
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 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, 30-JUL-2012 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 HAD AN ELECTRICAL BURNING SMELL. A TECHNICAL SUPPORT SPECIALIST DIALED STATION DUE TO A RECURRING "PLEASE CLOSE DRAWER 6" ERROR, ALREADY REPLACED THE LATCH SOLENOID, MATRIX BOARD, AND MED CARD, BUT THE ISSUE PERSISTED AND DB CLEAN WAS PERFORMED, AND DURING THE BTX PROCESS, A NEW ERROR APPEARED: "PLEASE CLOSE DRAWER 10", ALSO PLANNED TO UPGRADE THE HDD FROM 40GB TO 120GB. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE TECHNICAL SUPPORT SPECIALIST TROUBLESHOT THE DEVICE.

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT A BD PYXIS¿ MEDSTATION¿ 4000 HAD AN ELECTRICAL BURNING SMELL. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2734795 BD PYXIS¿ MEDSTATION¿ 4000 AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 303 10885403512629

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown