PYXISES REF5CF,LHG-3DEEP,3STDBINS,CASTER
Report
- Report Number
- 2016493-2025-128484
- Event Type
- Malfunction
- Date Received
- October 31, 2025
- Date of Event
- November 26, 2024
- Report Date
- October 17, 2025
- Manufacturer
- CAREFUSION 303, INC.
- Product Code
- BRY
- UDI-DI
- 10885403510427
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
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, 06-MAY-2020 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 WAS NOT DETECTED ON THE BUS AND THE CUSTOMER STATED THAT DUE TO THE ISSUE THEY WERE REQUIRED TO GET MEDICATION FROM OTHER DEVICES TO PREVENT PATIENT CARE DELAY. A FIELD SERVICE ENGINEER WORKED WITH THE CUSTOMER THROUGH A REBOOT SEQUENCE TO CLEAR THE ES FRIDGE NOT DETECTED ON BUS ERROR. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE FIELD SERVICE ENGINEER TROUBLESHOT THE DEVICE.
IT WAS REPORTED BY THE CUSTOMER THAT A BD PYXIS REFRIGERATOR WAS NOT DETECTED ON THE BUS AND THE CUSTOMER STATED THAT DUE TO THE ISSUE THEY WERE REQUIRED TO GET MEDICATION FROM OTHER DEVICES TO PREVENT PATIENT CARE DELAY. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS INCIDENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1714829 | PYXISES REF5CF,LHG-3DEEP,3STDBINS,CASTER | AUTOMATED DISPENSING CABINET | BRY | CAREFUSION 303, INC. | 137731-01 | 10885403510427 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |