FDA Adverse Event Malfunction Summary report: N

BD PYXIS¿ MEDBANK MINI

MDR report key: 23508708 · Received November 10, 2025

Report

Report Number
2016493-2025-132085
Event Type
Malfunction
Date Received
November 10, 2025
Date of Event
November 11, 2022
Report Date
October 31, 2025
Manufacturer
CAREFUSION 303, INC.
Product Code
BRY
UDI-DI
10885403517181
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IA, 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 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, 01-MAR-2019 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 ITEMS WERE NOT SHOWING UP IN THE ADD ITEM LIST. A TECHNICAL SUPPORT SPECIALIST ADVISED THAT THE ITEM NEEDED TO BE DESTOCKED AND THEN RE-ENTERED INTO THE CABINET UNDER THE RESTOCKING SCREEN TO HAVE THE ITEM SHOWED AS ASSIGNED AND ABLE TO BE PULLED UNDER ADD ITEM. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE FIELD SERVICE TECHNICIAN TROUBLESHOT THE DEVICE.

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT AT BD PYXIS¿ MEDBANK MINI WHEN USER WAS GOING INTO PATIENT PROFILES AND TRYING TO ADD A NON CONTROLLED DOXYCYCLINE HYC 100 MG CAPSULE 02/1, THE ITEMS WERE NOT SHOWING UP IN THE ADD ITEM LIST, WHEN USERS WERE LOOKING AT THE DESCRIBED ITEM IT IS IN MQL AS ACTIVE BUT NOT ASSIGNED, BUT IN CUBIE ADMIN IT SHOWED THAT THE MEDICATION WAS IN THE CABINET. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
180600 BD PYXIS¿ MEDBANK MINI AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 1147-00 10885403517181

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown