FDA Adverse Event Malfunction Summary report: N

BD PYXIS MEDBANK TWR MN 2HH-10HM-1FM

MDR report key: 23542516 · Received November 13, 2025

Report

Report Number
2016493-2025-134460
Event Type
Malfunction
Date Received
November 13, 2025
Date of Event
April 4, 2024
Report Date
November 11, 2025
Manufacturer
CAREFUSION 303, INC.
Product Code
BRY
UDI-DI
10885403512568
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

E.1. INITIAL REPORTER FACILITY: (B)(6). 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, 26-AUG-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 NURSE DID NOT HAVE THE PERMISSIONS IN MQL. A TECHNICAL SUPPORT SPECIALIST DIRECTED HER TO THE PHARMACY OR SOMEONE WHO IS A MQL ADMIN FOR FURTHER ASSISTANCE.

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT A BD PYXIS MEDBANK TWR MN 2HH-10HM-1FM SYSTEM COULD NOT ISSUE ITEMS FROM 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
2119177 BD PYXIS MEDBANK TWR MN 2HH-10HM-1FM AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 169-32 10885403512568

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown