BD PYXIS¿ MEDSTATION¿ ES
Report
- Report Number
- 2016493-2025-138991
- Event Type
- Malfunction
- Date Received
- November 28, 2025
- Date of Event
- November 4, 2025
- Report Date
- December 8, 2025
- Manufacturer
- CAREFUSION 303, INC.
- Product Code
- BRY
- UDI-DI
- 10885403533228
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- RO
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
A SUPPLEMENTAL MDR WAS FILED TO CORRECT THE MEDICAL DEVICE LOT, UNIQUE IDENTIFIER (UDI) , INITIAL REPORTER FIRST NAME, LAT NAME, DEVICE MANUFACTURE DATE, MANUFACTURER NARRATIVE. A REVIEW OF THE DEVICE HISTORY RECORD FOR SN (B)(6) WAS PERFORMED FROM THE DATE OF MANUFACTURE, 29-NOV-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.
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, 27-DEC-2018 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 LIST OF PATIENTS INFORMATION WAS NOT SHOWN ON THE STATION. THE TECHNICAL SUPPORT SPECIALIST (TSS) DIALED INTO DEVICE AND IDENTIFIED THAT MANUAL RECOVERY WAS REQUIRED DUE TO AN ERROR WHERE THE LAST UPLOAD CHANGE TRACKING VALUE 3203420 WAS LESS THAN THE MINIMUM VALID VERSION 3203431 IN THE STATION DATA BASE. THE RECOVERY PROCESS WAS PERFORMED FOLLOWING KNOWLEDGE ARTICLE "MANUAL RECOVERY REQUIRED: DATASYNCINVALIDUPLOADCHANGETRACKINGVALUE". AFTER RECOVERY, CUSTOMER MONITORING CONFIRMED SUCCESSFUL UPLOADS AND STABLE CHANGE TRACKING VERSIONS, WITH NO FURTHER VARIATIONS OBSERVED. THE CASE WAS CLOSED. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE TECHNICAL SUPPORT SPECIALIST TROUBLESHOOT THE ISSUE.
IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES, LIST OF PATIENTS INFORMATION WAS NOT SHOWN ON THE STATION. THE CUSTOMER STATED THAT THIS MALFUNCTION CAUSED A DELAY IN DISPENSING MEDICATION TO PATIENTS. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.
IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES, LIST OF PATIENTS INFORMATION WAS NOT SHOWN ON THE STATION. THE CUSTOMER STATED THAT THIS MALFUNCTION CAUSED A DELAY IN DISPENSING MEDICATION TO PATIENTS. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2443728 | BD PYXIS¿ MEDSTATION¿ ES | AUTOMATED DISPENSING CABINET | BRY | CAREFUSION 303, INC. | 500001002500 | (01)10885403533228(21)16173476 | 10885403533228 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |