FDA Adverse Event Malfunction Summary report: N

BD PYXIS¿ ES SERVER

MDR report key: 23954740 · Received January 5, 2026

Report

Report Number
2016493-2025-147457
Event Type
Malfunction
Date Received
January 5, 2026
Date of Event
December 16, 2025
Report Date
December 19, 2025
Manufacturer
CAREFUSION 303, INC.
Product Code
BRY
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
PHARMACIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D4 & H4: MEDICAL DEVICE CATALOG, MEDICAL DEVICE MODEL, SERIAL NUMBER, UNIQUE DEVICE IDENTIFIER AND MANUFACTURER DATE NOT AVAILABLE. UPON INVESTIGATION OF THE ACTUAL DEVICE USED IN THIS INCIDENT, IT WAS DETERMINED THAT THE DIRECTORY SYNC FAILED BECAUSE THE DSSERVEROLTP DATABASE TRANSACTION LOG WAS FULL, WHICH HAPPENED WHEN SQL LOG BACKUPS HAD NOT COMPLETED. THIS PREVENTED THE SYSTEM FROM WRITING NEW DATA. A TECHNICAL SUPPORT SPECIALIST (TSS) STATED THAT THE ENVIRONMENT WAS SET TO SOFTWARE ONLY, MEANING ALL SERVER AND DATABASE MAINTENANCE (INCLUDING SQL BACKUPS AND SERVER REBOOTS) WAS HANDLED ON THE CUSTOMER SIDE. THE TSS NOTICED THAT THE THREE SERVERS IN THIS ENVIRONMENT HAD NOT BEEN REBOOTED AND ADVISED THE CUSTOMER TO CHECK WITH THEIR IT/SQL TEAM TO RUN A LOG BACKUP AND VERIFY THE BACKUP JOBS, DISK SPACE, AND MAINTENANCE SCHEDULE. ONCE THE LOG HAD SPACE, THE SYNC WORKED NORMALLY. THE CUSTOMER CONFIRMED THAT THE INFORMATION WAS FORWARDED AND LATER CONFIRMED THAT THE ISSUE WAS RESOLVED. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE TECHNICAL SUPPORT SPECIALIST ASSESSED THE DEVICE.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ ES SERVER THERE WAS AN ISSUE WHERE ALL HSD AND LW DEVICES WERE DISCONNECTED AND UNABLE TO ALLOW ANYONE TO LOG IN. THE CUSTOMER STATED THAT THIS MALFUNCTION CAUSED A DELAY IN DISPENSING THE MEDICATIONS TO THE PATIENT. HOWEVER, THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
29447 BD PYXIS¿ ES SERVER AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC.

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown SN: (B)(6) LOCATION: UHTMC_3RED