BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD PYXIS¿ MEDSTATION¿ ES AUXILIARY TOWER

    MDR report key: 24615601 · Received March 17, 2026

    Report

    Report Number
    2016493-2026-14275
    Event Type
    Malfunction
    Date Received
    March 17, 2026
    Date of Event
    February 20, 2026
    Report Date
    February 25, 2026
    Manufacturer
    CAREFUSION 303, INC.
    Product Code
    BRY
    UDI-DI
    10885403512698
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    PHARMACIST
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    A REVIEW OF THE COMPLAINT HISTORY FOR SN (B)(6) WAS PERFORMED IN SALESFORCE WHICH DID NOT LOCATE SIMILAR COMPLAINT(S) 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, 21-MAR-2008 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 FOUND THAT SYSTEM CONFIGURED WITH A 'REPEAT' PATTERN THAT WAS NOT MAPPED CORRECTLY IN THE SERVER. A TECHNICAL SUPPORT SPECIALIST (TSS) ADVISED THE CUSTOMER TO EDIT THE PATTERN, SELECT THE CORRECT MAPPING PATTERN (QNH), ENTER THE NUMBER OF HOURS, DAYS, OR MINUTES BASED ON THE PATTERN, AND ADD A DESCRIPTION (IN THE PREVIOUS EXAMPLE, EVERY 6 HOURS). THE TSS THEN REVIEWED EXISTING ORDERS AND ENSURED ALL FREQUENCY CODES WERE MAPPED CORRECTLY. THE CUSTOMER CONFIRMED THAT AFTER MAPPING THE CODES, THE ORDERS APPEARED ON DUE NOW WITH NO FURTHER ISSUES. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE TECHNICAL SUPPORT SPECIALIST TROUBLESHOT THE DEVICE.

    Description of Event or Problem · 0

    IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES AUXILIARY TOWER, DUE MEDICATIONS FAILED TO TRIGGER. FOR CERTAIN MEDICATIONS, INCLUDING DEXAMETHASONE AND NIMODIPINE, THE ORDERS DID NOT APPEAR UNDER "DUE MEDS" WHEN THE USER ATTEMPTED TO PULL MEDICATIONS. THE CUSTOMER STATED THAT THIS MALFUNCTION OCCURRED WHILE DISPENSING THE MEDICATION AND CAUSED A DELAY TO THE PATIENT CARE. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    684449 BD PYXIS¿ MEDSTATION¿ ES AUXILIARY TOWER AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 500001002502 10885403512698

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown