FDA Adverse Event Malfunction Summary report: N

BD PYXIS¿ MEDSTATION¿ ES

MDR report key: 25043999 · Received April 30, 2026

Report

Report Number
2016493-2026-25213
Event Type
Malfunction
Date Received
April 30, 2026
Date of Event
April 3, 2026
Report Date
April 8, 2026
Manufacturer
CAREFUSION 303, INC.
Product Code
BRY
UDI-DI
10885403533228
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
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, 07-OCT-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. UPON INVESTIGATION OF THE ACTUAL DEVICE USED IN THIS INCIDENT, IT WAS DETERMINED THAT MLM POWER CORD WAS DAMAGED. A FIELD SERVICE ENGINEER (FSE) REPLACED THE POWER CORD, REBOOTED THE DEVICE, AND SUCCESSFULLY RECONFIGURED THE PRINTER SETTINGS. LABELS WERE PRINTED SUCCESSFULLY, AND NO FURTHER ISSUES WERE IDENTIFIED. ADDITIONALLY, AUXILIARY DRAWER 2.2 WAS NOT DETECTED ON THE BUS. HENCE, FSE RESEATED THE ROW TRAY CONNECTIONS, REASSEMBLED THE DEVICE, AND REBOOTED THE SYSTEM. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE FIELD SERVICE ENGINEER REPAIRED THE DEVICE.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES INSULIN PRINTER LABEL HAD BROKEN WIRING. HOWEVER, THERE WERE NO DELAYS OR ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
30558 BD PYXIS¿ MEDSTATION¿ ES AUTOMATED DISPENSING CABINET BRY CAREFUSION 303, INC. 500001002500 10885403533228

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown SN: (B)(6), LOCATION: TH7EAST.