BD PYXIS¿ ES SERVER
Report
- Report Number
- 2016493-2026-28636
- Event Type
- Malfunction
- Date Received
- May 13, 2026
- Date of Event
- April 16, 2026
- Report Date
- April 21, 2026
- Manufacturer
- CAREFUSION 303, INC.
- Product Code
- BRY
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
D4 & H4: SERIAL NUMBER, UNIQUE DEVICE IDENTIFIER (UDI) AND MANUFACTURER DATE NOT AVAILABLE. UPON INVESTIGATION OF THE ACTUAL DEVICE USED IN THIS INCIDENT, IT WAS DETERMINED THAT THE MULTIPLE DRUGS WERE DROPPING TO BE FILLED IN JUST-IN-TIME (JIT) WHEN THEY WERE NOT BELOW PAR OR WERE NOT CORRECTLY DROPPING. A TECHNICAL SUPPORT SPECIALIST LOGGED INTO THE SERVER AND RAN THE REQUIRED QUERY TO VERIFY THE TRIGGER REFERENCED IN THE KNOWLEDGE ARTICLE (KA) - "RESTOCK ORDER 5.2 - EXTRA REFILLS FOR MEDICATION SENT, CUR VALUE SAME FOR ALL DEVICES", CONFIRMED THAT THE TRIGGER FIX HAD ALREADY BEEN APPLIED. THE SYSTEM FUNCTIONED AS INTENDED AFTER THE TECHNICAL SUPPORT SPECIALIST TROUBLESHOT THE DEVICE.
IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ ES SERVER MULTIPLE DRUGS WERE DROPPING TO BE FILLED IN JUST-IN-TIME (JIT) WHEN THEY WERE NOT BELOW PAR OR WERE NOT CORRECTLY DROPPING. THERE WERE NO DELAY, NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 611252 | BD PYXIS¿ ES SERVER | AUTOMATED DISPENSING CABINET | BRY | CAREFUSION 303, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | SN: (B)(6) LOCATION: PHARMACY. |