MAUDE Adverse Event Report: PYXIS ES SYSTEM; AUTOMATED DISPENSING MEDICATION SYSTEM

Device Problem Inadequate or Insufficient Training (1643)

Patient Problem No Known Impact Or Consequence To Patient (2692)

Event Type  Other  

Event Description

In the new pyxis es system, a dose of rocephin was ordered by a provider and did not show up on the patient's profile.The medication was delayed and the patient decided to leave before it was administered.It was later determined that the medication was entered by a physician and autoverified, however the nurse was not aware that the medication with two components would not show on the profile for removal.(b)(6).

• Brand Name: PYXIS ES SYSTEM
• Type of Device: AUTOMATED DISPENSING MEDICATION SYSTEM
• MDR Report Key: 4699887
• MDR Text Key: 5715943
• Report Number: MW5042115
• Device Sequence Number: 1
• Product Code: LNX
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 01/20/2015

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 04/13/2015
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: No
• Device Operator: Other
• Patient Sequence Number: 1
• Treatment: ROCEPHIN