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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CAREFUSION 303, INC. BD PYXIS¿ MEDSTATION¿ 4000 CONSOLE; AUTOMATED DISPENSING CABINET

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CAREFUSION 303, INC. BD PYXIS¿ MEDSTATION¿ 4000 CONSOLE; AUTOMATED DISPENSING CABINET Back to Search Results
Model Number 500001002001
Medical Device Problem Code Circuit Failure (1089)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/15/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that when using the bd pyxis¿ medstation¿ 4000 console device not detected on bus.The customer stated that there was a delay in patient care.There were no adverse events or injuries reported based on this event.
 
Additional Manufacturer Narrative
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, 08-apr-2013 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 failed l board and drawer board no lights on main drawer 4.The field service engineer (fse) replaced the boards.The helmer was operational upon arrival but had issues related to windows updating.The system functioned as intended after the field service engineer resolved the issue.
 
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Brand Name
BD PYXIS¿ MEDSTATION¿ 4000 CONSOLE
Common Device Name
AUTOMATED DISPENSING CABINET
Manufacturer (Section D)
CAREFUSION 303, INC.
10020 pacific mesa blvd.
san diego CA 92130
Manufacturer (Section G)
CAREFUSION SD
10020 pacific mesa blvd
san diego CA 92121 4386
Manufacturer Contact
brett wilko
10020 pacific mesa blvd.
san diego, CA 92130
MDR Report Key23727816
Report Number2016493-2025-141029
Device Sequence Number10258768
Product Code BRY
UDI-Device Identifier10885403512643
UDI-Public(01)10885403512643
Combination Product (Y/N)N
Initial Reporter StateAR
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility
Initial Reporter Occupation Pharmacist
Type of Report Initial
Report Date (Section B) 11/23/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Other
Device Model Number500001002001
Device Catalogue Number309
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/15/2025
Initial Report FDA Received Date12/05/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/08/2013
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device A
Patient Sequence Number1
Patient SexUnknown
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