| Brand Name | BD PYXIS¿ MEDBANK MINI |
| Common Device Name | AUTOMATED DISPENSING CABINET |
| Manufacturer (Section D) |
| CAREFUSION 303, INC. |
| 3750 torrey view ct |
| san diego CA 92130 |
|
| Manufacturer (Section G) |
| CAREFUSION 303, INC. |
| 10020 pacific mesa blvd |
|
| san diego CA 92121 4386 |
|
| Manufacturer Contact |
|
brett
wilko
|
| 3750 torrey view ct |
| san diego, CA 92130
|
|
8586172000
|
|
| MDR Report Key | 25890763 |
| Report Number | 2016493-2026-47639 |
| Device Sequence Number | 9819485 |
| Product Code |
BRY
|
| UDI-Device Identifier | 10885403512582 |
| UDI-Public | (01)10885403512582 |
| Combination Product (Y/N) | N |
| Initial Reporter State | OH |
| Initial Reporter Country | US |
| PMA/510(K) Number | EXEMPT |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
User Facility |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
06/29/2026 |
| 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 Number | 500004500500 |
| Device Catalogue Number | 349 |
| 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 | 06/25/2026 |
| Initial Report FDA Received Date | 07/21/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 05/03/2021 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|