MAUDE Adverse Event Report: CAREFUSION 303, INC. BD Pyxis¿ ES Server; Automated Dispensing Cabinet

Model Number	500001002501
Medical Device Problem Code	Labelling, Instructions for Use or Training Problem (1318)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	08/18/2026
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that when using the bd pyxis¿ es server patients were not shown in the pyxis.The customer stated that this malfunction caused a delay in dispensing medication to patients.However, 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, 11-sep-2024 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 the patients were not shown in the pyxis. a technical support specialist (tss) connected to the server and reviewed site down queries, service logs, iis application pools, and interface communications.Found that no admit discharge transfer messages had been received within the retention period and confirmed the cce was not receiving messages from the customer's adt host.Restarted the services and verified the interface reconnected, but no issues were identified within the pyxis environment.Worked with iest, who confirmed the issue originated from the customer¿s hit/adt system.The customer later confirmed that patients were appearing in pyxis normally, and the case was closed. the system functioned as intended after the technical support specialist troubleshot the device.

• Brand Name: BD Pyxis¿ ES Server
• Common Device Name: Automated Dispensing Cabinet
• Manufacturer (Section D): CAREFUSION 303, INC.; 3750 torrey view ct; san diego CA 92130
• Manufacturer (Section G): Sistemas Medicos Alaris S.A de C.V.; parque sur, el realito; blvd. 2000; tijuana 22250 ; MX 22250
• Manufacturer Contact: brett wilko ; 3750 torrey view ct; san diego, CA 92130 ; +1(858)617-2000
• MDR Report Key: 50753047
• Report Number: 2016493-2026-62803
• Device Sequence Number: 13101723
• Product Code: BRY
• UDI-Device Identifier: 10885403518348
• UDI-Public: (01)10885403518348
• Combination Product (Y/N): N
• Initial Reporter State: CO
• 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: Health Professional,User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 08/19/2026

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: 500001002501
• Device Catalogue Number: 1115-00
• 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: 08/18/2026
• Initial Report FDA Received Date: 09/14/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 09/11/2024
• 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
• Patient Sequence Number: 1
• Patient Sex: Unknown