BD Pyxis MedStation ES software issue may delay medication dispensing
A software bug in BD Pyxis MedStation ES medication dispensing cabinets may prevent staff from locating alternate supply locations, potentially delaying patient therapy.
What this means for you
Real risk of harm even if no illness or injury has been reported yet. Stop using the product and follow the agency's guidance.
Our severity reasoning: This is a Class II medical device recall with no reported injuries or illnesses. The hazard—delayed medication administration—represents a risk-of-harm situation for critical healthcare operations where actual patient injury has not yet been documented.
Plain-English summary
CareFusion 303, Inc. has recalled 622 units of the BD Pyxis MedStation ES automated medication dispensing system due to a software issue in version 1.7.3. When a medication order contains multiple components and at least one item is unavailable, the system displays the order as grayed out. The tooltip that should indicate alternate locations instead displays "Server connection failed," which prevents staff from learning where the medication may be available at other facilities.
This issue may result in delayed medication administration to patients. Staff relying on the system to locate unavailable medications may waste time troubleshooting the error or manually searching for alternatives, rather than being guided to nearby supply sources.
The recall affects 622 units distributed nationwide, with confirmed locations in New York, North Carolina, and Louisiana. Healthcare facilities operating affected units should contact CareFusion 303, Inc. for instructions regarding a software update or other remediation. Facility staff should be aware of this issue when medications are unavailable and should employ alternative methods to locate supplies from other areas.
The recalled product
- Product
- BD Pyxis MedStation ES (Med ES Main), REF: 323; and BD Pyxis MedStation ES (Med ES Main Tower), REF: 352
- Manufacturer
- CareFusion 303, Inc.
- Hazard
- delayed-therapy
- communication-error
Is your product affected?
Check your packaging against the codes below. If any of them match, the product is part of this recall.
Lot numbers (2)
- Software v1.7.3. REF/UDI-DI: 323/10885403512667
- 352/10885403512674
Distribution
Distributed nationwide across the United States.
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