The Recall Desk
HighFDA (Devices)·Z-1785-2022·Announced 2022-10-05

BD Pyxis MedBank Cabinet Software Update Prevents Drawer Access

A software update for BD Pyxis MedBank medication dispensing cabinets contains an incompatible file that prevents Matrix drawers from opening, potentially delaying medication access in healthcare facilities.

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 where a software update prevents proper system functioning, affecting medication access in clinical settings. While no injuries or illnesses have been reported, the defect creates a significant risk of harm by delaying access to medications and supplies in residential and procedural care facilities.

Plain-English summary

A software update (v2.1.2.9) for BD Pyxis MedBank medication dispensing cabinets contains a .dll file incompatible with MedBank cabinets equipped with Matrix drawers. When installed, this incompatibility causes the cabinet system to malfunction, preventing the Matrix drawers from opening within the MedBank Application. 686 units of affected cabinets are distributed nationwide across residential and procedural care facilities.

Healthcare providers using these cabinets may be unable to access stored medications and supplies, potentially delaying patient care. Affected systems include CUBEX MedFlex, MedBank 200 Main, and MedBank 500 Main cabinets running Windows 7.

Facilities that have installed the problematic software update should contact CareFusion 303, Inc. immediately for technical support and instructions to resolve the incompatibility. Do not install this software version on Matrix drawer-equipped systems until the issue is corrected.

The recalled product

Product
BD Pyxis MedBank Cabinet Software v2.1.2.9 Legacy MedBank Cabinets with Matrix Drawers include: . CUBEX MedFlex operating with Windows 7 . MedBank 200 Main operating with Windows 7 . MedBank 500 Main operating with Windows 7. An automated dispensing cabinet intende
Manufacturer
CareFusion 303, Inc.
Hazard
  • software-incompatibility
  • system-failure
  • medication-access-delay

Distribution

Distributed nationwide across the United States.