The Recall Desk
ModerateFDA (Devices)·Z-2321-2025·Announced 2025-08-20

BD PYXIS MEDBANK Automated Dispensing Cabinets: Delayed Medication Access Risk

Automated medication dispensing cabinets may delay access to medications due to a workflow defect in the override/Add Item function. The issue affects healthcare facilities nationwide.

What this means for you

Minor labeling or packaging issue, or a voluntary precautionary recall. Risk of harm is low but real — follow the manufacturer's instructions.

Our severity reasoning: This is an FDA Class III recall with no reported illnesses, injuries, or deaths. The defect presents a risk of delayed medication access but no actual harm has been documented, placing it in the Moderate category per the rubric guidance that Class III recalls are typically 1 or 2.

Plain-English summary

CareFusion 303, Inc. is recalling BD PYXIS MEDBANK automated dispensing cabinets due to reports of delayed access to medication. The issue occurs within the override/Add Item workflow, which may prevent timely medication retrieval.

Delayed access to medications in healthcare settings could result in patients not receiving critical treatments on time, potentially affecting patient care and clinical outcomes.

The recall affects 6,076 automated dispensing cabinet units that have been distributed nationwide across the United States.

Healthcare facilities using affected units should contact CareFusion 303, Inc. for instructions on correcting the workflow issue and ensuring proper medication access.

The recalled product

Product
Description/REF: BD PYXIS MEDBANK MINI 1FH-1FM/169-137, BD PYXIS MEDBANK MINI 4HM/169-113, BD PYXIS MEDBANK MINI 4HH/169-112, BD PYXIS MEDBANK MINI 3HH-1HM/169-111, BD PYXIS MEDBANK MINI 3HH-1FG/169-110, BD PYXIS MEDBANK MINI 2HM-1FM/169-109, BD PYXIS MEDBANK MINI 2HH-
Manufacturer
CareFusion 303, Inc.
Hazard
  • medication-access-delay
  • workflow-defect

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 (4)

  • UDI-DI: 10885403512544
  • 10885403517181
  • 10885403512568
  • 10885403517167

Distribution

Distributed nationwide across the United States.