Automated medication cabinet software prints incorrect bin labels
The BD PYXIS MEDBANK MINI automated dispensing cabinet software may print incorrect bin locations on restock labels, potentially causing medications to be placed in wrong locations.
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: FDA Class II medical device recall involving a software issue that creates risk of medication errors through incorrect bin labeling. No illnesses or injuries have been reported; the hazard remains theoretical rather than confirmed.
Plain-English summary
CareFusion 303, Inc. has recalled the BD PYXIS MEDBANK MINI CR-2HH-1FH-P automated medication dispensing cabinet system (software version 3.9.1.9) due to a software defect. The issue causes incorrect bin location information to be printed on restock labels for medications stored in the cabinet.
The recall affects 84 units that were distributed nationwide throughout the United States. The affected devices are identified by UDI 10885403512544 and specific serial numbers provided in the FDA notice.
When staff restock medications using incorrect bin location labels, medications may be placed in wrong locations within the cabinet. This could potentially result in medication dispensing errors if the incorrect placement is not detected and corrected. Facilities operating affected units should review the FDA notification for guidance on remediation.
The recalled product
- Product
- BD PYXIS MEDBANK MINI CR-2HH-1FH-P, REF: 169-114 containing software version 3.9.1.9
- Manufacturer
- CareFusion 303, Inc.
- Affected units
- 84
Distribution
Part of a larger recall action
This product is one of 19 recalled by CareFusion 303, Inc. under a single FDA (Devices) recall action. The agency files each product separately, so the size of the action is not visible from this page alone.
See all 19 products in this recall →Related recalls
Same manufacturer · CareFusion 303, Inc.
See all →- HighBD Pyxis MedBank Mini fingerprint scanner may overheat and burn
FDA (Devices) · 2026-06-10
- HighBD Pyxis MedStation ES fingerprint scanner may overheat and burn
FDA (Devices) · 2026-06-10
- HighBD Pyxis Anesthesia Station fingerprint scanner may overheat and burn
FDA (Devices) · 2026-06-10
- HighBD Pyxis MedBank Tower fingerprint scanner may overheat and burn
FDA (Devices) · 2026-06-10
- HighBD Pyxis Mini Main cabinets may overheat at fingerprint scanner
FDA (Devices) · 2026-06-10
Same hazard · labeling error
See all →- ModerateLiquid Hope Organic Meal Replacement Formula Subpotent Vitamin A Recall
FDA (Food) · 2026-07-22
- ModerateOrthofix MINIRAIL external fixation devices recalled for incorrect model labeling
FDA (Devices) · 2026-07-22
- Moderate
- HighPerampanel Prescription Tablets Recalled for Labeling Mix-up
FDA (Drugs) · 2026-07-01
- HighAdndale magnesium glycinate gummies contain undeclared melatonin in three lots
FDA (Food) · 2026-06-24