BD PYXIS Automated Medication Cabinet Software Label Error Affects 11 Units
CareFusion's BD PYXIS medication dispensing cabinet with software version 3.9.1.9 may print incorrect bin labels during restocking, potentially leading to wrong medication dispensing. Eleven units distributed nationwide are affected.
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 an FDA Class II medical device recall involving a software defect that could cause medications to be dispensed from incorrect storage locations. While no illnesses or injuries have been reported, the potential for serious patient harm from medication errors in an automated dispensing system meets the criteria for high severity.
Plain-English summary
CareFusion 303, Inc. has recalled 11 units of the BD PYXIS MEDBANK TWR MN CR-10HH-2FH-P automated medication dispensing cabinet (reference 169-82) running software version 3.9.1.9. The units were distributed across the United States.
The recall stems from a software defect in version 3.9.1.9. When a restock label is printed for medication stored in the cabinet, the software may print the incorrect bin number on the label. This error could result in medications being stored in or removed from the wrong bin location.
The affected cabinets were distributed nationwide to healthcare facilities across multiple states. Each unit has a unique serial number that can be used to verify whether a facility's equipment is included in this recall.
The recalled product
- Product
- BD PYXIS MEDBANK TWR MN CR-10HH-2FH-P, REF: 169-82 containing software version 3.9.1.9
- Manufacturer
- CareFusion 303, Inc.
- Affected units
- 11
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