The Recall Desk
HighFDA (Devices)·Z-2497-2024·Announced 2024-08-14

BD PYXIS MEDBANK Medication Cabinet Software Issue Causes Incorrect Bin Labels

CareFusion is recalling BD PYXIS MEDBANK medication dispensing cabinets due to a software issue that causes incorrect bin information to print on restock labels, potentially leading to medication selection errors.

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 recall involving a risk-of-harm medical device (automated medication dispensing cabinet) where labeling errors could lead to medication selection errors. No illnesses or injuries have been reported in the source text.

Plain-English summary

CareFusion 303, Inc. is recalling BD PYXIS MEDBANK TWR MN CR-6HH-1FH-3FM-P automated medication dispensing cabinets containing software version 3.9.1.9. The recall is due to a software defect that causes incorrect bin information to be printed on medication restock labels.

When pharmacy staff print a restock label for a medication stored in the cabinet, the label may indicate an incorrect bin location. This mislabeling could lead to staff selecting and dispensing the wrong medication during restocking operations.

Five units of the affected model have been distributed nationwide across the United States. Healthcare facilities using the affected equipment should contact CareFusion immediately for a software correction.

The recalled product

Product
BD PYXIS MEDBANK TWR MN CR-6HH-1FH-3FM-P, REF: 169-92 containing software version 3.9.1.9
Manufacturer
CareFusion 303, Inc.
Hazard
  • mis-labeling
  • medication-error-risk

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 (1)

  • UDI: 10885403512568/ Serial Number: 15940111 15967387 15775779 15598090 15561274

Distribution

Distributed nationwide across the United States.