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BD Pyxis MEDBANK-MINIRecalls & reported problems

Carefusion 303, Inc. · BD Pyxis MedBank Mini · Class 1

All models of BD Pyxis (26)

Data updated Oct 18, 2026 from official FDA records · Editorial policy

14 open recalls name this device. See the recall details and contact the manufacturer or your healthcare provider.

Quick summary

This BD Pyxis MedBank Mini is a cabinet that stores and dispenses medications in clinical settings. The 310 reports mostly describe software problems, drawers that fail to eject and cabinets showing item-not-found errors. There are no deaths and no injuries reported. 14 open recalls name this device, mostly over software bugs that can cause wrong quantities or labels. Reports rose from 123 in the year before to 185 in the latest year.

AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.

Adverse event reports
318
Deaths reported
0
Injuries reported
0
Recalls naming it
14

Summary

The FDA's MAUDE database contains 318 adverse event reports that list this exact device (DI 10885403512544), received between Jun 11, 2024 and Sep 29, 2026 — classified as 318 malfunctions.

The most frequently reported specific device problem is “Computer Software Problem” (84 reports).

14 FDA recall records name this device's identifier, 14 still open.

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 0 reportsFeb 2024: 0 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 1 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 1 reportsNov 2024: 0 reportsDec 2024: 1 reportsJan 2025: 0 reportsFeb 2025: 0 reportsMar 2025: 3 reportsApr 2025: 2 reportsMay 2025: 7 reportsJun 2025: 47 reportsJul 2025: 32 reportsAug 2025: 9 reportsSep 2025: 16 reportsOct 2025: 6 reportsNov 2025: 87 reportsDec 2025: 9 reportsJan 2026: 10 reportsFeb 2026: 8 reportsMar 2026: 13 reportsApr 2026: 14 reportsMay 2026: 13 reportsJun 2026: 13 reportsJul 2026: 12 reportsAug 2026: 6 reportsSep 2026: 8 reportsOct 2026: 0 reports20242025202687
Last 36 months. The most recent month may be incomplete.

Recalls naming this device

  1. Sep 30, 2025Class IIOpen, Classified

    Potential fluid ingress of anesthesia station or med station may result in smoke, system downtime and/or fire.

    Z-0367-2026 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

  2. Jul 10, 2025Class IIIOpen, Classified

    Reports of delayed access to medication in automated dispensing cabinets because of the override/Add Item workflow.

    Z-2321-2025 · Root cause: Use error · Recall details · FDA record ↗

  3. Mar 11, 2025Class IIOpen, Classified

    Users trying to restock a single bin location of an automated dispensing cabinet, during pocket exchange restocking workflow, may experience a software issue that results in 2 destock transactions and 2 stock transactions, which results in doubling the bin quantity, which may result in a delay in access to desired medications and/or supplies, which may lead to temporary body function impairment.

    Z-1639-2025 · Root cause: Software design · Recall details · FDA record ↗

  4. Mar 11, 2025Class IIOpen, Classified

    Due to a software issue, when attempting to restock the automated dispensing cabinet, user have received the banner message "Stocking window has passed, or item has been removed from purchase order. Please contact Pharmacy for assistance". When this occurs, the medication cannot be restocked and can potentially lead to delays in accessing medication for patients.

    Z-1550-2025 · Root cause: Device Design · Recall details · FDA record ↗

  5. Mar 11, 2025Class IIOpen, Classified

    Due to a software bug, automated dispensing cabinet is unable to calculate countback discrepancies during the issue process, which causes incorrect transaction quantity to be recorded. This bug can also result in the CUBIE opening more times than needed for the transaction to be completed, which may result in a patient receiving more than the intended dose of medication.

    Z-1545-2025 · Root cause: Software design · Recall details · FDA record ↗

  6. Jan 8, 2025Class IIOpen, Classified

    Labeling update to include a contraindication statement against the use of medicine cabinets in procedure and operating rooms.

    Z-1228-2025 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

  7. Jan 8, 2025Class IIOpen, Classified

    Labeling update to include a contraindication statement against the use of medicine cabinets in procedure and operating rooms.

    Z-1230-2025 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

  8. Jan 8, 2025Class IIOpen, Classified

    Labeling update to include a contraindication statement against the use of medicine cabinets in procedure and operating rooms.

    Z-1229-2025 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

  9. Jan 8, 2025Class IIOpen, Classified

    Labeling update to include a contraindication statement against the use of medicine cabinets in procedure and operating rooms.

    Z-1227-2025 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

  10. Jun 24, 2024Class IIOpen, Classified

    Due to software issue, there is a potential when a restock label is printed for a medication stored in automated dispensing cabinets, that the incorrect bin for the medication is printed on the label.

    Z-2486-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

  11. Jun 24, 2024Class IIOpen, Classified

    Due to software issue, there is a potential when a restock label is printed for a medication stored in automated dispensing cabinets, that the incorrect bin for the medication is printed on the label.

    Z-2485-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

  12. May 13, 2024Class IIOpen, Classified

    Multiple socket-outlet power strips that shipped with automated dispensing cabinet devices have not been certified to International Electrotechnical Commission (IEC) electrical standards when used as a system with automated dispensing cabinet devices, so use may expose user to leakage currents that could cause varying degrees of harm from a minor shock to permanent impairment.

    Z-2255-2024 · Root cause: Component design/selection · Recall details · FDA record ↗

  13. Oct 5, 2023Class IIOpen, Classified

    If "Clear All" selected medications is selected on patient profile, the automated dispensing cabinet may allow dispensing of medication without first requiring the RxVerify Validation Code be entered/without validation from a pharmacist, which could lead to unintended and incorrect medication removal.

    Z-1552-2025 · Root cause: Software design · Recall details · FDA record ↗

  14. Dec 12, 2022Class IIOpen, Classified

    Due to customer complaints related to the MedBank software which may indicate that a different medication is loaded in a cubie (drawer) pocket than what is physically loaded and listed on the pocket label. As a result of this issue, a patient could receive the wrong medication or wrong dose of medication that could lead to patient harm.

    Z-0928-2023 · Root cause: Software design · Recall details · FDA record ↗

Most reported problems

Device problems

  • Computer Software Problem84
  • Application Program Problem53
  • Failure to Eject53
  • Electrical /Electronic Property Problem22
  • Communication or Transmission Problem16
  • Labelling, Instructions for Use or Training Problem15
  • Mechanical Problem13
  • Installation-Related Problem8

Patient problems

  • No Clinical Signs, Symptoms or Conditions318

Recent adverse event reports

The 25 most recent of 318 reports, in the reporter's own words as published by the FDA.

  • MalfunctionSep 29, 2026Electrical /Electronic Property Problem

    It was reported that when using the BD Pyxis¿ MedBank Mini, drawer had issues. The user was unable to restock the medication, since none of the drawers opened after scanning the barcode.The customer stated that there was a delay in patient care.There were no adverse events or injuries reported due to this event.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50930666 ↗
  • MalfunctionSep 24, 2026Electrical /Electronic Property Problem

    It was reported that when using the BD Pyxis¿ MedBank Mini drawers went offline. The customer stated that this was a recurring issue and had occurred for approximately the fourth time this month. The system was reported to be functioned normally at 7:00 AM; however, the drawers subsequently went offline. The customer indicated that restarting the application or rebooting the station resolved the issue temporarily, but the problem continued to recur.The customer stated that this malfunction occurred while dispensing the medication. There were no adverse events or injuries reported based on this event.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50881166 ↗
  • MalfunctionSep 16, 2026Application Program Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50786065 ↗
  • MalfunctionSep 16, 2026Break

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50785587 ↗
  • MalfunctionSep 10, 2026Installation-Related Problem

    It was reported that when using the BD Pyxis¿ MedBank Mini wrong cubie opened.The customer stated that this malfunction occurred while dispensing the medication.There were no adverse events or injuries reported based on this event.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50712410 ↗
  • MalfunctionSep 10, 2026Electrical /Electronic Property Problem; Power Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50705829 ↗
  • MalfunctionSep 8, 2026Use of Device Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50666212 ↗
  • MalfunctionSep 7, 2026Complete Loss of Power

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50645539 ↗
  • MalfunctionAug 27, 2026Use of Device Problem

    It was reported that when using the BD Pyxis¿ MedBank Mini, multiple cabinets went offline and displayed item not found errors. Rebooting the affected cabinets restored functionality and medication dispensing. One medication was subsequently destocked by the system from Cabinet 04; a drawer rescans restored the medication to the bin, and dispensing resumed.The customer stated that this malfunction occurred while dispensing the medication.There were no delay and adverse events or injuries reported based on this event.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50472964 ↗
  • MalfunctionAug 27, 2026Electrical /Electronic Property Problem

    It was reported that when using the BD Pyxis¿ MedBank Mini biometric identifier was not working and users were unable to sign in using Bio ID authentication.However, there were no delays or adverse events or injuries reported based on this event.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50468919 ↗
  • MalfunctionAug 24, 2026Complete Loss of Power

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50405495 ↗
  • MalfunctionAug 17, 2026Labelling, Instructions for Use or Training Problem

    It was reported that when using the BD Pyxis¿ MedBank Mini, user stated that they were unable to issue medication for the patient.The customer stated that this malfunction occurred while dispensing the medication.There were no adverse events or injuries reported based on this event.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50271741 ↗
  • MalfunctionAug 12, 2026Electrical /Electronic Property Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50219183 ↗
  • MalfunctionAug 3, 2026No Apparent Adverse Event

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50115988 ↗
  • MalfunctionJul 27, 2026Application Program Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50032408 ↗
  • MalfunctionJul 27, 2026Labelling, Instructions for Use or Training Problem; No Apparent Adverse Event

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50021228 ↗
  • MalfunctionJul 27, 2026Labelling, Instructions for Use or Training Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50020900 ↗
  • MalfunctionJul 27, 2026No Apparent Adverse Event

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50020670 ↗
  • MalfunctionJul 21, 2026No Apparent Adverse Event

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25888263 ↗
  • MalfunctionJul 21, 2026Break

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25887126 ↗
  • MalfunctionJul 20, 2026Application Program Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25869112 ↗
  • MalfunctionJul 20, 2026Electrical /Electronic Property Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25869088 ↗
  • MalfunctionJul 16, 2026Contamination

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25842147 ↗
  • MalfunctionJul 15, 2026Contamination; Mechanical Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25822940 ↗
  • MalfunctionJul 10, 2026Electrical /Electronic Property Problem

    IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDBANK MINI, DRAWERS WERE OFFLINE AND USER WAS UNABLE TO LOGIN TO STATION. HOWEVER, THERE WERE NO DELAYS OR ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25779937 ↗

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Sources and updates

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