BD Pyxis MEDBANK-TOWERRecalls & reported problems

Summary

The FDA's MAUDE database contains 2,581 adverse event reports that list this exact device (DI 10885403512568), received between Jun 11, 2024 and Sep 30, 2026 — classified as 2 injuries, 2,578 malfunctions.

The most frequently reported specific device problem is “Computer Software Problem” (651 reports).

30 FDA recall records name this device's identifier, 30 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.

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. May 8, 2025Class IIOpen, Classified

   Antivirus software was not consistently installed on impacted devices during the implementation process.

   Z-2477-2025 · Root cause: Under Investigation by firm · 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. 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 ↗

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-1228-2025 · 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-1229-2025 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

10. 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 ↗

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-2499-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

12. 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-2488-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

13. 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-2502-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

14. 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-2500-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

15. 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-2492-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

16. 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-2501-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

17. 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-2493-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

18. 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-2487-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

19. 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-2490-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

20. 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-2498-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

21. 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-2489-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

22. 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-2494-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

23. 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-2503-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

24. 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-2497-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

25. 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-2496-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

26. 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-2491-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

27. 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-2495-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

28. 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-2256-2024 · Root cause: Component design/selection · Recall details · FDA record ↗

29. 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 ↗

30. 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

Recent adverse event reports

The 25 most recent of 2,581 reports, in the reporter's own words as published by the FDA.

• MalfunctionSep 30, 2026Installation-Related Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953969 ↗
• MalfunctionSep 30, 2026No Apparent Adverse Event

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50952592 ↗
• MalfunctionSep 30, 2026Circuit Failure

  It was reported that when using the BD Pyxis¿ MedBank Tower drawer 01 and drawer 02 cubie drawers failed to open, and the user was unable to issue medications from the affected drawers. The customer stated that there was no delay, but the malfunction occurred when the user tried to issue medication to the patient. However, there were no adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50944950 ↗
• MalfunctionSep 30, 2026Circuit Failure

  It was reported that when using the BD Pyxis¿ MedBank Tower unable to issue medication (Epinephrine 1mg/ml vial and Adrenaline).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 50944930 ↗
• MalfunctionSep 30, 2026Electrical /Electronic Property Problem; Power Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower, system drawer was offline, and the system was in destock mode. Pharmacy reported a recurring issue where drawers intermittently appear offline, and inventory is being destocked from different drawers. However, there were no delay to patient care and adverse events or injuries reported based on this incident.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50942741 ↗
• MalfunctionSep 30, 2026Use of Device Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower user was unable to login to MedBank myQLink and had invalid login attempt. However, there were no delay to patient care and adverse events or injuries reported based on this incident.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50942531 ↗
• MalfunctionSep 30, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower, a medication issue occurred while attempting to issue MIDODRINE TAB 5MG (PROAMATINE). The drawer opened as expected; however, the assigned cubie failed to open, preventing access to the medication. As a result, the user was unable to retrieve the medication from the designated storage location.The customer reported that a malfunction took place when the user tried to dispense medication to the patient. There were no delay or adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50942484 ↗
• MalfunctionSep 29, 2026Circuit Failure; Electrical /Electronic Property Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50930852 ↗
• MalfunctionSep 29, 2026Circuit Failure

  It was reported that when using the BD Pyxis¿ MedBank Tower drawer was jammed and unable to issue medication. The customer reported that a malfunction took place when the user tried to dispense medication to the patient. However, there were no delay or adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50929300 ↗
• MalfunctionSep 28, 2026Electrical /Electronic Property Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower, the user reported that the cabinet continued to intermittently power down and display a blank screen after the recent onsite service visit was completed.However, there were no delay to patient care and adverse events or injuries reported based on this incident.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50915172 ↗
• MalfunctionSep 28, 2026Application Program Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50914935 ↗
• MalfunctionSep 28, 2026Circuit Failure; Electrical /Electronic Property Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower could not be powered on. The monitor remained powered on; however, the cabinet had no power, the fan was not spinning and attempts to restore power using different outlets and power cords were unsuccessful.As per part investigation, it was determined that the issue was attributed to physical damage caused by fluid ingress in the PWR SPLY UNIV AC 36VDC 265W (PN 136713-01), resulting in a short/miscommunication. Additionally, the PCBA CCIB M&M (PN 151801-01) was found to be faulty. Although no specific failed component was identified, the board failure prevented the drawers from being detected.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 50914093 ↗
• MalfunctionSep 28, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower, scheduled medication dispense discrepancy. The customer reported that a malfunction took place when the user tried to dispense medication to the patient. 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 50913769 ↗
• MalfunctionSep 28, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower drawer 1 was failed to open.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 50913282 ↗
• MalfunctionSep 28, 2026Circuit Failure; Loose or Intermittent Connection; Mechanical Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower, cubie lid was not opening. Customer reported issues with affected cubies during operation. FSE remotely accessed the cabinet for investigation and launched the Hardware Test Application (HTA). While attempting to swap the affected cubies (Bin 8 Position 9, Bin 9 Position 10, and Bin 11 Position 12), a PERGG error was observed. The error indicated a hardware-related failure within the cubie mechanism, confirming the issue was associated with the affected cubie hardware. The customer reported that the issue occurred when the user was trying to issue medications to a patient. However, there were no delay, no adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50912010 ↗
• MalfunctionSep 25, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower user was not able to login to the Medbank and cubex application was not running.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 50900113 ↗
• MalfunctionSep 25, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower, a user was unable to dispense a medication using a validation code and contacted support for assistance. Upon review in MQL, it was confirmed that the medication was not yet due for administration. The user was advised to retry after 10 minutes, and upon reattempting at the appropriate time, the medication was successfully dispensed using the same validation code.The customer reported that a malfunction took place when the user tried to dispense medication to the patient. There were no delay or adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50895896 ↗
• MalfunctionSep 25, 2026Break

  It was reported that when using the BD Pyxis¿ MedBank Tower drawers 9 and 10 were not working.As per part investigation, it was determined that the issue was identified as thermal damage to component U501 on the PCBA PMC PYXIS MINI, resulting from an electrical failure. This damage compromised communication and control signals, causing the drawers to malfunction.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 50895529 ↗
• MalfunctionSep 25, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower user was unable to log in because the profile had been inactivated.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 50895111 ↗
• MalfunctionSep 25, 2026No Apparent Adverse Event

  It was reported that when using the BD Pyxis¿ MedBank Tower system had an issue where an item was not showing on the patient's profile. The customer reported that the user was attempting to remove a medication; however, the required medication was not listed under the patient's profile.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 50895103 ↗
• MalfunctionSep 25, 2026Communication or Transmission Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower, device was offline in Remote Support Services for approximately two hours and was unable to request a validation code. The customer stated that this malfunction caused a delay in dispensing the medications to the patient. However, there were no adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50895084 ↗
• MalfunctionSep 25, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower pharmacist verify was rejected. However, there were no delay to patient care and adverse events or injuries reported based on this incident.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50895068 ↗
• MalfunctionSep 25, 2026Complete Loss of Power

  It was reported that when using the BD Pyxis¿ MedBank Tower drawers were offline and the user was unable to dispense medications because the cabinet displayed a Cabinet Unavailable message. The customer stated that the facility had experienced storms over the past several days, and the issue may be associated with network or power disruptions resulting from the adverse weather conditions.The customer stated that this malfunction occurred while dispensing the medication which caused a delay to the patient care. There were no adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50894649 ↗
• MalfunctionSep 25, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower, a user called regarding a drawer failure after being unable to locate an RxVerify approval request. The customer stated that the pharmacist could not see the previously submitted RxVerify request, preventing the approval process from being completed as expected. The issue was limited to the RxVerify request not displaying for the pharmacist and required further investigation to determine why the request was not visible.The customer reported that a malfunction took place when the user tried to dispense medication to the patient. There were no delay or adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50894175 ↗
• MalfunctionSep 25, 2026Installation-Related Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower drawer was offline. The customer stated that this malfunction occurred while dispensing the medication. However, there were no delay or adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50894169 ↗