BD Pyxis 323 (UDI 10885403512667)Recalls & reported problems

Summary

The FDA's MAUDE database contains 24,375 adverse event reports that list this exact device (DI 10885403512667), received between Feb 25, 2022 and Jul 29, 2026 — classified as 2 deaths, 24 injuries, 24,349 malfunctions.

The most frequently reported specific device problem is “Mechanical Problem” (7,993 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. How this data works · Data updated Oct 13, 2026.

Recalls naming this device

1. Apr 30, 2026Open, Classified

   Fingerprint scanner may overheat to a temperature to cause 1st degree burn.

   Z-2298-2026 · Root cause: Component design/selection · FDA record ↗

2. Nov 20, 2025Open, Classified

   Automated Dispensing Cabinets (ADC) received a Half Height CUBIE drawer firmware update, which caused a Cubie Insert event which prompts software to generate a duplicate address, which causes an error and the drawer to fail, which may lead to inability or delay in accessing stored items, delay in the replenishment of ADCs or patient specific medications stored outside of ADCs.

   Z-0962-2026 · Root cause: Device Design · FDA record ↗

3. May 8, 2025Open, Classified

   During automated dispensing cabinet upgrade/installation/reimaging, component manager was left in installed mode, and if a Microsoft patch is then installed this may lead to an error preventing user access to the dispensing software application, which may lead to delay in access to medications/supplies, and delivery/replenishment of patient specific orders; which may lead to delay in patient care.

   Z-2017-2025 · Root cause: Software Design Change · FDA record ↗

4. May 8, 2025Open, Classified

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

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

5. Feb 6, 2025Open, Classified

   Sync timeout may occur between the server and automated dispensing device, due to a server software error which may occur if syncing a large amount of data that takes excessive time, which may cause the dispensing devices to become disconnected from the ES server; dispensing devices will not receive updated information, which may lead to incorrect therapy, and delay in accessing medication.

   Z-1375-2025 · Root cause: Software design · FDA record ↗

6. Jan 8, 2025Open, Classified

   Labeling is insufficient regarding delays in access to medication. The firm is strengthening the label as an additional risk mitigation.

   Z-1120-2025 · Root cause: Labeling design · FDA record ↗

7. Jan 8, 2025Open, Classified

   Software issues could potentially result in: 1) delays in accessing dispensing software application, 2) wrong therapy (dose, item, timing, etc.), or 3) unauthorized access and/or compliance related issues

   Z-1119-2025 · Root cause: Software design · FDA record ↗

8. Nov 14, 2024Open, Classified

   Due to a software issue, automated dispensing cabinet devices may open the wrong cubie pocket or position, which can lead to: 1) Unintended and incorrect medication removal, or 2) Potential for a different medication (medication pulled in error) to be refilled/loaded, which may lead to may lead to low inventory or a stockout.

   Z-0670-2025 · Root cause: Software design · FDA record ↗

9. May 2, 2024Open, Classified

   If automated dispensing cabinets have specific software versions, and Component Manager was configured to "installed mode", and software patch KB 5033688 was installed in the production environment, then this will will lead to an error that prevents the user from accessing the dispensing software application, which may delay accessing medication.

   Z-2374-2024 · Root cause: Software change control · FDA record ↗

10. Apr 15, 2024Open, Classified

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

    Z-1927-2024 · Root cause: Component design/selection · FDA record ↗

11. Feb 1, 2024Open, Classified

    Automated dispensing cabinets, running affected software, and Windows 10 operating system may experience the application randomly hang, freeze and/or crash, which may result in delays in medication access, and potential data loss.

    Z-1223-2024 · Root cause: Software design · FDA record ↗

12. Apr 5, 2023Open, Classified

    Due to an automated dispensing cabinet software issue, when a medication single order contains more than one component and at least one is unavailable for a multi-item or combination order, the order may display as grayed out; alternate location tooltip will display "Server connection failed," not listing other area devices where unavailable item(s) may be found, which may lead to delayed therapy.

    Z-0906-2025 · Root cause: Software design · FDA record ↗

13. Apr 5, 2023Open, Classified

    Automated dispensing cabinet software is experiencing: 1) ES device download failure resulting in partial patient information loss that leads to 2) partial loss of patient transaction data, seen as a server upload processing error. Outdated/incorrect information display may contribute to the removal of medication to which the patient is allergic, incorrect dose amount, or discontinued medication.

    Z-1579-2023 · Root cause: Software Design Change · FDA record ↗

14. Feb 14, 2023Open, Classified

    Automated dispensing cabinet drawer firmware may have inadvertently been downgraded to an earlier version of drawer firmware during new device installations or device replacement upgrades, which may lead to an increased frequency of drawer failures, which could increase the likelihood of patients experiencing delays in receiving medications.

    Z-1207-2023 · Root cause: Software change control · FDA record ↗

Most reported problems

Recent adverse event reports

The 25 most recent of 24,375 reports, in the reporter's own words as published by the FDA.

• MalfunctionJul 29, 2026Contamination

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50066441 ↗
• MalfunctionJul 29, 2026Contamination

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50066436 ↗
• MalfunctionNov 27, 2025Installation-Related Problem; Installation-Related Problem

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES, HAD A PYXIS STATION WITH TIME ISSUE. THE CUSTOMER STATED THAT THIS MALFUNCTION OCCURRED WHILE DISPENSING THE MEDICATION AND 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 23665611 ↗
• MalfunctionNov 26, 2025Mechanical Problem; Mechanical Problem

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES, HAD DRAWER FAILED AND TURNED THE STATION OFF BUT ISSUE STILL PERSISTS. THE CUSTOMER STATED THAT THIS MALFUNCTION OCCURRED WHILE DISPENSING THE MEDICATION AND 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 23655269 ↗
• MalfunctionNov 24, 2025Electrical /Electronic Property Problem; Electrical /Electronic Property Problem

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES REMOTE MANAGER FAILED REPEATEDLY DURING OPERATION. 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 23631083 ↗
• MalfunctionNov 16, 2025Break; Break

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES, HAD PYXIS KEEPS FAILED AND SCREEN WENT FREEZE. THE CUSTOMER STATED THAT THERE WAS A DELAY IN PATIENT CARE. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23565540 ↗
• MalfunctionNov 15, 2025Loose or Intermittent Connection; Loose or Intermittent Connection

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES HAD A DRAWER FAILURE. THE CUSTOMER STATED THAT THIS MALFUNCTION OCCURRED WHILE DISPENSING THE MEDICATION AND 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 23564061 ↗
• MalfunctionNov 13, 2025Unintended Application Program Shut Down; Unintended Application Program Shut Down

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES STATION STUCK ON CAREFUSION ADMIN. THE CUSTOMER TRIED TO REBOOT BUT THE ISSUE PERSISTED. THE CUSTOMER STATED THAT THIS MALFUNCTION OCCURRED WHILE DISPENSING THE MEDICATION AND CAUSED A DELAY TO THE PATIENT CARE. HOWEVER, THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23542956 ↗
• MalfunctionNov 13, 2025Application Network Problem; Application Network Problem

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES, THE STATION WAS IN CRITICAL OVERRIDE, AND THE USER WAS UNABLE TO PULL MEDICATIONS. 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 23542509 ↗
• MalfunctionNov 13, 2025Date/Time-Related Software Problem; Date/Time-Related Software Problem

  IT WAS REPORTED BY THE CUSTOMER THAT A BD PYXIS MEDSTATION ES SYSTEM HAD INCORRECT TIMES ACROSS MULTIPLE MACHINES. THERE WAS DELAY IN ACCESS AND DISPENSING MEDICATION. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS INCIDENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23541829 ↗
• MalfunctionNov 13, 2025Electrical /Electronic Property Problem; Electrical /Electronic Property Problem

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES STATION ON REBOOT LOOP. THE CUSTOMER STATED THAT THIS MALFUNCTION OCCURRED WHILE DISPENSING THE MEDICATION, AND THE USER MANAGED TO GET THE MEDICATION FROM ANOTHER STATION, 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 23541380 ↗
• MalfunctionNov 13, 2025Circuit Failure; Circuit Failure

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES, THE DEVICE WAS NOT DETECTED ON THE BUS. 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 23541377 ↗
• MalfunctionNov 13, 2025Break; Contamination; Break; Contamination

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES DRAWER 2.2 RAILS WERE BROKEN. THE CUSTOMER STATED THAT THIS MALFUNCTION OCCURRED WHILE DISPENSING THE MEDICATION AND 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 23541359 ↗
• MalfunctionNov 13, 2025Electrical /Electronic Property Problem; Electrical /Electronic Property Problem

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES THE REMOTE MANAGER WAS NOT DETECTED BY THE BUS. THE CUSTOMER STATED THAT THIS MALFUNCTION OCCURRED WHILE DISPENSING THE MEDICATION AND CAUSED A DELAY TO THE PATIENT CARE. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED DUE TO THIS EVENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23541216 ↗
• MalfunctionNov 13, 2025Installation-Related Problem; Installation-Related Problem

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES THE APPLICATION CRASHED AFTER LOGIN. THE CUSTOMER REPORTED THAT THERE WAS A DELAY IN PATIENT CARE. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23541212 ↗
• MalfunctionNov 13, 2025Circuit Failure; Circuit Failure

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES THE DRAWER WAS NOT DETECTED ON BUS. 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 23540923 ↗
• MalfunctionNov 13, 2025Power Problem; Power Problem

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES HAD A PYXIS WENT BLACK SCREEN. THE CUSTOMER REPORTED THAT A MALFUNCTION TOOK PLACE WHEN THE USER TRIED TO DISPENSE MEDICATION TO THE PATIENT. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23540918 ↗
• MalfunctionNov 13, 2025Electrical /Electronic Property Problem; Electrical /Electronic Property Problem

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES BIOMETRIC IDENTIFIER REQUIRED MAINTENANCE. THE CUSTOMER REPORTED THAT THERE WAS A DELAY IN THE DISPENSING OF MEDICATION. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23539528 ↗
• MalfunctionNov 12, 2025Computer Software Problem; Computer Software Problem

  IT WAS REPORTED BY THE CUSTOMER THAT BD PYXIS¿ MEDSTATION¿ ES NURSES WERE NOT ABLE TO VIEW MEDICATIONS AND WERE UNABLE TO PULL FLUCYTOSINE 250 MG CAPSULE. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS INCIDENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23539387 ↗
• MalfunctionNov 12, 2025Contamination; Contamination

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES HAD A DRAWER FAILURE. 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 23534921 ↗
• MalfunctionNov 12, 2025Mechanical Problem; Mechanical Problem

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES, THE RAILS WAS MISALIGNED, AND USER FELT RESISTANCE WHEN OPENING THE DRAWER. THE CUSTOMER REPORTED THAT THERE WAS A DELAY IN PATIENT CARE. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23534428 ↗
• MalfunctionNov 12, 2025Mechanical Problem; Mechanical Problem

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES, HAD FAILED DRAWER AND DEVICE NOT DETECTED ON BUS. THE CUSTOMER STATED THAT THERE WAS A DELAY IN PATIENT CARE. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23534425 ↗
• MalfunctionNov 12, 2025Labelling, Instructions for Use or Training Problem; Labelling, Instructions for Use or Training Problem

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES, ONE PATIENT WAS NOT SHOWING ON PYXIS. 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 23534411 ↗
• MalfunctionNov 12, 2025Mechanical Problem; Mechanical Problem

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES DRAWER WAS FAILED AND INDICATED A POSSIBLE MAGNET ISSUE. THE CUSTOMER STATED THAT THERE WAS A DELAY IN PATIENT CARE. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23534410 ↗
• MalfunctionNov 12, 2025Circuit Failure; Circuit Failure

  IT WAS REPORTED THAT WHEN USING THE BD PYXIS¿ MEDSTATION¿ ES HAD A DRAWER NOT DETECTED ON BUS. THE CUSTOMER STATED THAT THERE WAS A DELAY IN PATIENT CARE. THERE WERE NO ADVERSE EVENTS OR INJURIES REPORTED BASED ON THIS EVENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23534408 ↗