BD Pyxis 1145-00Recalls & reported problems

Summary

The FDA's MAUDE database contains 1,705 adverse event reports that list this exact device (DI 10885403517167), received between Apr 17, 2024 and Sep 30, 2026 — classified as 1 injury, 1,704 malfunctions.

The most frequently reported specific device problem is “Application Program Problem” (412 reports).

11 FDA recall records name this device's identifier, 11 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 16, 2026.

Recalls naming this device

1. Apr 30, 2026Open, Classified

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

   Z-2303-2026 · Root cause: Component design/selection · Recall details · FDA record ↗

2. Sep 30, 2025Open, 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 ↗

3. Jul 10, 2025Open, 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 ↗

4. Mar 11, 2025Open, 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 ↗

5. Mar 11, 2025Open, 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 ↗

6. Jan 10, 2025Open, Classified

   Automated dispensing device labeling is being updated to strengthen labeling around manual access to medications to address the risk of potential delays in retrieving contents/ accessing medications that may result from power loss or potential automated dispensing device malfunctions.

   Z-1206-2025 · Root cause: Labeling design · Recall details · FDA record ↗

7. Jan 8, 2025Open, 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, 2025Open, 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, 2025Open, 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, 2025Open, 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. Oct 5, 2023Open, 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 ↗

Most reported problems

Recent adverse event reports

The 25 most recent of 1,705 reports, in the reporter's own words as published by the FDA.

• MalfunctionSep 30, 2026Labelling, Instructions for Use or Training Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower Rx Verify approval was requested, but the system continued to prompt for a validation code.However, there were no delays, adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50946179 ↗
• MalfunctionSep 30, 2026Labelling, Instructions for Use or Training Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower User was unable to issue medication as a validation code was required. 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 50946159 ↗
• MalfunctionSep 30, 2026Complete Loss of Power

  It was reported that when using the BD Pyxis¿ MedBank Tower, the cabinet was offline. The customer reported that the Pyxis cabinet screen was completely black, preventing access to the system.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 50944966 ↗
• MalfunctionSep 30, 2026Communication or Transmission Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower cabinet was offline and user was not able to submit request for an Rx Verify.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 50942725 ↗
• MalfunctionSep 30, 2026Labelling, Instructions for Use or Training Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower the drawer did not open when trying to remove a med. 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 50942471 ↗
• MalfunctionSep 29, 2026Electrical /Electronic Property Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower cubie lid failed to open and unable to issue medication (Ondansetron 4mg).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 50932328 ↗
• MalfunctionSep 29, 2026Electrical /Electronic Property Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50931413 ↗
• MalfunctionSep 29, 2026Installation-Related Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50930688 ↗
• MalfunctionSep 29, 2026Electrical /Electronic Property Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50930665 ↗
• MalfunctionSep 29, 2026Failure to Align

  It was reported that when using the BD Pyxis¿ MedBank Tower cubie lid was failed to open. User was unable to issue Amoxicillin/Clavulanate 875 mg tablets from bin 03-13 because the cubie lid failed to open. The customer stated that there was a delay in 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 50929857 ↗
• MalfunctionSep 29, 2026No Apparent Adverse Event

  It was reported that when using the BD Pyxis¿ MedBank Tower, an error indicated as medication was available.The customer stated that this malfunction occurred while dispensing the hydromorphone medication.There were no adverse events or injuries reported due to this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50929299 ↗
• MalfunctionSep 29, 2026Application Program Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50929290 ↗
• MalfunctionSep 29, 2026Installation-Related Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50929278 ↗
• MalfunctionSep 28, 2026Electrical /Electronic Property Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50914079 ↗
• MalfunctionSep 28, 2026Electrical /Electronic Property Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower, drawers failed to open.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 50913770 ↗
• MalfunctionSep 28, 2026Labelling, Instructions for Use or Training Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower unable to issue the item (OXYCODONE 5MG TAB). 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 50913275 ↗
• MalfunctionSep 28, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower, a medication could not be issued because the item status was "Destocked by System" despite being assigned to cubies within the drawer. The affected item was HYDROmorphone 2 mg Tablet (Dilaudid 2 mg Tablet), preventing access to the medicationThe 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 50911623 ↗
• MalfunctionSep 25, 2026Circuit Failure

  It was reported that when using the BD Pyxis¿ MedBank Tower, a user was unable to dispense Oxycodone IR 5 mg Tablet. Upon investigation, it was determined that the medication had been destocked by the system, making it unavailable for removal from the station. the issue was related to the item's inventory status.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 50897367 ↗
• MalfunctionSep 25, 2026Communication or Transmission Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower, drawers were offline and the NS cabinet was stuck on the connecting page. The customer reported that the issue occurred when the user was trying to issue medications to a 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 50895081 ↗
• MalfunctionSep 25, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower the patient not showing up on station. The customer stated that this malfunction caused a delay in dispensing medication to patients. However, there were no adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50895072 ↗
• MalfunctionSep 25, 2026Circuit Failure; Mechanical Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower, system drawer was not open. 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 50894155 ↗
• MalfunctionSep 24, 2026Mechanical Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower cubie was ejected out unexpectedly. 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 50881167 ↗
• MalfunctionSep 24, 2026No Apparent Adverse Event

  It was reported that when using the BD Pyxis¿ MedBank Tower, drawer was failed to open and unable to issue medication (Oxycodone 5mg tab).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 50881109 ↗
• MalfunctionSep 24, 2026Labelling, Instructions for Use or Training Problem

  It was reported that when using the BD Pyxis¿ MedBank Tower, assistance was requested to change ROCURONIUM BROMIDE 50MG/5ML VIAL from an External Item to a Cubie Item. The customer advised that the change had already been made in MyQLink; however, when attempting to issue the medication, the error "Requires a fridge key" was received. Review of the item configuration in MyQLink identified a key combination associated with the medication, indicating a configuration mismatch requiring further review and correction.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 50878781 ↗
• MalfunctionSep 23, 2026Break

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50874608 ↗