BD Pyxis 1147-00Recalls & reported problems

Summary

The FDA's MAUDE database contains 191 adverse event reports that list this exact device (DI 10885403517181), received between Oct 23, 2024 and Sep 28, 2026 — classified as 191 malfunctions.

The most frequently reported specific device problem is “Application Program Problem” (31 reports).

10 FDA recall records name this device's identifier, 10 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-2304-2026 · 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

   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 ↗

5. 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 ↗

6. 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 ↗

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. 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 191 reports, in the reporter's own words as published by the FDA.

• MalfunctionSep 28, 2026No Apparent Adverse Event

  It was reported that when using the BD Pyxis¿ MedBank Mini, the user was unable to pull medication.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 50914942 ↗
• MalfunctionSep 28, 2026Electrical /Electronic Property Problem; Application Program Problem

  It was reported that when using the BD Pyxis¿ MedBank Mini the station was stuck on blue screen. The customer attempted to reboot the machine and unplugged and replugged the power cable; however, the issue persisted. 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 50911626 ↗
• MalfunctionSep 24, 2026Use of Device Problem

  It was reported that when using the BD Pyxis¿ MedBank Mini system user was unable to see certain medications. 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 50878469 ↗
• MalfunctionSep 22, 2026Power Problem

  It was reported that when using the BD Pyxis¿ MedBank Mini cabinet 01 was repeatedly found offline or powered off due to a circuit breaker tripping, resulting in loss of cabinet power and communication.However, there were no delays, adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50855360 ↗
• MalfunctionSep 21, 2026Electrical /Electronic Property Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50838523 ↗
• MalfunctionSep 18, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ MedBank Mini, when the user tried to retrieve medication (CIPROFLOXACIN HCL 250MG TABLET), the screen was frozen. 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 50815850 ↗
• MalfunctionSep 18, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ MedBank Mini medication was not on profile. 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 50814848 ↗
• MalfunctionSep 15, 2026Loose or Intermittent Connection

  It was reported that when using the BD Pyxis¿ MedBank Mini, monitor was not turning on. 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 50772148 ↗
• MalfunctionSep 15, 2026Application Program Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50769754 ↗
• MalfunctionSep 3, 2026Use of Device Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50587772 ↗
• MalfunctionSep 3, 2026Labelling, Instructions for Use or Training Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50582058 ↗
• MalfunctionAug 28, 2026Communication or Transmission Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50494179 ↗
• MalfunctionAug 27, 2026Electrical /Electronic Property Problem; Complete Loss of Power

  It was reported that when using the BD Pyxis¿ MedBank Mini system was powered off. 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 50475923 ↗
• MalfunctionAug 25, 2026Application Program Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50429192 ↗
• MalfunctionAug 14, 2026Electrical /Electronic Property Problem; Loose or Intermittent Connection

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50252390 ↗
• MalfunctionAug 14, 2026Labelling, Instructions for Use or Training Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50249308 ↗
• MalfunctionAug 14, 2026Use of Device Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50247748 ↗
• MalfunctionAug 13, 2026Power Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50231464 ↗
• MalfunctionAug 11, 2026Complete Loss of Power

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50206344 ↗
• MalfunctionAug 10, 2026Communication or Transmission Problem

  It was reported that when using the BD Pyxis¿ MedBank Mini reported being prompted for a witness when removing controlled medications. Review showed that Tramadol 50MG was configured to require a witness for issue and cycle count. Med bank my qLink (MQL) indicated the facility was not syncing, and remote smart service (RSS) showed the facility had been offline for approximately 4 days and 7 hours. The specific user involved could not be identified, and witness bypass settings could not be verified. 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 50189675 ↗
• MalfunctionAug 7, 2026Mechanical Problem; Failure to Align

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50170264 ↗
• MalfunctionAug 3, 2026Application Program Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50113513 ↗
• MalfunctionJul 28, 2026Electrical /Electronic Property Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50054559 ↗
• MalfunctionJul 27, 2026No Apparent Adverse Event

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50035840 ↗
• MalfunctionJul 27, 2026Installation-Related Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50032624 ↗