BD Pyxis™ SW-SVR-ES-55Recalls & reported problems

Summary

The FDA's MAUDE database contains 460 adverse event reports that list this exact device (DI 10885403518348), received between Nov 16, 2023 and Sep 30, 2026 — classified as 1 injury, 458 malfunctions.

The most frequently reported specific device problem is “Application Program Problem” (153 reports).

3 FDA recall records name this device's identifier, 3 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. Dec 3, 2025Class IIOpen, Classified

   Due a software issue that may result in equipment not receiving timely updates of patient, medication, or related information from enterprise systems.

   Z-1028-2026 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

2. May 8, 2025Class IIOpen, 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 · 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 ↗

Most reported problems

Recent adverse event reports

The 25 most recent of 460 reports, in the reporter's own words as published by the FDA.

• MalfunctionSep 30, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ ES Server, there were multiple short delays of approximately 10 minutes in transmitting patient orders to Pyxis.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 50942231 ↗
• MalfunctionSep 28, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ ES Server, the report data was missing or inaccurate on auto scheduled reports, OMNL reports were not producing accurate results, and ETL (Extract Transform Load) delays were occurring on HSV (Health Sight Viewer). 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 50916260 ↗
• MalfunctionSep 28, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ ES Server was not connected and station on disconnect mode. When user tried to remove meds from the station, the transaction does not reach corepoint. 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 50912033 ↗
• MalfunctionSep 25, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ ES Server, medication Order ID 551995829 did not appear to nurse to dispenses weekly and it seems to be interface issue.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 50897353 ↗
• MalfunctionSep 24, 2026Labelling, Instructions for Use or Training Problem

  It was reported that when using the BD Pyxis¿ ES Server Multiple discontinued orders continued to appear under admitted and discharged patients. Patient profiles were not displayed correctly in pyxis, particularly for older patient records. The issue affected multiple patients across multiple pyxis devices, requiring users to use workarounds to access medications. The issue occurred after corrective actions for a corrupted file were performed, and orders were not processing correctly following the update. ePHI patient details were provided for investigation. 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 50883632 ↗
• MalfunctionSep 23, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ ES Server patient data was not crossing over as of 11.30 AM.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 50867902 ↗
• MalfunctionSep 23, 2026No Apparent Adverse Event

  It was reported that when using the BD Pyxis¿ ES Server multiple orders were not crossing.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 50865895 ↗
• MalfunctionSep 16, 2026Installation-Related Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50786062 ↗
• MalfunctionSep 15, 2026No Apparent Adverse Event

  It was reported that when using the BD Pyxis¿ ES Server users were unable to log in directly to the medStations after being added to the designated Active Directory (AD) security group for medstation access.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 50769774 ↗
• MalfunctionSep 15, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ ES Server, patient admission issue occurred.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 50768974 ↗
• MalfunctionSep 15, 2026Labelling, Instructions for Use or Training Problem

  It was reported that when using the BD Pyxis¿ ES Server system patients were not crossing. 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 50767120 ↗
• MalfunctionSep 14, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ ES Server, the Pyxis and Wellsoft interface in the Emergency Department was experiencing intermittent ADT issues. The customer reported that patients documented in Wellsoft were not consistently crossing over into Pyxis, while another EHR system used outside the ED was functioning as expected. According to DOP, some patients in Wellsoft were still not appearing in Pyxis, resulting in nurses having to use medication overrides in the ED to obtain medications.There were no delay or adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50755334 ↗
• MalfunctionSep 14, 2026Labelling, Instructions for Use or Training Problem

  It was reported that when using the BD Pyxis¿ ES Server patients were not shown in the pyxis. 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 50753047 ↗
• MalfunctionSep 14, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ ES Server, all stations were not communicating and were operating in Critical Override mode. The customer reported that all stations displayed a disconnected mode icon along with a Critical Override error. The customer was also unable to access the BD Enterprise Server. The issue affected all stations across the facility, resulting in delays in medication dispensing. Troubleshooting was performed, and the hospital IT team confirmed there were no network issues; however, the issue persisted.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 50752272 ↗
• MalfunctionSep 14, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ ES Server, device does not display available medication.The customer stated that this malfunction occurred while dispensing the medication.However, there were no adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50752261 ↗
• MalfunctionSep 14, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ ES Server system had an issue where the user was unable to log in to the server and received an "Unable to Authenticate" error message. The customer stated that the user was still able to log in to the station, but not to the server. The customer stated that the 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 50752231 ↗
• MalfunctionSep 14, 2026Application Program Freezes or Fails to Launch

  It was reported that when using the BD Pyxis¿ ES Server was not updating medication inventory.There were no delay, no adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50751763 ↗
• MalfunctionSep 10, 2026Application Program Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50708883 ↗
• MalfunctionSep 10, 2026No Apparent Adverse Event

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50706839 ↗
• MalfunctionSep 9, 2026Labelling, Instructions for Use or Training Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50687857 ↗
• MalfunctionSep 8, 2026Application Program Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50664843 ↗
• MalfunctionSep 8, 2026Installation-Related Problem

  It was reported that when using the BD Pyxis¿ ES Server user had a biometric identifier login 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 50662972 ↗
• MalfunctionSep 7, 2026Labelling, Instructions for Use or Training Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50656995 ↗
• MalfunctionSep 7, 2026Application Program Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50648021 ↗
• MalfunctionSep 7, 2026Application Program Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50646932 ↗