BD PyxisRecalls & reported problems across all models

We found 26 models of BD Pyxis by Carefusion 303, Inc. in the FDA's device registry (GUDID). Together they are named in 81,193 adverse event reports in the FDA's MAUDE database, received between Feb 25, 2022 and Sep 30, 2026 — classified as 6 deaths, 35 injuries, 81,121 malfunctions.

The most frequently reported specific device problem is “Mechanical Problem” (19,944 reports).

66 FDA recall records name at least one of these models by its device identifier, 66 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. Widely used products collect more reports, so totals can't be used to compare products or estimate failure rates. Only reports that name a model's exact device identifier are counted. What reports can and can't tell you · How this data works

BD Pyxis recalls

FDA recall records that name at least one of these models by its device identifier, newest first. Each recall usually covers specific models or lots, so check the details.

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. 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 ↗

3. Apr 30, 2026Open, Classified

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

   Z-2302-2026 · Root cause: Component design/selection · Recall details · FDA record ↗

4. Apr 30, 2026Open, Classified

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

   Z-2301-2026 · Root cause: Component design/selection · Recall details · FDA record ↗

5. Apr 30, 2026Open, Classified

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

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

6. Dec 3, 2025Open, 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 · names 2 of these models · Recall details · FDA record ↗

7. 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 · names 3 of these models · Recall details · FDA record ↗

8. Sep 30, 2025Open, Classified

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

   Z-0368-2026 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

9. 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 · names 8 of these models · Recall details · FDA record ↗

10. 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 · names 5 of these models · Recall details · FDA record ↗

11. 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 · names 4 of these models · Recall details · FDA record ↗

12. 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 · names 5 of these models · Recall details · FDA record ↗

13. 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 · names 5 of these models · Recall details · FDA record ↗

14. 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 · names 5 of these models · Recall details · FDA record ↗

15. Mar 11, 2025Open, 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 · names 2 of these models · Recall details · FDA record ↗

16. 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 · names 2 of these models · Recall details · FDA record ↗

17. Jan 23, 2025Open, Classified

    Due to fingerprint scanner failing resulting in the scanner heating up.

    Z-1207-2025 · Root cause: Nonconforming Material/Component · Recall details · FDA record ↗

18. 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 · names 2 of these models · Recall details · FDA record ↗

19. 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 · names 5 of these models · Recall details · FDA record ↗

20. 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 · names 5 of these models · Recall details · FDA record ↗

21. 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 · names 5 of these models · Recall details · FDA record ↗

22. 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 · names 5 of these models · Recall details · FDA record ↗

23. 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 · names 4 of these models · Recall details · FDA record ↗

24. 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 · names 2 of these models · Recall details · FDA record ↗

25. 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-0671-2025 · Root cause: Software design · Recall details · FDA record ↗

26. 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 · Recall details · FDA record ↗

27. Jun 24, 2024Open, 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 ↗

28. Jun 24, 2024Open, 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 ↗

29. Jun 24, 2024Open, 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 ↗

30. Jun 24, 2024Open, 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 ↗

…and 36 older recalls, listed on each model's page.

Most reported BD Pyxis problems

BD Pyxis models

26 models, most reported first. Each model has its own page with its reports, recalls and device details.

• BD Pyxis 323

  Cabinet, table and tray, anesthesia
  2 deaths28,053 reports
• BD Pyxis 323

  CABINET, TABLE AND TRAY, ANESTHESIA
  14 recalls2 deaths24,375 reports
• BD Pyxis 324

  Cabinet, table and tray, anesthesia
  8,624 reports
• BD Pyxis 324

  CABINET, TABLE AND TRAY, ANESTHESIA
  5 recalls1 death5,301 reports
• BD Pyxis 343

  CABINET, TABLE AND TRAY, ANESTHESIA
  2 recalls1 death5,196 reports
• BD Pyxis MEDBANK-TOWER

  CABINET, TABLE AND TRAY, ANESTHESIA
  30 recalls2,581 reports
• BD Pyxis 1145-00

  CABINET, TABLE AND TRAY, ANESTHESIA
  11 recalls1,705 reports
• BD Pyxis 1139-00

  CABINET, TABLE AND TRAY, ANESTHESIA
  12 recalls1,509 reports
• BD Pyxis 352

  CABINET, TABLE AND TRAY, ANESTHESIA
  12 recalls898 reports
• BD Pyxis MEDBANK-MINI

  CABINET, TABLE AND TRAY, ANESTHESIA
  14 recalls318 reports
• BD Pyxis iMX105

  CABINET, TABLE AND TRAY, ANESTHESIA
  701 reports
• BD Pyxis 1147-00

  CABINET, TABLE AND TRAY, ANESTHESIA
  10 recalls191 reports
• BD Pyxis™ SW-SVR-ES-55

  Cabinet, table and tray, anesthesia
  3 recalls460 reports
• BD Pyxis iMX113

  CABINET, TABLE AND TRAY, ANESTHESIA
  428 reports
• BD Pyxis 349

  CABINET, TABLE AND TRAY, ANESTHESIA
  1 recall351 reports
• BD Pyxis 306

  CABINET, TABLE AND TRAY, ANESTHESIA
  5 recalls134 reports
• BD Pyxis MEDBANK-TOWER-AUX

  CABINET, TABLE AND TRAY, ANESTHESIA
  1 recall216 reports
• BD Pyxis™ SW-SVR-ES-57

  Cabinet, table and tray, anesthesia
  3 recalls0 reports
• BD Pyxis 314

  CABINET, TABLE AND TRAY, ANESTHESIA
  2 recalls49 reports
• BD Pyxis SW-MP-V1

  CABINET, TABLE AND TRAY, ANESTHESIA
  2 recalls1 report
• BD Pyxis 309

  CABINET, TABLE AND TRAY, ANESTHESIA
  82 reports
• BD Pyxis 1146-00

  CABINET, TABLE AND TRAY, ANESTHESIA
  1 recall10 reports
• BD Pyxis MEDBANK-MINI-AUX

  CABINET, TABLE AND TRAY, ANESTHESIA
  1 recall7 reports
• BD Pyxis 1148-00

  CABINET, TABLE AND TRAY, ANESTHESIA
  1 recall2 reports
• BD Pyxis SW-MB-CABINET-V2

  CABINET, TABLE AND TRAY, ANESTHESIA
  1 recall1 report
• BD Pyxis SW-PAS-4000-V6

  CABINET, TABLE AND TRAY, ANESTHESIA
  1 recall0 reports

Recent BD Pyxis adverse event reports

The 15 most recent reports across all models, in the reporter's own words as published by the FDA.

• MalfunctionSep 30, 2026Mechanical Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50954481 ↗
• MalfunctionSep 30, 2026Break; Circuit Failure; Mechanical Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953973 ↗
• MalfunctionSep 30, 2026Application Program Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953970 ↗
• MalfunctionSep 30, 2026Installation-Related Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953969 ↗
• MalfunctionSep 30, 2026Application Program Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953968 ↗
• MalfunctionSep 30, 2026Loose or Intermittent Connection

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953967 ↗
• MalfunctionSep 30, 2026Application Network Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953965 ↗
• MalfunctionSep 30, 2026Circuit Failure; Loose or Intermittent Connection

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953961 ↗
• MalfunctionSep 30, 2026Electrical /Electronic Property Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953960 ↗
• MalfunctionSep 30, 2026Circuit Failure

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953959 ↗
• MalfunctionSep 30, 2026Electrical /Electronic Property Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953958 ↗
• MalfunctionSep 30, 2026Loose or Intermittent Connection

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953957 ↗
• MalfunctionSep 30, 2026Loose or Intermittent Connection; Mechanical Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953955 ↗
• MalfunctionSep 30, 2026Contamination

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953954 ↗
• MalfunctionSep 30, 2026Circuit Failure; Electrical /Electronic Property Problem; Mechanical Problem

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50953953 ↗

Other Carefusion 303, Inc. products

• BD Alaris Infusion System29 models · 1,242,913 reports · 16 recalls
• Alaris25 models · 1,236,345 reports · 16 recalls
• Pyxis5 models · 7,862 reports · 16 recalls
• BD Alaris PCU Model 80153 models · 4,071 reports · 2 recalls
• BD Alaris Syringe Module, Model 81102 models · 3,183 reports · 2 recalls
• BD Alaris PCU Module, Model 80152 models · 3,078 reports · 3 recalls
• Alaris PCA Module, Model 81202 models · 918 reports · 2 recalls
• BD Alaris ETCO2 Module, Model 83002 models · 956 reports