PyxisRecalls & reported problems across all models

We found 5 models of Pyxis by Carefusion 303, Inc. in the FDA's device registry (GUDID). Together they are named in 7,862 adverse event reports in the FDA's MAUDE database, received between Nov 5, 2018 and Sep 30, 2026 — classified as 1 death, 13 injuries, 7,843 malfunctions.

The most frequently reported specific device problem is “Computer Software Problem” (1,031 reports).

16 FDA recall records name at least one of these models by its device identifier, 16 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

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-2300-2026 · 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-2299-2026 · 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-2297-2026 · Root cause: Component design/selection · Recall details · FDA record ↗

4. 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 2 of these models · Recall details · FDA record ↗

5. 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 2 of these models · Recall details · FDA record ↗

6. 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 · Recall details · FDA record ↗

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

8. 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 · Recall details · 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 · Recall details · 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-1932-2024 · Root cause: Component design/selection · Recall details · FDA record ↗

11. Apr 15, 2024Open, Classified

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

    Z-1928-2024 · Root cause: Component design/selection · Recall details · FDA record ↗

12. Feb 23, 2024Open, Classified

    Retroactive-Due to increase in complaints, their is a potential for drawer and/or door failures of the medication cabinet which could result in delay in accessing medications.

    Z-1125-2025 · Root cause: Device Design · Recall details · FDA record ↗

13. 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 · Recall details · FDA record ↗

14. 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 · Recall details · FDA record ↗

15. Feb 14, 2023Open, Classified

    Drawer and/or door failures that may lead to a delay in access to medications. The following three situations in which drawer and/or door failures may occur have been identified: Situation 1: Door Latch Failure, Situation 2: Cable Ribbon Damage, Situation 3: Magnet Falling Out,

    Z-0973-2025 · Root cause: Nonconforming Material/Component · Recall details · FDA record ↗

16. 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 · Recall details · FDA record ↗

Most reported Pyxis problems

Pyxis models

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

• Pyxis 327

  Cabinet, table and tray, anesthesia
  1 death4,304 reports
• Pyxis 327

  CABINET, TABLE AND TRAY, ANESTHESIA
  10 recalls3,137 reports
• Pyxis 303

  CABINET, TABLE AND TRAY, ANESTHESIA
  7 recalls392 reports
• Pyxis 338

  CABINET, TABLE AND TRAY, ANESTHESIA
  3 recalls24 reports
• Pyxis TRANSFUSION

  SOFTWARE, BLOOD BANK, STAND ALONE PRODUCTS
  5 reports

Recent 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, 2026Contamination

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50946185 ↗
• MalfunctionSep 30, 2026Electrical /Electronic Property Problem

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES, the Bio ID device displayed a "Maintenance Required" message.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 50946175 ↗
• MalfunctionSep 30, 2026Loose or Intermittent Connection

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES, the drawer 2.1 was failed to open. Customer tried to recover but issue did not resolve. The customer stated that the malfunction occurred when a user tried to issue medication to the patient and caused a delay to 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 50945877 ↗
• MalfunctionSep 30, 2026Insufficient Device Problem Information

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES, draw 2.1 locked did not open and unable to recover. The customer stated that the malfunction occurred when a user tried to issue medication to the patient and caused a delay to 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 50945876 ↗
• MalfunctionSep 30, 2026Circuit Failure; Installation-Related Problem

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES received the error message "The network interface with name PYIET was not found". User had reinstalled the associated file twice as part of troubleshooting; however, the device continued to fail communication and remained offline.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 50945869 ↗
• MalfunctionSep 30, 2026Loose or Intermittent Connection; Application Program Problem

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES, the station screen went black, and the cabinet was reported as RSS offline.There were no delay or adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50944979 ↗
• MalfunctionSep 30, 2026Circuit Failure; Electrical /Electronic Property Problem

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES, the device displayed a black screen. The customer rebooted the device, but the issue was not resolved.There were no adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50944976 ↗
• MalfunctionSep 30, 2026Break

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES device was not communicating with the system. The user verified the non-communication issue on the Pyxis device and indicated that it was not related to the data port.The customer stated that this malfunction occurred while dispensing the medication and they were unable to access 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 50944973 ↗
• MalfunctionSep 30, 2026Application Program Problem

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES users were unable to log in to the AWS. A system reset was required to restore functionality and allow user access. The customer reported that this issue had been occurring frequently, resulting in repeated login failures and requiring multiple resets to regain access.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 50944937 ↗
• MalfunctionSep 30, 2026Circuit Failure

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES, the cubie tray had failed to open. The customer stated that this malfunction occurred while dispensing medication to patients and caused 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 50944935 ↗
• MalfunctionSep 30, 2026No Apparent Adverse Event

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES, station was not communicating.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 50944934 ↗
• MalfunctionSep 30, 2026Labelling, Instructions for Use or Training Problem

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES, station stock out was not populated on carousel for MedID (b)(6). 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 50944927 ↗
• MalfunctionSep 30, 2026Misassembled

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES, the drawer was reported to be repeatedly failing. Attempts to recover the drawer using the Recover Storage Space function were unsuccessful, and the system displayed a Requires Maintenance message. The only successful method of recovery was manually unlocking the drawer with keys and accessing it from the rear of the unit. Additionally, the affected accessible drawer remained locked even during a procedure, preventing normal operation.The customer stated that this malfunction occurred while dispensing the medication.There were no adverse events or injuries reported due to this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50944374 ↗
• MalfunctionSep 30, 2026Mechanical Jam

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES system drawer maps did not populate consistently, preventing the decrementing function from being performed. However, there were no delay and adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50944197 ↗
• MalfunctionSep 30, 2026Insufficient Device Problem Information

  It was reported that when using the BD Pyxis¿ Anesthesia Station ES, count was not reflecting correct amount.There were no adverse events or injuries reported based on this event.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50943540 ↗

Other Carefusion 303, Inc. products

• BD Alaris Infusion System29 models · 1,242,913 reports · 16 recalls
• Alaris25 models · 1,236,345 reports · 16 recalls
• BD Pyxis26 models · 81,193 reports · 66 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