Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2498-2024Class II

BD PYXIS MEDBANK TWR MN CR-6HH-2FH-2FM-P, REF: 169-93 containing software version 3.9.1.9

CareFusion 303, Inc / initiated 2024-06-24 / Open, Classified / root cause: labeling and UDI

CareFusion 303, Inc. began a recall of BD PYXIS MEDBANK TWR MN CR-6HH-2FH-2FM-P, REF: 169-93 containing software version 3.9.1.9 on . FDA classified it as Class II and gives the reason as "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". As of , the recall status on record is Open, Classified, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number
Z-2498-2024
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
CareFusion 303, Inc
Product
BD PYXIS MEDBANK TWR MN CR-6HH-2FH-2FM-P, REF: 169-93 containing software version 3.9.1.9
Product code
BRY Cabinet, Table And Tray, Anesthesia
Reason for recall
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.
Root cause tag
labeling and UDI
FDA root cause
Under Investigation by firm
Action
On July 11, 2024, CareFusion, subsidiary of Becton, Dickinson and Company (BD) issued a "Urgent Medical Device Correction" Notification, via mail. On June 24, 2024, BD issued Customer Release Notes via their firm's customer portal. BD ask consignees to take the following actions: Clinicians: 1. When restocking the cabinet, refer to the MedBank restock workflow screen to verify the correct bin location rather than the printed label until the software update is provided. Users should verify the contents of the bin location being restocked. 2. Please circulate this notice to all those who require awareness within your organization or to any organization whom you may have transferred BD Pyxis" MedBank" CUBIE" Replenishment Station devices to. 3. Please promptly complete and return the enclosed Customer Response Form within 15 days to acknowledge receipt of this notification and that you understand the information provided in this letter Distributor: 1. Please provide a copy of the attached customer letter to all facilities within your distribution network that have any product listed in Appendix 1. 2. Please promptly complete and return the enclosed Distributor Response Form within 15 days to acknowledge receipt of this notification and that you understand the information provided in this letter.
Quantity in commerce
6 units
Distribution
US Nationwide distribution including in the states of AL, AZ, CA, CO, CT, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NH, NJ, NV, NY, OH, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WI, WV.
Product codes and lots
UDI: 10885403512568/ Serial Number: 16091819 15925591 15927975 15935627 15561266 16158516

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2498-2024
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2485-2024Class IIOngoingVoluntary: Firm initiated
Z-2486-2024Class IIOngoingVoluntary: Firm initiated
Z-2487-2024Class IIOngoingVoluntary: Firm initiated
Z-2488-2024Class IIOngoingVoluntary: Firm initiated
Z-2489-2024Class IIOngoingVoluntary: Firm initiated
Z-2490-2024Class IIOngoingVoluntary: Firm initiated
Z-2491-2024Class IIOngoingVoluntary: Firm initiated
Z-2492-2024Class IIOngoingVoluntary: Firm initiated
Z-2493-2024Class IIOngoingVoluntary: Firm initiated
Z-2494-2024Class IIOngoingVoluntary: Firm initiated
Z-2495-2024Class IIOngoingVoluntary: Firm initiated
Z-2496-2024Class IIOngoingVoluntary: Firm initiated
Z-2497-2024Class IIOngoingVoluntary: Firm initiated
Z-2498-2024Class IIOngoingVoluntary: Firm initiated
Z-2499-2024Class IIOngoingVoluntary: Firm initiated
Z-2500-2024Class IIOngoingVoluntary: Firm initiated
Z-2501-2024Class IIOngoingVoluntary: Firm initiated
Z-2502-2024Class IIOngoingVoluntary: Firm initiated
Z-2503-2024Class IIOngoingVoluntary: Firm initiated