CareFusion 303, Inc.: BD Pyxis MedBank Cabinets Recalled for Incorrect Medication Bin Labels

Agency Publication Date: August 2, 2024

Summary

CareFusion 303, Inc. is recalling 458 units of various BD Pyxis MedBank automated dispensing cabinets and towers due to a software issue in version 3.9.1.9. When a restock label is printed for medications, the software may print the incorrect storage bin location on the label. This defect can lead to medications being restocked into the wrong bins, potentially resulting in a patient receiving the wrong medication. These devices were distributed across 41 U.S. states.

Risk

The software error causes the wrong medication bin location to be printed on restocking labels, which creates a significant risk of medication errors. If a healthcare provider retrieves and administers the wrong medication from an incorrectly stocked bin, it could lead to serious adverse health consequences or ineffective treatment for the patient.

What You Should Do

Identify if your facility uses a BD Pyxis MedBank Mini or Tower system containing software version 3.9.1.9 with the specific Model (REF) numbers: 169-114, 169-115, 169-131, 169-82, 169-83, 169-84, 169-85, 169-86, 169-88, 169-89, 169-90, 169-91, 169-92, 169-93, 169-94, 169-96, 169-97, 169-98, or 169-99.
Check your device serial number against the affected list, which includes hundreds of specific identifiers such as 16132658, 16170661, 16139674, and others listed in the recall notice.
Verify all restock labels printed by the system manually to ensure the medication name matches the intended storage bin until a software fix is implemented.
Contact your healthcare provider or administrative lead to report any medication discrepancies found during the restocking process.
Contact CareFusion 303, Inc. at their San Diego headquarters (10020 Pacific Mesa Blvd, San Diego, CA 92121) or via BD customer support for instructions on software updates or technical assistance.
For additional information or to report concerns, contact the FDA at 1-888-463-6332 or visit www.fda.gov/medical-devices/medical-device-recalls.

Your Remedy Options

Other Action

Manufacturer Notification and Support

How to: Contact your healthcare provider or the manufacturer for further instructions and potential refund

Affected Products

Product: BD PYXIS MEDBANK MINI CR-2HH-1FH-P, REF: 169-114

Model / REF:

169-114

UPC Codes:

10885403512544

Lot Numbers:

Serial Numbers: 16132658, 16168374, 16097985, 16191227, 16221557, 16203700, 16198296, 16034793, 16207656, 16221556, 16225067, 16138830, 16039764, 15950395, 16042993, 15967360, 15378118, 16155519, 16090203, 16216083, 16112389, 16035948, 16256357, 15940923, 15940150, 15961968, 15950397, 15950399, 16055233, 15442769, 16243553, 15832653, 16085678, 16044038, 16044042, 16044015, 16044016, 16044019, 16044022, 16044021, 16044034, 16044026, 16044032, 16044027, 16044029, 16044031, 16044046, 15499064, 15948854, 15490767, 15631138, 15378120, 15378121, 15409640, 15910842, 15353919, 15547821, 15049511, 15618006, 15371604, 15872431, 15657867, 15364475, 15506571, 15326870, 15906089, 15906091, 15906093, 15328486, 15442778, 15506570, 16061648, 16061659, 16061660, 16034792, 15353916, 16161290, 16271157, 16271158, 16271159, 16042049, 16042051, 16042052, 16042053

Product: BD PYXIS MEDBANK MINI CR-4HH-P, REF: 169-115

Model / REF:

169-115

UPC Codes:

10885403512544

Lot Numbers:

232 Serial Numbers including: 16170661, 16210908, 16089019, 16062433, 16147169, 15940375, 15253736, 15253737, 16247094

Product: BD PYXIS MDBNK TWR MN CR-4HH-5FM-P RxNow, REF: 169-131

Model / REF:

169-131

UPC Codes:

10885403512568

Lot Numbers:

61 Serial Numbers including: 16139674, 16124908, 16063924, 16084467, 16221549, 15940400

Product: BD PYXIS MEDBANK TWR MN CR-10HH-2FH-P, REF: 169-82

Model / REF:

169-82

UPC Codes:

10885403512568

Lot Numbers:

15806714, 15949551, 16043223, 16194366, 16122742, 16111668, 15940148, 15931010, 15930743, 15943757, 16203044

Product: BD PYXIS MEDBANK TWR MN CR-10HH-2FM-P, REF: 169-83

Model / REF:

169-83

UPC Codes:

10885403512568

Lot Numbers:

16210460, 16191229, 16227391, 16260053, 16055232, 16102551

Additional Information

Agency: Food and Drug Administration (FDA)

Event ID: 94947

Status: Active

Manufacturer: CareFusion 303, Inc.

Sold By: Direct distribution to healthcare facilities

Manufactured In: United States

Units Affected: 19 products (84 units; 232 units; 61 units; 11 units; 6 units; 7 units; 2 units; 4 units; 1 unit; 1 unit; 4 units; 1 unit; 5 units; 6 units; 12 units; 1 unit; 3 units; 1 unit; 16 units)

Distributed To: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, North Dakota, New Hampshire, New Jersey, Nevada, New York, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, West Virginia

Agency Last Updated: July 1, 2025

Were You Affected by This Recall?

If you or a family member were harmed by this recalled product, you may have legal rights. Consider consulting a consumer protection attorney to understand your options for compensation.

Find an Attorney

This is general information, not legal advice. Go Backs is not a law firm and does not provide legal services.

AI-Enhanced Content: The summary, action steps, and risk assessment on this page were generated by AI from official government recall data to improve readability. This is not legal or medical advice. Always refer to the official agency sources below for authoritative information.

Sources: FDA iRES · Raw API Response

openFDA Disclaimer: This recall information is sourced from the openFDA API. Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Refer to the openFDA terms of service for more information.

Summary

Risk

What You Should Do

Identify if your facility uses a BD Pyxis MedBank Mini or Tower system containing software version 3.9.1.9 with the specific Model (REF) numbers: 169-114, 169-115, 169-131, 169-82, 169-83, 169-84, 169-85, 169-86, 169-88, 169-89, 169-90, 169-91, 169-92, 169-93, 169-94, 169-96, 169-97, 169-98, or 169-99.

Check your device serial number against the affected list, which includes hundreds of specific identifiers such as 16132658, 16170661, 16139674, and others listed in the recall notice.

Verify all restock labels printed by the system manually to ensure the medication name matches the intended storage bin until a software fix is implemented.

Contact your healthcare provider or administrative lead to report any medication discrepancies found during the restocking process.

Contact CareFusion 303, Inc. at their San Diego headquarters (10020 Pacific Mesa Blvd, San Diego, CA 92121) or via BD customer support for instructions on software updates or technical assistance.

For additional information or to report concerns, contact the FDA at 1-888-463-6332 or visit www.fda.gov/medical-devices/medical-device-recalls.

Affected Products

Product: BD PYXIS MEDBANK MINI CR-2HH-1FH-P, REF: 169-114

Model / REF:

169-114

UPC Codes:

10885403512544

Lot Numbers:

Product: BD PYXIS MEDBANK MINI CR-4HH-P, REF: 169-115

Model / REF:

169-115

UPC Codes:

10885403512544

Lot Numbers:

232 Serial Numbers including: 16170661, 16210908, 16089019, 16062433, 16147169, 15940375, 15253736, 15253737, 16247094

Product: BD PYXIS MDBNK TWR MN CR-4HH-5FM-P RxNow, REF: 169-131

Model / REF:

169-131

UPC Codes:

10885403512568

Lot Numbers:

61 Serial Numbers including: 16139674, 16124908, 16063924, 16084467, 16221549, 15940400

Product: BD PYXIS MEDBANK TWR MN CR-10HH-2FH-P, REF: 169-82

Model / REF:

169-82

UPC Codes:

10885403512568

Lot Numbers:

15806714, 15949551, 16043223, 16194366, 16122742, 16111668, 15940148, 15931010, 15930743, 15943757, 16203044

Product: BD PYXIS MEDBANK TWR MN CR-10HH-2FM-P, REF: 169-83

Model / REF:

169-83

UPC Codes:

10885403512568

Lot Numbers:

16210460, 16191229, 16227391, 16260053, 16055232, 16102551

Additional Information

Agency: Food and Drug Administration (FDA)

Event ID: 94947

Status: Active

Manufacturer: CareFusion 303, Inc.

Sold By: Direct distribution to healthcare facilities

Manufactured In: United States

Agency Last Updated: July 1, 2025