BD Pyxis MedBank (CareFusion) – dispensing calculation error (2025)
Hazard assessment based on recall description.
This AI-generated summary is provided for general informational purposes only and is derived from publicly available recall notices. It supplements but does not replace official agency classifications or safety instructions.
Check Your Product
According to the U.S. Food and Drug Administration (FDA)
Product
BD Pyxis" MedBank" Mini and BD Pyxis" MedBank" Tower, BD Pyxis" MedFlex, BD Pyxis" MedBank" MedPass are automated dispensing cabinets (ADC) intended to securely store and dispense medications to a qualified and authorized user in a clinical settings.
Brand
CareFusion 303, Inc.
Lot Codes / Batch Numbers
REF/UDI-DI(GTIN)/Software Version: 169-143/10885403512568/2.4, 169-145/10885403512568/2.4, 169-144/10885403512568/2.4, 169-142/10885403512568/2.4, 139088-01/1.2.3.23, 155288-01/10885403508721/2.4, 169-137/10885403512544/2.4, 155311-01/10885403510847/2.4, 169-151/10885403512544/1.2.3.23, 138921-01/2.4, 155159-01/10885403504655/2.4, 169-101/10885403512544/2.4, 139122-01/2.4, 155160-01/10885403504662/2.4, 169-102/10885403512544/2.4, 138912-01/2.4, 155161-01/10885403504679/2.4, 169-103/10885403512544/2.4, 138902-01/2.4, 169-104/10885403512544/2.4, 138903-01/2.4, 155163-01/10885403504686/2.4, 169-105/10885403512544/2.4, 138908-01/2.4, 169-106/10885403512544/2.4, 138906-01/2.4, 155165-01/10885403504693/2.4, 169-107/10885403512544/2.4, 169-152/10885403512544/1.2.3.23, 138907-01/2.4, 155166-01/10885403504570/2.4, 169-108/10885403512544/2.4, 139131-01/2.4, 155167-01/10885403504587/2.4, 169-109/10885403512544/2.4, 139091-01/2.4, 155168-01/10885403504594/2.4, 169-110/10885403512544/2.4, 138909-01/2.4, 155169-01/10885403504600/2.4, 169-111/10885403512544/2.4, 138910-01/2.4, 155310-01/10885403510830/2.4, 169-112/10885403512544/2.4, 169-150/10885403512544/1.2.3.23, 138915-01/2.4, 155171-01/10885403504617/2.4, 169-113/10885403512544/2.4, 138943-01/2.4, 155081-01/10885403503870/2.4, 169-23/10885403512568/2.4, 138955-01/2.4, 155082-01/10885403503887/2.4, 169-24/10885403512568/2.4, 138924-01/2.4, 155083-01/10885403503894/2.4, 169-25/10885403512568/2.4, 138960-01/2.4, 155084-01/10885403503900/2.4, 169-26/10885403512568/2.4, 138961-01/2.4, 155085-01/10885403503917/2.4, 169-27/10885403512568/2.4, 138926-01/2.4, 155086-01/10885403503726/2.4, 169-28/10885403512568/2.4, 138927-01/2.4, 155087-01/10885403503733/2.4, 169-29/10885403512568/2.4, 155293-01/10885403509926/2.4, 169-138/10885403512568/2.4, 155303-01/10885403510779/2.4, 139082-01/2.4, 155088-01/10885403503740/2.4, 169-30/10885403512568/2.4, 155305-01/10885403510793/2.4, 139056-01/2.4, 155089-01/10885403503757/2.4, 169-31/10885403512568/2.4, 155304-01/10885403510786/2.4, 139045-01/2.4, 155090-01/10885403503764/2.4, 169-32/10885403512568/2.4, 138932-01/2.4, 155091-01/10885403503771/2.4, 169-33/10885403512568/2.4, 139084-01/2.4, 155092-01/10885403503788/2.4, 169-34/10885403512568/2.4, 138963-01/2.4, 155093-01/10885403503795/2.4, 169-35/10885403512568/2.4, 155294-01/10885403509933/2.4, 169-139/10885403512568/2.4, 138938-01/2.4, 155094-01/10885403503801/2.4, 169-36/10885403512568/2.4, 139125-01/2.4, 155095-01/10885403503818/2.4, 169-37/10885403512568/2.4, 138919-01/2.4, 155096-01/10885403503696/2.4, 169-38/10885403512568/2.4, 139126-01/2.4, 155097-01/10885403504198/2.4, 169-39/10885403512568/2.4, 139127-01/2.4, 155098-01/10885403503702/2.4, 169-40/10885403512568/2.4, 139043-01/2.4, 155099-01/10885403504204/2.4, 169-41/10885403512568/2.4, 138933-01/2.4, 155100-01/10885403504211/2.4, 169-42/10885403512568/2.4, 155299-01/10885403510526/2.4, 169-140/10885403512568/1.2.3.23, 139142-01/2.4, 155101-01/10885403504228/2.4, 169-43/10885403512568/2.4, 155302-01/10885403510762/2.4, 138959-01/2.4, 155102-01/10885403504235/2.4, 169-44/10885403512568/2.4, 138954-01/2.4, 155103-01/10885403504242/2.4, 169-45/10885403512568/2.4, 138934-01/2.4, 155104-01/10885403504259/2.4, 169-46/10885403512568/2.4, 138950-01/2.4, 155105-01/10885403503719/2.4, 169-47/10885403512568/2.4, 138947-01/2.4, 155106-01/10885403504266/2.4, 169-48/10885403512568/2.4, 138945-01/2.4, 155107-01/10885403504273/2.4, 169-49/10885403512568/2.4, 138931-01/2.4, 155108-01/10885403504280/2.4, 169-50/10885403512568/2.4, 138929-01/2.4, 155109-01/10885403504327/2.4, 169-51/10885403512568/2.4, 138946-01/2.4, 155110-01/10885403504297/2.4, 169-52/10885403512568/2.4, 138940-01/2.4, 155111-01/10885403504303/2.4, 169-53/10885403512568/2.4, 138952-01/2.4, 155112-01/10885403504099/2.4, 169-54/10885403512568/2.4, 138917-01/2.4, 155113-01/10885403504105/2.4, 169-55/10885403512568/2.4, 138918-01/2.4, 155114-01/10885403504112/2.4, 169-56/10885403512568/2.4, 138941-01/2.4, 155115-01/10885403504129/2.4, 169-57/10885403512568/2.4, 138905-01/2.4, 155116-01/10885403504136/2.4, 169-58/10885403512568/2.4, 138916-01/2.4, 155117-01/10885403504143/2.4, 169-59/10885403512568/2.4, 139141-01/2.4, 155118-01/10885403504150/2.4, 169-60/10885403512568/2.4, 138914-01/2.4, 155119-01/10885403504334/2.4, 169-61/10885403512568/2.4, 139063-01/2.4, 155120-01/10885403504167/2.4, 169-62/10885403512568/2.4, 138953-01/2.4, 155121-01/10885403504174/2.4, 169-63/10885403512568/2.4, 138936-01/2.4, 155122-01/10885403504181/2.4, 169-64/10885403512568/2.4, 138962-01/2.4, 155123-01/10885403504082/2.4, 169-65/10885403512568/2.4, 138944-01/2.4, 155124-01/10885403504075/2.4, 169-66/10885403512568/2.4, 138957-01/2.4, 155125-01/10885403503658/2.4, 169-67/10885403512568/2.4, 138922-01/2.4, 155126-01/10885403503665/2.4, 169-68/10885403512568/2.4, 138930-01/2.4, 155127-01/10885403503672/2.4, 169-69/10885403512568/2.4, 139128-01/2.4, 155128-01/10885403503689/2.4, 169-70/10885403512568/2.4, 138958-01/2.4, 155129-01/10885403504341/2.4, 169-71/10885403512568/2.4, 138920-01/2.4, 155130-01/10885403504358/2.4, 169-72/10885403512568/2.4, 138937-01/2.4, 155131-01/10885403504365/2.4, 169-73/10885403512568/2.4, 139086-01/2.4, 155132-01/10885403504372/2.4, 169-74/10885403512568/2.4, 138942-01/2.4, 155133-01/10885403503542/2.4, 169-75/10885403512568/2.4, 138949-01/2.4, 155134-01/10885403503559/2.4, 169-76/10885403512568/2.4, 139062-01/2.4, 155135-01/10885403503566/2.4, 169-77/10885403512568/2.4, 138939-01/2.4, 155136-01/10885403503573/2.4, 169-78/10885403512568/2.4, 138948-01/2.4, 155137-01/10885403503597/2.4, 169-79/10885403512568/2.4, 138956-01/2.4, 155138-01/10885403503603/2.4, 169-80/10885403512568/2.4, 138923-01/2.4, 155139-01/10885403503610/2.4, 169-81/10885403512568/2.4, 139163-01/2.4. 1119-00/10885403512704/2.4, 1139-00/10885403512704/2.4. 139054-01/2.4, 139055-01/2.4, 139053-01/2.4, 139041-01/2.4, 139046-01/2.4, 139038-01/2.4, 139040-01/2.4, 139049-01/2.4, 139044-01/2.4, 139039-01/2.4, 139051-01/2.4, 139164-01/2.4, 139052-01/2.4, 139070-01/2.4, 139071-01/2.4, 139061-01/2.4, 139066-01/2.4, 139065-01/2.4, 139058-01/2.4, 139060-01/2.4, 139067-01/2.4, 139064-01/2.4, 139059-01/2.4, 139068-01/2.4, 139165-01/2.4, 139069-01/2.4. 1144-00/2.4, 1137-00/2.4, 1147-00/10885403517181/2.4 1145-00/10885403517167/2.4
Products Sold
REF/UDI-DI(GTIN)/Software Version: 169-143/10885403512568/2.4; 169-145/10885403512568/2.4; 169-144/10885403512568/2.4; 169-142/10885403512568/2.4; 139088-01/1.2.3.23; 155288-01/10885403508721/2.4; 169-137/10885403512544/2.4; 155311-01/10885403510847/2.4; 169-151/10885403512544/1.2.3.23; 138921-01/2.4; 155159-01/10885403504655/2.4; 169-101/10885403512544/2.4; 139122-01/2.4; 155160-01/10885403504662/2.4; 169-102/10885403512544/2.4; 138912-01/2.4; 155161-01/10885403504679/2.4; 169-103/10885403512544/2.4; 138902-01/2.4; 169-104/10885403512544/2.4; 138903-01/2.4; 155163-01/10885403504686/2.4; 169-105/10885403512544/2.4; 138908-01/2.4; 169-106/10885403512544/2.4; 138906-01/2.4; 155165-01/10885403504693/2.4; 169-107/10885403512544/2.4; 169-152/10885403512544/1.2.3.23; 138907-01/2.4; 155166-01/10885403504570/2.4; 169-108/10885403512544/2.4; 139131-01/2.4; 155167-01/10885403504587/2.4; 169-109/10885403512544/2.4; 139091-01/2.4; 155168-01/10885403504594/2.4; 169-110/10885403512544/2.4; 138909-01/2.4; 155169-01/10885403504600/2.4; 169-111/10885403512544/2.4; 138910-01/2.4; 155310-01/10885403510830/2.4; 169-112/10885403512544/2.4; 169-150/10885403512544/1.2.3.23; 138915-01/2.4; 155171-01/10885403504617/2.4; 169-113/10885403512544/2.4; 138943-01/2.4; 155081-01/10885403503870/2.4; 169-23/10885403512568/2.4; 138955-01/2.4; 155082-01/10885403503887/2.4; 169-24/10885403512568/2.4; 138924-01/2.4; 155083-01/10885403503894/2.4; 169-25/10885403512568/2.4; 138960-01/2.4; 155084-01/10885403503900/2.4; 169-26/10885403512568/2.4; 138961-01/2.4; 155085-01/10885403503917/2.4; 169-27/10885403512568/2.4; 138926-01/2.4; 155086-01/10885403503726/2.4; 169-28/10885403512568/2.4; 138927-01/2.4; 155087-01/10885403503733/2.4; 169-29/10885403512568/2.4; 155293-01/10885403509926/2.4; 169-138/10885403512568/2.4; 155303-01/10885403510779/2.4; 139082-01/2.4; 155088-01/10885403503740/2.4; 169-30/10885403512568/2.4; 155305-01/10885403510793/2.4; 139056-01/2.4; 155089-01/10885403503757/2.4; 169-31/10885403512568/2.4; 155304-01/10885403510786/2.4; 139045-01/2.4; 155090-01/10885403503764/2.4; 169-32/10885403512568/2.4; 138932-01/2.4; 155091-01/10885403503771/2.4; 169-33/10885403512568/2.4; 139084-01/2.4; 155092-01/10885403503788/2.4; 169-34/10885403512568/2.4; 138963-01/2.4; 155093-01/10885403503795/2.4; 169-35/10885403512568/2.4; 155294-01/10885403509933/2.4; 169-139/10885403512568/2.4; 138938-01/2.4; 155094-01/10885403503801/2.4; 169-36/10885403512568/2.4; 139125-01/2.4; 155095-01/10885403503818/2.4; 169-37/10885403512568/2.4; 138919-01/2.4; 155096-01/10885403503696/2.4; 169-38/10885403512568/2.4; 139126-01/2.4; 155097-01/10885403504198/2.4; 169-39/10885403512568/2.4; 139127-01/2.4; 155098-01/10885403503702/2.4; 169-40/10885403512568/2.4; 139043-01/2.4; 155099-01/10885403504204/2.4; 169-41/10885403512568/2.4; 138933-01/2.4; 155100-01/10885403504211/2.4; 169-42/10885403512568/2.4; 155299-01/10885403510526/2.4; 169-140/10885403512568/1.2.3.23; 139142-01/2.4; 155101-01/10885403504228/2.4; 169-43/10885403512568/2.4; 155302-01/10885403510762/2.4; 138959-01/2.4; 155102-01/10885403504235/2.4; 169-44/10885403512568/2.4; 138954-01/2.4; 155103-01/10885403504242/2.4; 169-45/10885403512568/2.4; 138934-01/2.4; 155104-01/10885403504259/2.4; 169-46/10885403512568/2.4; 138950-01/2.4; 155105-01/10885403503719/2.4; 169-47/10885403512568/2.4; 138947-01/2.4; 155106-01/10885403504266/2.4; 169-48/10885403512568/2.4; 138945-01/2.4; 155107-01/10885403504273/2.4; 169-49/10885403512568/2.4; 138931-01/2.4; 155108-01/10885403504280/2.4; 169-50/10885403512568/2.4; 138929-01/2.4; 155109-01/10885403504327/2.4; 169-51/10885403512568/2.4; 138946-01/2.4; 155110-01/10885403504297/2.4; 169-52/10885403512568/2.4; 138940-01/2.4; 155111-01/10885403504303/2.4; 169-53/10885403512568/2.4; 138952-01/2.4; 155112-01/10885403504099/2.4; 169-54/10885403512568/2.4; 138917-01/2.4; 155113-01/10885403504105/2.4; 169-55/10885403512568/2.4; 138918-01/2.4; 155114-01/10885403504112/2.4; 169-56/10885403512568/2.4; 138941-01/2.4; 155115-01/10885403504129/2.4; 169-57/10885403512568/2.4; 138905-01/2.4; 155116-01/10885403504136/2.4; 169-58/10885403512568/2.4; 138916-01/2.4; 155117-01/10885403504143/2.4; 169-59/10885403512568/2.4; 139141-01/2.4; 155118-01/10885403504150/2.4; 169-60/10885403512568/2.4; 138914-01/2.4; 155119-01/10885403504334/2.4; 169-61/10885403512568/2.4; 139063-01/2.4; 155120-01/10885403504167/2.4; 169-62/10885403512568/2.4; 138953-01/2.4; 155121-01/10885403504174/2.4; 169-63/10885403512568/2.4; 138936-01/2.4; 155122-01/10885403504181/2.4; 169-64/10885403512568/2.4; 138962-01/2.4; 155123-01/10885403504082/2.4; 169-65/10885403512568/2.4; 138944-01/2.4; 155124-01/10885403504075/2.4; 169-66/10885403512568/2.4; 138957-01/2.4; 155125-01/10885403503658/2.4; 169-67/10885403512568/2.4; 138922-01/2.4; 155126-01/10885403503665/2.4; 169-68/10885403512568/2.4; 138930-01/2.4; 155127-01/10885403503672/2.4; 169-69/10885403512568/2.4; 139128-01/2.4; 155128-01/10885403503689/2.4; 169-70/10885403512568/2.4; 138958-01/2.4; 155129-01/10885403504341/2.4; 169-71/10885403512568/2.4; 138920-01/2.4; 155130-01/10885403504358/2.4; 169-72/10885403512568/2.4; 138937-01/2.4; 155131-01/10885403504365/2.4; 169-73/10885403512568/2.4; 139086-01/2.4; 155132-01/10885403504372/2.4; 169-74/10885403512568/2.4; 138942-01/2.4; 155133-01/10885403503542/2.4; 169-75/10885403512568/2.4; 138949-01/2.4; 155134-01/10885403503559/2.4; 169-76/10885403512568/2.4; 139062-01/2.4; 155135-01/10885403503566/2.4; 169-77/10885403512568/2.4; 138939-01/2.4; 155136-01/10885403503573/2.4; 169-78/10885403512568/2.4; 138948-01/2.4; 155137-01/10885403503597/2.4; 169-79/10885403512568/2.4; 138956-01/2.4; 155138-01/10885403503603/2.4; 169-80/10885403512568/2.4; 138923-01/2.4; 155139-01/10885403503610/2.4; 169-81/10885403512568/2.4; 139163-01/2.4. 1119-00/10885403512704/2.4; 1139-00/10885403512704/2.4. 139054-01/2.4; 139055-01/2.4; 139053-01/2.4; 139041-01/2.4; 139046-01/2.4; 139038-01/2.4; 139040-01/2.4; 139049-01/2.4; 139044-01/2.4; 139039-01/2.4; 139051-01/2.4; 139164-01/2.4; 139052-01/2.4; 139070-01/2.4; 139071-01/2.4; 139061-01/2.4; 139066-01/2.4; 139065-01/2.4; 139058-01/2.4; 139060-01/2.4; 139067-01/2.4; 139064-01/2.4; 139059-01/2.4; 139068-01/2.4; 139165-01/2.4; 139069-01/2.4. 1144-00/2.4; 1137-00/2.4; 1147-00/10885403517181/2.4 1145-00/10885403517167/2.4
CareFusion 303, Inc. is recalling BD Pyxis" MedBank" Mini and BD Pyxis" MedBank" Tower, BD Pyxis" MedFlex, BD Pyxis" MedBank" MedPass due to Due to a software bug, automated dispensing cabinet is unable to calculate countback discrepancies during the issue process, which causes incorrect tr. Based on FDA medical device recall database.
Summary derived from FDA notice
Reason for Recall
As stated by FDA
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.
Recommended Action
Per FDA guidance
On 3/11/2025, "URGENT MEDICAL DEVICE CORRECTION" notices were mailed and emailed to Medical Director, Risk Manager, Medical Device Safety Officer, Lab Manager, Clinical Engineering, and other customers asking them to take the following actions: 1) Best practice is to verify the total dose being removed is accurate against the provider's order, and if available utilize barcode medication administration as an additional check to ensure the correct dose is retrieved prior to administration. 2) Customers can inventory the CUBIE pocket via a cycle count or blind count to correct the inventory when discrepancies occur. Customers can refer to the BD Pyxis MedBank Cabinet User Guide - 10000414987 Ver. 01, Version v2.4 for instructions. Refer to chapter six (6), page 103. 3)Customers should ensure backup procedures (which may include but are not limited to keys, emergency medication supplies, alternate devices in proximity, etc) are in place and staff have all been properly educated on them. 4) Share this letter with any facilities within your network that you may have distributed affected devices to. 5) Post this Recall Letter on or near affected products as a reminder of the recall and the steps/instructions that are needed to be followed. 6) Complete and return the Response Form via email to bdrc44@bd.com Firm is in the process of contacting all customers to schedule an appropriate time for the software upgrade to MedBank software version 1.7. If you require further assistance, contact the firm's technical support: 1-866-930-9251 Phone Hours: 24 hours, 7 days a week Website: https://bdx.my.site.com/CC360/s/impactedproducts?rn=MMS-24-5163/MMS-25-5183/5184
Verify this information on the official source
For complete details and official instructions, check the U.S. Food and Drug Administration (FDA) directly.
View official FDA recall noticePage updated: Jan 10, 2026