BD Pyxis automated dispensing cabinets with software version 2.4 have a bug that can cause incorrect medication counts and extra doses. Affected units include MedBank Mini, Tower, MedFlex, and MedPass models.
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.
BD Pyxis automated dispensing cabinets (MedBank Mini, Tower, MedFlex, MedPass) with software version 2.4 have a software bug that can cause incorrect medication counts and potentially give patients more medication than intended. This is a software issue that could lead to over-dosing.
A software bug causes the cabinet to miscalculate medication counts during dispensing. This can result in the cabinet opening more times than needed, which may lead to patients receiving more medication than intended.
Healthcare facilities using BD Pyxis automated dispensing cabinets with software version 2.4 are most at risk. Patients receiving medication from these cabinets could potentially receive extra doses.
Check for BD Pyxis MedBank Mini, Tower, MedFlex, or MedPass cabinets with software version 2.4. The software version is listed in the product's reference and unique identification codes.
Look for the software version in the product's reference and unique identification codes (e.g., 169-143/10885403512568/2.4).
The software bug can cause incorrect medication counts and potentially extra doses, but it does not cause immediate harm. The risk is low and depends on the specific software version.
Check the software version in the product's reference and unique identification codes (e.g., 169-143/10885403512568/2.4).
The recall does not specify a remedy, so no action is required. However, you should check the software version to ensure it's not affected.
We’ve drafted a message you can send BD Pyxis to request your refund or repair — edit it as you like.
Subject: Recall Z-1545-2025 — BD Pyxis BD Pyxis Hello, I own a BD Pyxis that is covered by recall Z-1545-2025 from BD Pyxis. I’m writing to arrange the remedy described in the recall (a refund, repair, or replacement as applicable). Could you please tell me the next steps to resolve this? Thank you.
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The facts (hazard, remedy, dates, manufacturer) are pulled from the official FDA recall record. The plain-language summary and step-by-step checklist are written by GovInfoNow to make the official notice easier to act on — they don’t replace it.
