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Lower risk Medical device recall · FDA · Published June 24, 2024

BD PYXIS MDBNK TWR MN CR-4HH-5FM-P RxNow Software Issue: Incorrect Medication Bin Labeling

CareFusion recalls BD PYXIS medication dispensing cabinets with software version 3.9.1.9 due to potential incorrect bin labeling for medications. Affected units may print wrong storage locations for medications in automated dispensing cabinets.

Plain-English summary generated from official FDA data by GovInfoNow · Published by Carlos Caban · How we make summaries

🇺🇸 FDA recall #Z-2487-2024Medical deviceBD PYXIS ›
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Contact the company

Recalling firmCareFusion 303, Inc.10020 Pacific Mesa Blvd · San Diego, CA 92121-4386
✎ GovInfoNow plain-language explainer

CareFusion recalls BD PYXIS medication dispensing cabinets with software version 3.9.1.9 because they might print incorrect storage bins for medications. This could lead to medications being misplaced in the wrong location within automated dispensing cabinets. Read more at govinfonow.com/recall/54761-bd-pyxis-mdbnk-twr-mn-cr-4hh-5fm-p-rxnow.

Source Summary by GovInfoNow · govinfonow.com/recall/54761-bd-pyxis-mdbnk-twr-mn-cr-4hh-5fm-p-rxnow · Updated August 19, 2026 · FDA enforcement record: FDA #Z-2487-2024

Cite this page

“BD PYXIS MDBNK TWR MN CR-4HH-5FM-P RxNow Software Issue: Incorrect Medication Bin Labeling.” GovInfoNow, updated August 19, 2026. https://govinfonow.com/recall/54761-bd-pyxis-mdbnk-twr-mn-cr-4hh-5fm-p-rxnow. Based on FDA recall #Z-2487-2024 (https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-2487-2024%22&limit=1).

CareFusion 303, Inc. recalled BD PYXIS MDBNK TWR MN CR-4HH-5FM-P RxNow automated dispensing cabinets with software version 3.9.1.9 due to a potential for incorrect medication bin labels, the FDA said on June 24, 2024.

How to tell if you have it

  • BD PYXIS MDBNK TWR MN CR-4HH-5FM-P RxNow
  • REF: 169-131
  • Software version 3.9.1.9
  • UDI: 10885403512568
  • Serial Numbers: 16139674, 16124908, 16063924, 16084467, 16221549, 16139675, 16220875, 16237258, 16284001, 15940400, 15940104, 15941703, 15941654, 15943750, 15943749, 15500696, 15654711, 15654721, 15631099, 15631104, 15775749, 15383480, 15383481, 15383475, 15383486, 15383487, 15366328, 15606170, 15575974, 15575976, 15490745, 15422133, 15853047, 15902413, 15598095, 15550853, 15437809, 15437812, 15518269, 15518273, 15518270, 15872432, 15872429, 15662816, 15504833, 15504836, 15503511, 15430948, 15430963, 15639687, 15639724, 15639720, 15639718, 15328493, 15442794, 15442789, 15761398, 15761401, 15937579, 15786154, 15684803

The hazard

Due to a software issue, there is a potential that when a restock label is printed for a medication stored in automated dispensing cabinets, the incorrect bin for the medication is printed on the label.

Context

GovInfoNow's records show CareFusion 303, Inc. has 64 other recalls on record since 2017-06-12. Other recent recalls of similar products include BD Pyxis Mini Main REF 349 Medication Cabinet Recall (2026-04-30), CareFusion TLS Version Labeling Recall (2026-02-11), and BD Pyxis ES Enterprise Server Software Update Issue Recall (2025-12-03). Other recent recalls of similar products include Baxter Novum IQ Syringe Pump Recall (2026-08-11), Medtronic SynchroMed Flex Infusion Software Issue Recall (2026-04-08), and Fresenius Medical Care Bicarby Dialysate Recall (2026-05-07).

How to tell if you have this one

Check for BD PYXIS MDBNK TWR MN CR-4HH-5FM-P RxNow units with software version 3.9.1.9. The serial numbers listed in the recall notice include specific numbers like 16139674, 16124908, and others.

  • Brand
    BD PYXIS
  • Category
    Medical device
FDA recall event · 19 products

All 19 products in this recall

FDA lists each product line separately under one recall event. Check your product description, lot or code numbers against each row. Every row shares the hazard and remedy on this page.

  • Classification
    Class II
  • Status
    Ongoing
  • 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.
Recall numberProduct, codes & lotsQuantity
Z-2485-2024BD PYXIS MEDBANK MINI CR-2HH-1FH-P, REF: 169-114 containing software version 3.9.1.9; UDI: 10885403512544/ Serial Number: 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 1604205384 units
Z-2486-2024BD PYXIS MEDBANK MINI CR-4HH-P, REF: 169-115 containing software version 3.9.1.9; UDI: 10885403512544/ Serial Number: 16170661 16210908 16089019 16062433 16147169 16080412 16124906 15940375 15940373 15940374 15940376 15957620 15957621 15941307 15967410 15967412 15967409 15967413 15967411 15967361 15943774 16056924 16188928 15943781 15943470 15943782 15872417 15902417 15902418 15888968 15253736 15253737 16247094 16283979 16225069 16222611 16165533 16205727 16270832 16200474 16244810 16250223 15935617 15654707 15654706 15489245 15723803 15927979 15924532 15569608 15832680 15832679 15824206 15815815 15815825 15415136 15415135 15415137 15415138 15622987 16174396 16193269 15939084 15939085 15854218 15854728 15854727 15398915 15383489 15489244 15489243 15606150 15606167 15924529 15888948 15924530 15924528 15569630 15575989 15575996 15575979 15575978 15575988 15575986 15575985 15569629 15575975 15587203 15587204 15587205 15824205 15824210 15824221 15815826 15815830 15852349 15852348 15353925 15353926 15422146 15422154 15422152 15422155 15422153 15422149 15422148 15422151 15422147 15422156 15422158 15422157 15939254 15939255 15783795 15783783 15853040 15398907 15398905 15398913 15666771 15226385 15227522 15204115 15204117 15550828 15550861 15929562 15929561 15929563 15930792 15930790 15930783 15930785 15930791 15930788 15930784 15930789 15930787 15930793 15929564 15930786 15645828 15645826 15645830 15248755 15248757 15248758 15282139 15282134 15295949 15353927 15353929 15353930 15282137 15257953 15282141 15260920 15920015 15920012 15920013 15921449 15921445 15921447 15921741 15921742 15921740 15921743 15363281 15923974 15923971 15923973 15923975 15923970 15923972 15504830 15504825 15504832 15504827 15504820 15504822 15504819 15504829 15504823 15639723 15639722 15639729 15933707 15933710 15933713 15933709 15933708 15933715 15933714 15933711 15933739 15935598 15935594 15935592 15935628 15935590 15935587 15935588 15935589 15935599 15935593 15935591 15935600 15935595 15935601 15935602 15935625 15935624 15743383 15600756 15600757 15441364 15441362 15441367 15441366 15442781 15442784 15442783 15442785 15786145 16102550 15328505 15398903 16160290 16051740 16151587 16143255 16143254232 units
Z-2487-2024BD PYXIS MDBNK TWR MN CR-4HH-5FM-P RxNow, REF: 169-131 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 16139674 16124908 16063924 16084467 16221549 16139675 16220875 16237258 16284001 15940400 15940104 15941703 15941654 15943750 15943749 15500696 15654711 15654721 15631099 15631104 15775749 15383480 15383481 15383475 15383486 15383487 15366328 15606170 15575974 15575976 15490745 15422133 15853047 15902413 15598095 15550853 15437809 15437812 15518269 15518273 15518270 15872432 15872429 15662816 15504833 15504836 15503511 15430948 15430963 15639687 15639724 15639720 15639718 15328493 15442794 15442789 15761398 15761401 15937579 15786154 1568480361 units
Z-2488-2024BD PYXIS MEDBANK TWR MN CR-10HH-2FH-P, REF: 169-82 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 15806714 15949551 16043223 16194366 16122742 16111668 15940148 15931010 15930743 15943757 1620304411 units
Z-2489-2024BD PYXIS MEDBANK TWR MN CR-10HH-2FM-P, REF: 169-83 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 16210460 16191229 16227391 16260053 16055232 161025516 units
Z-2490-2024BD PYXIS MEDBANK TWR MN CR-12HH-1FH, REF: 169-84 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 16167616 16188929 15941657 15941700 15941694 15922822 159416987 units
Z-2491-2024BD PYXIS MEDBANK TWR MN CR-12HH-1FM-P, REF: 169-85 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 16049610 and 159584602 units
Z-2492-2024BD PYXIS MEDBANK TWR MN CR-14HH-P, REF: 169-86 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 16223707 16253385 16253384 162389294 units
Z-2493-2024BD PYXIS MEDBANK TWR MN CR-2HH-6FH, REF: 169-88 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 159108471 unit
Z-2494-2024BD PYXIS MEDBANK TWR MN CR-2HH-6FM, REF: 169-89 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 162389281 unit
Z-2495-2024BD PYXIS MEDBANK TWR MN CR-4HH-1FH-4FM-P, REF: 169-90 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 16042128, 16042129, 16044049, 160440524 units
Z-2496-2024BD PYXIS MEDBANK TWR MN CR-4HH-5FM-P, REF: 169-91 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 156397111 unit
Z-2497-2024BD PYXIS MEDBANK TWR MN CR-6HH-1FH-3FM-P, REF: 169-92 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 15940111 15967387 15775779 15598090 155612745 units
Z-2498-2024BD PYXIS MEDBANK TWR MN CR-6HH-2FH-2FM-P, REF: 169-93 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 16091819 15925591 15927975 15935627 15561266 161585166 units
Z-2499-2024BD PYXIS MEDBANK TWR MN CR-6HH-4FM-P, REF: 169-94 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 16073532 16068549 15940102 15815823 15854750 15422135 15879981 15639689 15935614 15937588 16083491 1608700512 units
Z-2500-2024BD PYXIS MEDBANK TWR MN CR-8HH-1FH-2FM-P, REF: 169-96 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 156847981 unit
Z-2501-2024BD PYXIS MEDBANK TWR MN CR-8HH-2FH-1FM-P, REF: 169-97 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 16113307 16111232 159495703 units
Z-2502-2024BD PYXIS MEDBANK TWR MN CR-8HH-3FH-P, REF: 169-98 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 162612971 unit
Z-2503-2024BD PYXIS MEDBANK TWR MN CR-8HH-3FM-P, REF: 169-99 containing software version 3.9.1.9; UDI: 10885403512568/ Serial Number: 16210468 16274000 16232272 16209954 16209953 16097230 16184767 16101319 16095341 16112043 15815836 15631124 15632972 15937573 16073534 1617324116 units
Based on the official FDA remedy

What to do — step by step

  1. Check Software Version

    Verify the software version on your BD PYXIS cabinet. If it shows 3.9.1.9, it is affected.

Where it went and when

Where it was distributed

Distributed nationwide; the notice names 41 states.

Alaska: nationwideAKMaine: named in the noticeMEVermont: nationwideVTNew Hampshire: named in the noticeNHWashington: named in the noticeWAIdaho: named in the noticeIDMontana: named in the noticeMTNorth Dakota: named in the noticeNDMinnesota: named in the noticeMNIllinois: named in the noticeILWisconsin: named in the noticeWIMichigan: named in the noticeMINew York: named in the noticeNYRhode Island: named in the noticeRIMassachusetts: named in the noticeMAOregon: named in the noticeORNevada: named in the noticeNVWyoming: nationwideWYSouth Dakota: named in the noticeSDIowa: named in the noticeIAIndiana: named in the noticeINOhio: named in the noticeOHPennsylvania: named in the noticePANew Jersey: named in the noticeNJConnecticut: named in the noticeCTCalifornia: named in the noticeCAUtah: named in the noticeUTColorado: named in the noticeCONebraska: nationwideNEMissouri: named in the noticeMOKentucky: named in the noticeKYWest Virginia: named in the noticeWVVirginia: named in the noticeVAMaryland: named in the noticeMDDelaware: nationwideDEArizona: named in the noticeAZNew Mexico: nationwideNMKansas: named in the noticeKSArkansas: nationwideARTennessee: named in the noticeTNNorth Carolina: named in the noticeNCSouth Carolina: named in the noticeSCDistrict of Columbia: nationwideDCOklahoma: nationwideOKLouisiana: named in the noticeLAMississippi: named in the noticeMSAlabama: named in the noticeALGeorgia: named in the noticeGAHawaii: nationwideHITexas: named in the noticeTXFlorida: named in the noticeFL

FDA 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.” States read from FDA’s own wording; “not listed” means the notice does not name it.

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

Recall timeline

FDA published this recall 51 days after the firm started it.

1. Firm started the recall: Jun 24, 202412. FDA classified it Class II: Aug 2, 202423. Published in FDA’s Enforcement Report: Aug 14, 202432024
  1. Firm started the recall
  2. FDA classified it Class II
  3. Published in FDA’s Enforcement Report

Dates from the agency record only; steps without a date are left out.

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Where this comes from

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.

  • Official source: FDA Recall #Z-2487-2024 (June 24, 2024) — FDA publishes no per-recall page; this is the official machine-readable enforcement record. Search FDA recalls for Z-2487-2024 to see it in context.
  • Plain-language summary written by qwen3:4b on August 19, 2026, from the official record above. Not reviewed by a person — if it conflicts with the FDA notice, the notice is correct. Report an error on this page.
  • GovInfoNow is an independent service and is not a government agency. We republish official FDA recall data; we don’t issue, amend or administer recalls.
GovInfoNow is an independent guide. We are not FDA or any government agency. Always confirm details with the official recall.Data: CPSC · FDA · NHTSA · USDA