BD recalls software versions before v1.2.3.23 for duplicate medication dispensing risks. Affected users should update to fix the issue.
After dispensing a timed dose medication for a patient, the automated dispensing cabinet software may continue to show the already dispensed medication dose is still available for dispense, which could lead to duplicate medication administration.
BD is recalling older versions of its Pyxis MedBank MedPass software because it may show dispensed medications as still available, risking duplicate doses. This could lead to patients receiving extra medication.
The software may incorrectly display dispensed medications as still available after dispensing. This could cause healthcare workers to dispense the same medication twice to a patient, leading to potential overdose or adverse effects.
Healthcare facilities using older software versions of BD Pyxis MedBank MedPass are most at risk. Patients receiving medication through this system could be affected if duplicate doses occur.
Check if your software version is below v1.2.3.2:139088-01. The software was sold with BD Pyxis MedBank MedPass systems starting from 2018.
Install version v1.2.3.23 or later to fix the duplicate dispensing issue.
The software may show dispensed medications as available, risking duplicate doses. This could lead to patients receiving extra medication.
Check your software version; versions below v1.2.3.23 are affected. The software was sold with BD Pyxis MedBank MedPass systems starting in 2018.
Update to version v1.2.3.23 or later to fix the issue. No immediate action is needed if you have the latest version.
We’ve drafted a message you can send BD to request your refund or repair — edit it as you like.
Subject: Recall Z-2646-2023 — BD BD Hello, I own a BD that is covered by recall Z-2646-2023 from BD. 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.
Experiences, tips, and questions from readers. Every comment is reviewed before it appears.
No comments yet — be the first to share your experience.
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.
