MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-11-11 for PYXIS ES manufactured by Bd / Carefusion.
[60078876]
I wanted to report a suboptimal design issue with pyxis es that has contributed to errors at our hospital. Unload/load transactions when a new medication is pend loaded on top of a medication to be unloaded, pyxis automatically schedules the transactions so that the unload transaction is immediately followed by the subsequent load (while pocket is still open from unload transaction). There is no way to perform all unload transactions, then go back and do the load transactions. This workflow is quicker (touch each pocket once). However, we have had numerous cases where the tech forgets to remove the medication to be unloaded before putting the new medication into the pocket. Medication administered to or used by the pt: no. (b)(4). Ref: mw5066024.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5066025 |
| MDR Report Key | 6102228 |
| Date Received | 2016-11-11 |
| Date of Report | 2016-08-19 |
| Date Added to Maude | 2016-11-15 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | PYXIS ES |
| Generic Name | PYXIS ES |
| Product Code | NZH |
| Date Received | 2016-11-11 |
| Device Availability | * |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BD / CAREFUSION |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2016-11-11 |