CADD-SOLIS WIRELESS COMMUNICATION MODULE
Received Jul 29, 2024 · Event occurred Jul 1, 2024
Report 3012307300-2024-06806 · MDR key 19856918
Device
Generic name
Accessories, Pump, Infusion
Manufacturer
Smiths Medical Asd, Inc.Model number
2131Catalog number
21-2131-01
Lot number
18766925
Product problems
- Device Emits Odor
- Overheating of Device
- Electrical Shorting
- Device Emits Odor
- Overheating of Device
- Electrical Shorting
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
IT WAS REPORTED THAT THERE WAS AN OUT OF BOX FAILURE DURING IMPLEMENTATION - WIRELESS COMMUNICATION MODULE INTERMITTENT CONNECTION AND THERE WAS A BURNING SMELL WHEN THE BATTERY WAS CONNECTED. THE EVENT OCCURRED UPON OPENING AT THE HOSPITAL. THE OPERATOR OF THE DEVICE WAS THE FIELD SERVICING ENGINEER. THIS WAS NOT REPORTED TO FDA, AND THE ISSUE WAS NOT RESOLVED. THERE WAS NO PATIENT INVOLVEMENT AND NO REPORTED PATIENT HARM/ADVERSE EVENT REPORTED.
Additional Manufacturer Narrative
H3, H6: INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL INFORMATION BECOMES AVAILABLE.
Additional Manufacturer Narrative
D9: PRODUCT RECEIVED DATE 7/24/2024. H3: ONE DEVICE WAS RETURNED FOR REPAIR IN NEW CONDITION WITH END USER LABELS ATTACHED BUT THE TOP COVER WAS LOOSELY CLOSED. NO SIGN OF PHYSICAL DAMAGE OR IMPACT OBSERVED. THE REPORTED PROBLEM AS REPLICATED. THERE WAS NO INDICATION OF POWER OR CHARGING FUNCTION WHEN THE MODULE WAS ATTACHED TO THE PUMP. THE TOP COVER WAS REMOVED FOR INSPECTION AND FOUND THE INTERNAL BATTERY LEFT HANGING UNCONNECTED AS A CHARGING CAPACITOR SHORTED AND BURNED LEAVING BURN MARK ON THE BATTERY. VISUAL INSPECTION CONFIRMED A BURNED CHARGING BOARD CAPACITOR AND A BURNED MARK ON THE BATTERY PACK. THE COMM MODULE WAS DEFECTIVE. THE CAUSE OF THE PROBLEM WAS A BLOWN BOARD CAPACITOR. THE MODULE WAS REPLACED.