inforMED
MalfunctionMRZ

CADD

Received Oct 10, 2024 · Event occurred Jul 25, 2024

Report 3012307300-2024-10876 · MDR key 20423413

Device

Generic name

Accessories, Pump, Infusion

Catalog number

21-2131-01

Lot number

19009199

Product problems

  • Wireless Communication Problem
  • Wireless Communication Problem

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

ONE DEVICE WAS RECEIVED FOR EVALUATION. FUNCTIONAL TESTING WAS UNABLE TO DUPLICATE THE REPORTED ISSUE WHEN CONNECTED TO A KNOWN GOOD OPERATING PUMP; HOWEVER, UPON FURTHER INVESTIGATION, FAILURE OFTEN OCCURS WITH NEWLY BUILT PUMPS. THE ROOT CAUSE WAS UNABLE TO BE DETERMINED.

Description of Event or Problem

IT WAS REPORTED THAT THE DEVICE ALARMED FOR AN INTERMITTENT WIRELESS MODULE CONNECTION ERROR WHEN CONNECTED TO AC POWER. THE PRODUCT FAULT OCCURRED UPON OPENING. IT WAS AN OUT OF BOX FAILURE. THERE WAS NO PATIENT INVOLVEMENT.