inforMED
MalfunctionMRZ

CADD-SOLIS WIRELESS COMMUNICATION MODULE

Received Oct 28, 2024 · Event occurred Oct 1, 2024

Report 3012307300-2024-12206 · MDR key 20547815

Device

Generic name

Accessories, Pump, Infusion

Manufacturer

Icu Medical, Inc.

Catalog number

21-2131-01

Lot number

NI

Product problems

  • Wireless Communication Problem
  • Wireless Communication Problem

Patient

Not reported

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

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE DEVICE HAD ¿WIRELESS MODULE INTERMITTENT CONNECTION WHEN POLE CLAMP CAPTURE BRACKET WAS ATTACHED.¿ PER REPORTER THE DEVICE OPERATES UNTIL BRACKET WAS ATTACHED. THE PRODUCT FAULT OCCURRED UPON OPENING. THE EVENT HAPPENED AT THE HOSPITAL. THE ISSUE WAS NOT RESOLVED, AND THE STEPS TAKEN TO RESOLVE THE ISSUE WAS TO REMOVE AND REINSTALL THE POLE CLAMP CAPTURE BRACKET. THERE WAS NO PATIENT INVOLVEMENT, AND NO PATIENT HARM/ADVERSE EVENT WAS REPORTED.

Additional Manufacturer Narrative

D4 - LOT #: POSSIBLE LOT # 19222261. H3: 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 REPORTABLE INFORMATION BECOMES AVAILABLE.