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.