inforMED
MalfunctionMRZ

CADD SOLIS PUMP

Received Dec 3, 2024 · Event occurred Jul 16, 2024

Report 3012307300-2024-14335 · MDR key 20836218

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

H4.: DEVICE MFG DATE: THE REPORTED, LOT#: 19009199 COULD NOT BE FOUND, FOR THE REPORTED CATALOG#: 21-2131-01. THEREFORE, THE MANUFACTURING DATE COULD NOT BE DETERMINED. ONE DEVICE WAS RECEIVED, FOR EVALUATION. FUNCTIONAL TESTING WAS UNABLE TO DUPLICATE THE REPORTED PROBLEM. HOWEVER, REVIEW OF EVENT HISTORY LOG CONFIRMED, OCCURRENCE OF THE FAILURE.

Description of Event or Problem

IT WAS REPORTED, THAT DURING THE IMPLEMENTATION. THE INTERMITTENT WIRELESS COMMUNICATION MODULE HAD A CONNECTION ISSUE. THE PRODUCT FAULT OCCURRED UPON OPENING. THIS WAS AN OUT OF BOX FAILURE. THERE WAS NO PATIENT INVOLVEMENT.