inforMED
MalfunctionMRZ

CADD- SOLIS COMM MODULE

Received Dec 12, 2024 · Event occurred Jun 25, 2024

Report 3012307300-2024-14826 · MDR key 20920337

Device

Generic name

Accessories, Pump, Infusion

Catalog number

21-2131-01

Lot number

18766925

Product problems

  • Wireless Communication Problem
  • Wireless Communication Problem

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 DURING THE INSTALLATION, WHEN THE PUMP AND WIRELESS MODULE WERE PAIRED TOGETHER, IT KEPT HAVING INTERMITTENT CONNECTION TO MODULE ERROR. THE PRODUCT FAULT OCCURRED DURING PRE-TEST. THERE WAS NO PATIENT INVOLVEMENT.

Additional Manufacturer Narrative

ONE DEVICE WAS RECEIVED ALONG WITH THE HOST PUMP TO BE EVALUATION TOGETHER. EVALUATION FOUND THE FAILURE OCCURRING INTERMITTENTLY WHEN THE COMM MODULE IS TESTED ON ITS HOST PUMP WITH AC POWER ADAPTER PLUGGED IN AND THE POLE MOUNT CAPTURE SECURED TO THE MODULE; BUT NOT REPEATING WHEN A KNOWN GOOD TEST SOLIS PUMP WAS SWAPPED. DETERMINED THE HOST PUMP WAS CONTRIBUTING TO THE FAILURE.