inforMED
MalfunctionMRZ

CADD COMMUNICATION MODULE

Received Feb 13, 2025 · Event occurred Jan 14, 2025

Report 3012307300-2025-01840 · MDR key 21381232

Device

Generic name

Accessories, Pump, Infusion

Manufacturer

Icu Medical, Inc.

Catalog number

21-2131-01

Lot number

19788478

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

H3: DEVICE NOT RECEIVED BY MANUFACTURER. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

IT WAS REPORTED THAT SOME MODULES FAILED TO RECONNECT WHEN POWERED UP FOR GO-LIVE, THEY PRODUCE ¿POOR CONNECTION TO MODULE¿ RED-SCREEN ERRORS OR PUMPS BOOT UP AND SHOW NO CHARGE. THERE WAS NO PATIENT INVOLVEMENT.

Additional Manufacturer Narrative

A1 - PATIENT IDENTIFIER WAS UPDATED. D3 - MFR ESTABLISHMENT NAME: UPDATED. NO PRODUCT WAS RETURNED. THE REPORTED ISSUE CANNOT BE CONFIRMED AS NO PRODUCT WAS RETURNED FOR INVESTIGATION. IF THE PRODUCT IS RETURNED, THIS COMPLAINT WILL BE REOPENED FOR FURTHER INVESTIGATION. A DEVICE HISTORY RECORD (DHR) REVIEW WAS CONDUCTED WHICH INDICATED ALL INSPECTIONS WERE COMPLETED AND NO ISSUES WERE NOTED DURING MANUFACTURE.