CADD COMMUNICATION MODULE
Received Feb 27, 2025 · Event occurred Jan 1, 2025
Report 3012307300-2025-01884 · MDR key 21482590
Device
Generic name
Accessories, Pump, Infusion
Manufacturer
Smiths Medical Asd, Inc.Catalog number
21-2131-25
Lot number
19481649
Product problems
- Failure to Infuse
- Failure to Infuse
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
ONE DEVICE WAS RECEIVED FOR EVALUATION. FUNCTIONAL TESTING WAS ABLE TO DUPLICATE THE REPORTED PROBLEM. EVALUATION DETERMINED THAT THERE WAS NO INTERNAL BATTERY INSTALLED INSIDE THE COMM MODULE. WITHOUT AN INTERNAL BATTERY THE COMM MODULE COULD NOT OPERATE. REPLACEMENT REQUEST WAS PROCESSED TO THE CUSTOMER.
Additional Manufacturer Narrative
E1: PHONE NUMBER EXTENSION (B)(6). 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 INFORMATION BECOMES AVAILABLE.
Description of Event or Problem
IT WAS REPORTED THAT WHEN THE COMMUNICATION MODULE WAS ATTACHED TO THE PUMP, AN ALARM WAS GENERATED STATING THAT THE BATTERIES WERE DEPLETED, YET THEY ARE FULLY CHARGED. THE ALARM ONLY WENT AWAY WHEN THE PUMP IS CONNECTED TO THE POWER ADAPTER. THERE WAS UNKNOWN PATIENT INVOLVEMENT. NO PATIENT HARM/ADVERSE EVENT WAS REPORTED.