CADD SOLIS COMM MODULE
Received Mar 27, 2025 · Event occurred Feb 21, 2025
Report 3012307300-2025-03315 · MDR key 21707159
Device
Generic name
Accessories, Pump, Infusion
Manufacturer
Smiths Medical Asd, Inc.Model number
UNKNOWNCatalog number
21-2131-25
Lot number
UNKNOWN
Product problems
- Failure to Infuse
- Wireless Communication Problem
- Failure to Infuse
- Wireless Communication Problem
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
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 THE PUMP ONLY POWERED ON WHEN PLUGGED IN AND DISPLAYED THE FOLLOWING ERROR ON THE SCREEN, WIRELESS MODULE INTERMITTENT CONNECTION WITH PUMP. THE COMMUNICATION MODULE AND BATTERY PACK WERE NOT RECOGNIZED BY THE PUMP. THERE WAS UNKNOWN PATIENT INVOLVEMENT AND UNKNOWN HARM/ADVERSE EVENT WAS REPORTED.
Additional Manufacturer Narrative
DEVICE EVALUATION: ONE DEVICE WAS RECEIVED FOR DEVICE ANALYSIS. FUNCTIONAL TESTING AND VISUAL INSPECTION PERFORMED DURING ANALYSIS. THE CUSTOMER REPORTED COMPLAINT WAS CONFIRMED. IT WAS DETERMINED THAT THE COMMUNICATION MODULE WAS CONSISTENTLY DEVELOPING THE FAILURE WHENEVER ATTACHED TO A PUMP. THE ROOT CAUSE OF THE REPORTED COMPLAINT WAS THE COMMUNICATION MODULE.