inforMED
MalfunctionMRZ

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

Model number

UNKNOWN

Catalog 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.