inforMED
MalfunctionMRZ

CADD-SOLIS WIRELESS COMMUNICATION MODULE

Received Mar 31, 2025 · Event occurred Mar 1, 2025

Report 3012307300-2025-03547 · MDR key 21734360

Device

Generic name

Accessories, Pump, Infusion

Catalog number

UNKNOWN

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

D3 - MFR ESTABLISHMENT NAME: CORRECTION H6. CODES: UPDATED. DEVICE EVALUATION: COMPLAINT FOR THE FAILURE MODE "DEVICE KEEPS SHOWING AN INTERMITTENT DISCONNECTION WITH THE COMMUNICATION MODULE MESSAGE WHEN IT IS TURNED ON" COULD NOT BE CONFIRMED AS NO SAMPLES OR PICTURES WERE PROVIDED BY THE CUSTOMER. WITHOUT THE RETURN OF THE SAMPLE(S) A COMPREHENSIVE FAILURE INVESTIGATION CANNOT BE PERFORMED, AND A PROBABLE CAUSE CANNOT BE DETERMINED. IF THE PRODUCT IS RETURNED THE MANUFACTURER WILL RE-OPEN THE COMPLAINT FOR FURTHER DEVICE ANALYSIS.

Additional Manufacturer Narrative

B3. DATE OF EVENT: MONTH AND YEAR OF EVENT HAVE BEEN PROVIDED, BUT DAY IS UNKNOWN.H3: 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 REPORTABLE INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

IT WAS REPORTED THAT THE DEVICE KEEPS SHOWING AN INTERMITTENT DISCONNECTION WITH THE COMMUNICATION MODULE MESSAGE WHEN IT IS TURNED ON. TECH SUPPORT WAS CONTACTED, AND THEIR TROUBLESHOOTING TIPS WERE FOLLOWED. THE PROBLEM WAS NOT RESOLVED, INDICATING A POSSIBLY DAMAGED COMMUNICATION MODULE. THERE WAS UNKNOWN PATIENT INVOLVEMENT AND UNKNOWN PATIENT HARM/ADVERSE EVENT REPORTED.