inforMED
MalfunctionMRZ

CADD-SOLIS WIRELESS COMMUNICATION MODULE

Received Apr 3, 2025 · Event occurred Mar 1, 2025

Report 3012307300-2025-03738 · MDR key 21767324

Device

Generic name

Accessories, Pump, Infusion

Catalog number

21-2131-01

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 "INTERMITTENT CONNECTIVITY ERROR" 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

E1 - INITIAL REPORTER PHONE: (B)(6). 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 THERE WAS INTERMITTENT CONNECTIVITY WITH THE PUMP DEVICE WHEN IT WAS ATTACHED TO THE AC ADAPTER AND CHARGING. THERE WAS NO PATIENT INVOLVEMENT, AND NO PATIENT HARM/ADVERSE EVENT REPORTED.