CADD SOLIS COMM MODULE
Received Apr 24, 2025 · Event occurred Mar 10, 2023
Report 3012307300-2025-04797 · MDR key 21900282
Device
Generic name
Accessories, Pump, Infusion
Manufacturer
Smiths Medical Asd, Inc.Catalog number
21-2131-25
Lot number
12219604
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
E1 - INITIAL REPORTER PHONE: (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 THE WIRELESS MODULE EXHIBITED AN ERROR AND INTERMITTENT CONNECTION WITH THE PUMP. THERE WAS NO PATIENT INVOLVEMENT, NO PATIENT INJURY WAS REPORTED.
Additional Manufacturer Narrative
D9: 29-APR-2025. H3: ONE DEVICE WAS RETURNED FOR ANALYSIS IN NORMAL CONDITION WITH NO PHYSICAL DAMAGE NOTED. FUNCTIONAL TESTING WAS PERFORMED, AND THE DEVICE SUCCESSFULLY CONNECTED THE COMM MODULE WITH THE NETWORK UTILITY AND ALLOWED THE DEVICE TO STAY ON FOR 2 HOURS WITH NO ERROR MESSAGES DISPLAYED. THE COMPLAINT WAS NOT REPLICATED AND THEREFORE A PROBABLE CAUSE COULD NOT BE DETERMINED.