FDA Adverse Event Malfunction Summary report: N

CADD MEDICATION CASSETTE

MDR report key: 23017157 · Received September 10, 2025

Report

Report Number
9617604-2025-00247
Event Type
Malfunction
Date Received
September 10, 2025
Date of Event
August 5, 2025
Report Date
September 10, 2025
Manufacturer
ICU MEDICAL, INC
Product Code
FPA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

TWO PHOTOS WERE RECEIVED FOR ANALYSIS. HOWEVER, THE INVESTIGATION COULD NOT IDENTIFY SUFFICIENT DETAIL FROM THE PHOTOS TO CONFIRM THE REPORTED ISSUE. AS NO LOT NUMBER COULD BE CONFIRMED, NO REVIEW OF DEVICE RECORDS COULD BE CONDUCTED. BASED ON THE RESULTS OF THE INVESTIGATION, THE REPORTED COMPLAINT COULD NOT BE CONFIRMED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE OF THE 100 ML YELLOW CADD CASSETTES, A CASSETTE CONTAINING A PARTICLE HAD BEEN IDENTIFIED THROUGH VISUAL INSPECTION. THE MAJORITY OF THE CASSETTES USED HAD COME FROM LOT 6070588; HOWEVER, SINCE UNITS FROM OTHER LOTS HAD ALSO BEEN USED, IT WAS NOT POSSIBLE TO SPECIFY A SINGLE LOT. THERE WAS NO REPORT OF PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1750179 CADD MEDICATION CASSETTE SET, ADMINISTRATION, INTRAVASCULAR FPA ICU MEDICAL, INC UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown