FDA Adverse Event Malfunction Summary report: N

CADD-SOLIS HPCA PUMP

MDR report key: 23597671 · Received November 19, 2025

Report

Report Number
3012307300-2025-12619
Event Type
Malfunction
Date Received
November 19, 2025
Date of Event
September 23, 2025
Report Date
November 19, 2025
Manufacturer
ICU MEDICAL, INC.
Product Code
MEA
UDI-DI
15019517128734
PMA / PMN Number
UNKNOWN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

H3: ONE DEVICE WAS RETURNED FOR ANALYSIS. FUNCTIONAL AND VISUAL TESTS WERE PERFORMED, AND THE REPORTED ISSUE WAS DUPLICATED. THE LOCK MECHANISM WAS NOT WORKING, AND THE CARTRIDGE COULD NOT BE REMOVED. HOWEVER, REVIEW OF THE EVENT HISTORY REVEALED ERROR CODE 46228 INDICATING A FAILURE OF THE PRINTED WIRE ASSEMBLY (PWA). THIS INDICATED A REPORTABLE MALFUNCTION BASED ON THE PWA. THE PWA WILL BE REPLACED TO ADDRESS THIS ISSUE. SERVICE HISTORY REVIEW HAD NO INDICATION THAT THE COMPLAINT WAS RELATED TO A SERVICE OF THE DEVICE WITHIN THE REVIEW PERIOD.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE READING MECHANISM WAS BROKEN, AS IT WAS NOT POSSIBLE TO REMOVE THE CARTRIDGE FROM THE PUMP. PER REPORTER, THERE WAS NO PATIENT INVOLVEMENT, AND THE ISSUE WAS DISCOVERED DURING TESTING. EVALUATION OF THE RETURNED DEVICE IDENTIFIED ERROR CODE 46228 INDICATING A PRINTED WIRE ASSEMBLY (PWA) FAILURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2310221 CADD-SOLIS HPCA PUMP PUMP, INFUSION, PCA MEA ICU MEDICAL, INC. 2110 15019517128734

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown