FDA Adverse Event Malfunction Summary report: N

CADD-SOLIS VIP AMBULATORY INFUSION PUMP

MDR report key: 24872787 · Received April 14, 2026

Report

Report Number
3012307300-2026-03688
Event Type
Malfunction
Date Received
April 14, 2026
Date of Event
February 27, 2026
Report Date
April 14, 2026
Manufacturer
ICU MEDICAL, INC.
Product Code
FRN
UDI-DI
15019517150292
PMA / PMN Number
K111275
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H6: CODES WERE ADDED. ONE DEVICE WAS RETURNED FOR INVESTIGATION. IT WAS REPORTED THAT COMPLAINT OF ¿PUMP DOES NOT RECOGNIZE THE CASSETTE", CONFIRMED THROUGH PUMP POWER UP TEST AND ATTACHED A 50 ML CASSETTE. DSO SENSOR WILL NEED TO BE REPLACED. UPON FURTHER INVESTIGATION, FOUND NO OTHER ISSUES. SERVICE HISTORY REVIEW IDENTIFIED THERE WAS NO INDICATION THAT THE COMPLAINT WAS RELATED TO A SERVICE OF THE DEVICE WITHIN THE REVIEW PERIOD.

Description of Event or Problem · 0

(B)(4) WAS OPENED REGARDING A CADD-SOLIS VIP AMBULATORY INFUSION PUMP WITH LN 21-2127-0105-01 AND SN (B)(6): IT WAS REPORTED THAT THE PUMP DOES NOT RECOGNIZE THE CASSETTE. THE EVENT OCCURRED DURING TESTING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
940016 CADD-SOLIS VIP AMBULATORY INFUSION PUMP PUMP, INFUSION FRN ICU MEDICAL, INC. 15019517150292

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown