FDA Adverse Event Malfunction Summary report: N

CADD CASSETTE RESERVOIRS

MDR report key: 25022554 · Received April 28, 2026

Report

Report Number
3012307300-2026-04347
Event Type
Malfunction
Date Received
April 28, 2026
Date of Event
November 4, 2025
Report Date
April 29, 2026
Manufacturer
ICU MEDICAL HEALTHCARE MANUFACTURING S.A. DE C.V.
Product Code
FPA
UDI-DI
10610586032394
PMA / PMN Number
K081156
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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 · 0

IT WAS REPORTED THAT DURING INSPECTION ACTIVITIES IN INSPECTION, LABELING, AND PACKAGING (ILP), LEAD PRODUCTION TECHNICIAN IDENTIFIED FIVE (5) UNITS WITH PARTICULATES OUT OF 66 INSPECTED UNITS FOR CSP LOT. THE IR SPECTRUM OF THE PARTICULATE BEST MATCHED THE PLASTIC WHICH MOST LIKELY COMPOSED OF POLYPROPYLENE, THERE WAS NO PATIENT INVOLVEMENT AND NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
537506 CADD CASSETTE RESERVOIRS SET, ADMINISTRATION, INTRAVASCULAR FPA ICU MEDICAL HEALTHCARE MANUFACTURING S.A. DE C.V. 6070571 10610586032394

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown