| Brand Name | CADD-SOLIS VIP AMBULATORY INFUSION PUMP |
| Common Device Name | PUMP, INFUSION |
| Manufacturer (Section D) |
| ICU MEDICAL, INC. |
| 3350 granada avenue north |
| oakdale MN 55128 |
|
| Manufacturer Contact |
|
reed
covert
|
| 6000 nathan lane north |
| minneapolis, MN 55442
|
|
+1(224)706-2300
|
|
| MDR Report Key | 25666056 |
| Report Number | 3012307300-2026-06676 |
| Device Sequence Number | 5638862 |
| Product Code |
FRN
|
| UDI-Device Identifier | 15019517126600 |
| UDI-Public | (01)15019517126600(11)180618 |
| Combination Product (Y/N) | N |
| Initial Reporter State | OH |
| Initial Reporter Country | US |
| PMA/510(K) Number | K111275 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility |
| Initial Reporter Occupation |
Biomedical Engineer
|
| Remedial Action |
Recall |
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
08/26/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Other
|
| Device Catalogue Number | 21-2127-0104-01 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/02/2026 |
| Supplement Date Received by Manufacturer | 08/01/2026
|
| Initial Report FDA Received Date | 06/30/2026 |
| Supplement Report FDA Received Date | 08/26/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 06/18/2018 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
| Usage of Device |
Reuse
|
If action reported to FDA under 21 USC 360i(g), list FDA-assigned Recall Number or include a statement | Z-2419-2024, Z-2421-2024 |
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|