FDA Adverse Event Malfunction Summary report: N

QUANTUM HEATER COOLER

MDR report key: 20853647 · Received December 5, 2024

Report

Report Number
3006073153-2024-00125
Event Type
Malfunction
Date Received
December 5, 2024
Date of Event
May 16, 2023
Report Date
November 25, 2024
Manufacturer
SPECTRUM MEDICAL LIMITED
Product Code
DWC
PMA / PMN Number
K212657
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DEVICE WAS RETURNED TO SPECTRUM MEDICAL LTD FOR REWORK TO THE LATEST BUILD. THE ORIGINAL ERROR WAS NOT POSSIBLE TO REPLICATE.

Description of Event or Problem · 0

THE HEATER COOLER WAS NOT ADEQUATELY COOLING THE HEAT TRANSFER FLUID TO THE SET TEMPERATURE. THE DEVICE PRODUCED AN ALARM CODE, BUT THE USER WAS UNABLE TO RESOLVE THE ISSUE. THERE WAS NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2114451 QUANTUM HEATER COOLER CONTROLLER, TEMPERATURE, CARDIOPULMONARY BYPASS DWC SPECTRUM MEDICAL LIMITED QHC2

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown