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 |