FDA Adverse Event Malfunction Summary report: N

QUANTUM PERFUSION CENTRIFUGAL BLOOD PUMP CP22 WITH INTEGR

MDR report key: 23025462 · Received September 11, 2025

Report

Report Number
3016746283-2025-00008
Event Type
Malfunction
Date Received
September 11, 2025
Date of Event
August 12, 2025
Report Date
October 16, 2025
Manufacturer
SPECTRUM MEDICAL S.R.L.
Product Code
KFM
UDI-DI
08051160300624
PMA / PMN Number
K201320
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE ANALYSIS REVEALED THAT A PIN IN THE INLET SENSOR IS BENT, CAUSING THE IMPOSSIBILITY TO READ THE PRESSURE VALUE. RECORDS OF THE ANALYSES CARRIED OUT IN THE CLEAN ROOM BEFORE DEVICE'S RELEASE, REVEALED THAT THE TWO SENSORS PERFORMED CORRECTLY WHEN TESTED. SINCE THE DEVICE PASSED THIS CONTROL, IT CAN BE ASSUMED THAT THE PIN WAS DAMAGED DURING CLINICAL PROCEDURE (REFER TO BHCX763_INVESTIGATION_RMD).

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION RELATED TO THE EVENT WILL BE AVAILABLE AFTER INVESTIGATION OF RETURNED DEVICE, WHICH COULD BE ADDRESSED IN A FOLLOW-UP REPORT.

Description of Event or Problem · 0

CP22 DISPOSABLE PORT ON THE INLET SIDE APPEARS TO HAVE CUT OUT DURING THE RUN. PERFUSIONIST STATES THAT THE INLET PRESSURE DECREASED TO -700, CAUSING THE PUMP TO STOP BEFORE THE INLET PRESSURE IN THE GUAGE BAR WENT COMPLETELY BLANK.

Description of Event or Problem · 0

CP22 DISPOSABLE PORT ON THE INLET SIDE APPEARS TO HAVE CUT OUT DURING THE RUN. PERFUSIONIST STATES THAT THE INLET PRESSURE DECREASED TO -700, CAUSING THE PUMP TO STOP BEFORE THE INLET PRESSURE IN THE GUAGE BAR WENT COMPLETELY BLANK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2231777 QUANTUM PERFUSION CENTRIFUGAL BLOOD PUMP CP22 WITH INTEGR CENTRIFUGAL BLOOD PUMP KFM SPECTRUM MEDICAL S.R.L. CP22V-VT H000145 08051160300624

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention